AIDS research and human retroviruses最新文献

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Willingness to Switch to Long-Acting Injectable Cabotegravir and Rilpivirine Every 2 Months for People Living with HIV in Nanjing, China. 中国南京艾滋病毒感染者每2个月改用长效注射卡博特韦和利匹韦林的意愿
IF 1.5 4区 医学
AIDS research and human retroviruses Pub Date : 2024-12-12 DOI: 10.1089/aid.2023.0150
Mengqing Li, Hongjing Guan, Mingli Zhong, Xiaoyun Di, Nawei Yu, Chen Chen, Rentian Cai, Hongxia Wei
{"title":"Willingness to Switch to Long-Acting Injectable Cabotegravir and Rilpivirine Every 2 Months for People Living with HIV in Nanjing, China.","authors":"Mengqing Li, Hongjing Guan, Mingli Zhong, Xiaoyun Di, Nawei Yu, Chen Chen, Rentian Cai, Hongxia Wei","doi":"10.1089/aid.2023.0150","DOIUrl":"https://doi.org/10.1089/aid.2023.0150","url":null,"abstract":"<p><p>Daily oral medication is currently the most common antiretroviral therapy (ART) for people living with human immunodeficiency virus (PLWH). As the first complete long-acting (LA) ART regimen, cabotegravir (CAB) and rilpivirine (RPV), offer a novel treatment approach with less frequent administration, via bimonthly infusion. Due to the upcoming availability of this regimen in China, the study aimed to analyze the willingness and reasons of PLWH to switch to CAB+RPV therapy. A questionnaire survey among PLWH receiving oral ART was carried out between March 25 and April 8, 2023, in the Second Hospital of Nanjing, China. Participants were asked about their willingness to switch to the CAB+RPV LA regimen and provided reasons for their decision. We analyzed the reasons for switching, and the factors affecting their willingness were analyzed by multinomial logistic regression. Among 693 participants, 56.7% expressed willingness to switch to the CAB+RPV regimen, 32.6% were uncertain, and 10.7% were unwilling. The primary reason for switching to CAB+RPV therapy was not being concerned about daily adherence to ART (22.6%). Uncertainty about switching was mainly associated with participants' concerns in terms of price (31.6%) and safety (31.1%) of the novel drugs. Unwillingness was mainly due to participants' satisfaction with their current treatment regimen (20.3%). In multivariate analysis, higher education (odds ratio [<i>OR</i>]: 2.990; 95% confidence interval [<i>CI</i>]: 1.171-7.636) was positively associated with willingness to switch, whereas the age of ≥60 (<i>OR</i>: 0.142; 95% <i>CI</i>: 0.036-0.554) was negatively associated. Our survey demonstrated that the majority of PLWH were willing to switch to CAB+RPV therapy, mainly due to its improved convenience and reduced risk of disease exposure. However, their concerns regarding price, efficacy, and safety could be the key challenges for the clinical implementation of the CAB+RPV LA regimen in the future.</p>","PeriodicalId":7544,"journal":{"name":"AIDS research and human retroviruses","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142811915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transcytosis as a Mechanism of HIV-1 Entry into Columnar Epithelial Explants of the Female Reproductive Tract. 胞吞作用是HIV-1进入女性生殖道柱状上皮外植体的机制。
IF 1.5 4区 医学
AIDS research and human retroviruses Pub Date : 2024-12-12 DOI: 10.1089/aid.2024.0045
Ann M Carias, Meegan Anderson, Michael McRaven, Edward Allen, Angela J Fought, Thomas J Hope
{"title":"Transcytosis as a Mechanism of HIV-1 Entry into Columnar Epithelial Explants of the Female Reproductive Tract.","authors":"Ann M Carias, Meegan Anderson, Michael McRaven, Edward Allen, Angela J Fought, Thomas J Hope","doi":"10.1089/aid.2024.0045","DOIUrl":"https://doi.org/10.1089/aid.2024.0045","url":null,"abstract":"<p><p>During male-to-female transmission, HIV-1 must cross the mucosal epithelium of the female reproductive tract to gain access to underlying target cells. Previously, we demonstrated that HIV-1 can penetrate intact columnar and squamous genital epithelia in both <i>ex vivo</i> and <i>in vivo</i> systems. We found that the virus enters the squamous epithelium via a diffusion-based mechanism, but the mechanism of entry in columnar epithelium remained elusive. Using a similar set of approaches, we now demonstrate that HIV enters the endocervical simple columnar epithelium via endocytosis. By exposing human endocervical explant tissue to small molecule endocytosis inhibitors prior to virus exposure, we show that virus penetration into the simple columnar barrier is impeded. These data suggest a transcytosis-based mechanism for HIV-1 penetration into the endocervical columnar barrier.</p>","PeriodicalId":7544,"journal":{"name":"AIDS research and human retroviruses","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142811894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The rs1799884 Glucokinase Gene Polymorphism Modulates Susceptibility to HIV Status and CD4 Cell Count and Viral Load before and After Treatment in AIDS Progressors. rs1799884葡萄糖激酶基因多态性调节艾滋病进展者治疗前后对HIV状态、CD4细胞计数和病毒载量的易感性
IF 1.5 4区 医学
AIDS research and human retroviruses Pub Date : 2024-12-11 DOI: 10.1089/aid.2024.0009
Soufiane Hilmi, Ahd Ouladlahsen, Bouchaib Bencharki, Asmaa Haddaji, Sanaa Jebbar, Rajaa Bensghir, Mustapha Sodqi, Latifa Marih, Kamal Marhoum El Filali, Soumaya Benjelloun, Sayeh Ezzikouri
{"title":"The rs1799884 <i>Glucokinase</i> Gene Polymorphism Modulates Susceptibility to HIV Status and CD4 Cell Count and Viral Load before and After Treatment in AIDS Progressors.","authors":"Soufiane Hilmi, Ahd Ouladlahsen, Bouchaib Bencharki, Asmaa Haddaji, Sanaa Jebbar, Rajaa Bensghir, Mustapha Sodqi, Latifa Marih, Kamal Marhoum El Filali, Soumaya Benjelloun, Sayeh Ezzikouri","doi":"10.1089/aid.2024.0009","DOIUrl":"https://doi.org/10.1089/aid.2024.0009","url":null,"abstract":"<p><p>The human immunodeficiency virus (HIV), a retrovirus targeting the immune system and the primary agent causing acquired immunodeficiency syndrome (AIDS), can have fatal consequences. Although antiretroviral treatment has significantly reduced mortality and comorbidity in people living with HIV (PLHIV), its impact on metabolic syndrome (MetS) remains notable. Several genome-wide association studies have identified a link between the <i>glucokinase</i> gene (<i>GCK</i>) and MetS, particularly in type 2 diabetes. However, no studies have investigated the association between this gene and HIV status. Our study aims to evaluate the association of the rs1799884 polymorphism in the <i>GCK</i> gene with HIV status in a group of Moroccan patients. This case-control study includes 207 PLHIV and 181 HIV-uninfected controls. Genotyping of the rs1799884 polymorphism in the <i>GCK</i> gene was performed using a predesigned TaqMan single-nucleotide polymorphism genotyping assay. The genotypic distribution between PLHIV and HIV-uninfected controls revealed a significant difference. Patients with the CT genotype had a 4.47-fold increased risk of infection [odds ratio (OR) = 4.47; 95% confidence interval (CI) = 2.75-7.29; <i>p</i> = .001]. However, the TT genotype conferred protection against HIV in a recessive model (OR = 0.50; 95% CI = 0.28-0.91; <i>p</i> = .021). Interestingly, the risk associated with the CT genotype was even higher in AIDS-related cases (OR = 9.37; 95% CI = 4.32-20.36; <i>p</i> = .0001). Additionally, under the dominant model, individuals with CT and TT genotypes had a 7.67-fold increased risk of infection (OR = 7.67; 95% CI = 3.60-16.36; <i>p</i> < .0001). However, the TT genotype under the recessive model was not significantly associated with disease progression. No significant association was observed between these genotypes and CD4 count; however, there was a significant variation in viral load after treatment. Our findings suggest that the rs1799884-C/T variant of the <i>GCK</i> gene may influence susceptibility to HIV status, progression to AIDS, and response to treatment.</p>","PeriodicalId":7544,"journal":{"name":"AIDS research and human retroviruses","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142805976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HIV-1 Molecular Networks and Pretreatment Drug Resistance at the Frontier of Yunnan Province, China. 中国云南省边疆地区的 HIV-1 分子网络和预处理耐药性。
IF 1.5 4区 医学
AIDS research and human retroviruses Pub Date : 2024-12-01 Epub Date: 2024-07-16 DOI: 10.1089/AID.2023.0124
Yawen Wang, Cuiyun Yang, Xiaomei Jin, Huichao Chen, Qiongmei Zhu, Jie Dai, Lijuan Dong, Min Yang, Pengyan Sun, Rui Cao, Manhong Jia, Yanling Ma, Min Chen
{"title":"HIV-1 Molecular Networks and Pretreatment Drug Resistance at the Frontier of Yunnan Province, China.","authors":"Yawen Wang, Cuiyun Yang, Xiaomei Jin, Huichao Chen, Qiongmei Zhu, Jie Dai, Lijuan Dong, Min Yang, Pengyan Sun, Rui Cao, Manhong Jia, Yanling Ma, Min Chen","doi":"10.1089/AID.2023.0124","DOIUrl":"10.1089/AID.2023.0124","url":null,"abstract":"<p><p>The border areas of Yunnan Province in China are severely affected by human immunodeficiency virus (HIV). To investigate the risk of HIV transmission and assess the prevalence of pretreatment drug resistance (PDR) in the border area, blood samples were collected from individuals with newly reported HIV in 2021 in three border counties (Cangyuan, Gengma, and Zhenkang) in Yunnan Province. Among the 174 samples successfully genotyped, eight circulating recombinant forms (CRFs), two subtypes, and several unique recombinant forms (URFs) were identified. CRF08_BC (56.9%, 99/174), URFs (14.4%, 25/174), CRF01_AE (10.9%, 19/174), and CRF07_BC (8.0%, 14/174) were the main genotypes. CRF08_BC and URFs were detected more frequently in Chinese and Burmese individuals, respectively. CRF07_BC was found more frequently in men who have sex with men. The proportion of individuals detected in HIV-1 networks was only associated with case-reporting counties. When stratified by county, individuals aged ≤40 years in Cangyuan and ≥41 years in Gengma were more likely to be found in these networks. Furthermore, 93.8% (15/16) of the links in Cangyuan and 79.4% (50/63) of those in Gengma were located within their own counties. The prevalence of PDR to any antiretroviral drug, nucleoside reverse transcriptase inhibitors (NRTIs), and non-nucleoside reverse transcriptase inhibitors (NNRTIs) were 10% (17/170), 0.6% (1/170), and 9.4% (16/170), respectively. The most frequent resistance-associated mutations (RAMs) were V179D/VD/E/T (22.9%, 39/170) and E138A/G/K/R (13.5%, 23/170). In the molecular networks, six clusters shared common RAMs. HIV-1 genetics has become more diverse in border areas. HIV-1 molecular network analysis revealed the different characteristics of the HIV-1 epidemic in the border counties. The prevalence of PDR showed an upward trend, and the PDR to NNRTIs was close to the public response threshold. These findings provide information for the development of AIDS prevention and treatment strategies.</p>","PeriodicalId":7544,"journal":{"name":"AIDS research and human retroviruses","volume":" ","pages":"701-712"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141496842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors Associated with Time to Initial Antiretroviral Therapy Discontinuation in the DC Cohort. DC 队列中与初始抗逆转录病毒疗法停药时间相关的因素。
IF 1.5 4区 医学
AIDS research and human retroviruses Pub Date : 2024-12-01 Epub Date: 2024-07-23 DOI: 10.1089/AID.2024.0002
Morgan E Byrne, Jenna B Resnik, Michael A Horberg, Alan E Greenberg, Amanda D Castel, Anne K Monroe
{"title":"Factors Associated with Time to Initial Antiretroviral Therapy Discontinuation in the DC Cohort.","authors":"Morgan E Byrne, Jenna B Resnik, Michael A Horberg, Alan E Greenberg, Amanda D Castel, Anne K Monroe","doi":"10.1089/AID.2024.0002","DOIUrl":"10.1089/AID.2024.0002","url":null,"abstract":"<p><p>When an initial antiretroviral therapy (ART) regimen is effective and well-tolerated, it can be maintained for years as long as the patient adheres. Prior research has revealed that shorter initial ART duration is associated with regimen type, female sex, injection drug use as the HIV transmission category, and lower baseline CD4 count. We examined potential factors associated with initial regimen discontinuation among a subset of newly diagnosed virally unsuppressed PWH in the DC Cohort, an ongoing prospective observation study that uses electronic health record data from clinic sites to collect relevant information, including demographic and clinical information. Participants were excluded from the analysis if they had less than 6 months of follow-up and were virally suppressed at enrollment. There were 479 individuals included in the study. The median age of participants was 33.9 years [interquartile range (IQR) 26-43.9]. The sample was predominantly male (79.1%) and of Black race (70.8%). Over half of the study participants (56.4%) attended community-based clinic sites. The median time to the discontinuation of initial ART was 2.7 years [95% confidence interval (CI): 2.3, 3.4]. Females had a shorter time to ART discontinuation [adjusted hazard ratio (aHR) 1.55, 95% CI: 1.14, 2.11] as did individuals who started on a protease inhibitor-based regimen versus integrase strand transfer inhibitors (aHR 1.87, 95% CI: 1.34, 2.61) and those receiving HIV care at a community-based site (aHR 1.46, 95% CI: 1.11,1.93). Although limited by lack of reason for discontinuation, we demonstrated that ART-naïve women, community clinic attendees, and patients starting on PIs had a shorter duration of initial ART. More anticipatory guidance may be needed to help patients stay on their initial therapy and manage the side effects or to be flexible in trying different regimens.</p>","PeriodicalId":7544,"journal":{"name":"AIDS research and human retroviruses","volume":" ","pages":"671-679"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11693942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141496841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving Recruitment and Retention of Transgender Women in HIV Prevention Trials: Strategies to Make Trial Participation More Congruent with the Needs of Transgender Women. 改善跨性别女性在艾滋病预防试验中的招募和保留:使试验参与更符合变性女性需求的策略》。
IF 1.5 4区 医学
AIDS research and human retroviruses Pub Date : 2024-12-01 Epub Date: 2024-07-31 DOI: 10.1089/AID.2023.0063
Doyel Das, Javier Lopez-Rios, Stacey A McKenna, Jonathan Porter, Curtis Dolezal, Pilar Giffenig, Michael Patrick Vaughn, Elena Abascal, Jasmine Michelle Lopez, Christine Tagliaferri Rael
{"title":"Improving Recruitment and Retention of Transgender Women in HIV Prevention Trials: Strategies to Make Trial Participation More Congruent with the Needs of Transgender Women.","authors":"Doyel Das, Javier Lopez-Rios, Stacey A McKenna, Jonathan Porter, Curtis Dolezal, Pilar Giffenig, Michael Patrick Vaughn, Elena Abascal, Jasmine Michelle Lopez, Christine Tagliaferri Rael","doi":"10.1089/AID.2023.0063","DOIUrl":"10.1089/AID.2023.0063","url":null,"abstract":"<p><p>Transgender women are disproportionately burdened by HIV. Though there is a substantial body of research exploring barriers and facilitators of HIV prevention among transgender women, many barriers remain unaddressed. This study identifies strategies to make HIV prevention trials more congruent with transgender women's preferences and needs to boost trial participation and ultimately enhance initiation and uptake of pre-exposure prophylaxis (PrEP). We conducted in-depth interviews with 15 sexually active, HIV-negative transgender women in New York City to understand: (1) preferences concerning long-acting injectable cabotegravir for PrEP and (2) ideas on how to make HIV prevention trial environments more comfortable. We identified five themes related to increasing transgender women's appeal to trials: (1) creating a more inclusive/welcoming environment, (2) providing compensation that is responsive to transgender women and community needs, (3) centering transgender women in recruitment and informational materials, (4) training study staff on gender-affirming practices, and (5) hiring transgender people as study staff. Participants wanted to see more gender diversity, representation, correct pronouns, gender-affirming practices, and compensation or reimbursements. Together, these practices may improve recruitment and retention of transgender women in HIV prevention trials.</p>","PeriodicalId":7544,"journal":{"name":"AIDS research and human retroviruses","volume":" ","pages":"680-689"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11693950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141603151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identification of Two Novel HIV-1 Unique Recombinant Forms (CRF01_AE/CRF07_BC) and Genomic Characterization in Tongzhou District of Beijing, China. 在中国北京市通州区鉴定两种新型 HIV-1 独特重组形式(CRF01_AE/CRF07_BC)并确定其基因组特征。
IF 1.5 4区 医学
AIDS research and human retroviruses Pub Date : 2024-12-01 Epub Date: 2024-07-31 DOI: 10.1089/AID.2024.0044
Xiang Gao, Changdong Wang, Le Li, Yuxin Feng, Jie Gao, Jinglin Zhou, Aiping Tong, Zhen Li, Jianguo Wang, Xiaohui Li, Hanping Li, Lin Li
{"title":"Identification of Two Novel HIV-1 Unique Recombinant Forms (CRF01_AE/CRF07_BC) and Genomic Characterization in Tongzhou District of Beijing, China.","authors":"Xiang Gao, Changdong Wang, Le Li, Yuxin Feng, Jie Gao, Jinglin Zhou, Aiping Tong, Zhen Li, Jianguo Wang, Xiaohui Li, Hanping Li, Lin Li","doi":"10.1089/AID.2024.0044","DOIUrl":"10.1089/AID.2024.0044","url":null,"abstract":"<p><p>Continuous recombination and variation during replication could lead to rapid evolution and genetic diversity of HIV-1. Some studies had identified that it was easy to develop new recombinant strains of HIV-1 among the populations of men who have sex with men (MSM). Surveillance of genetic variants of HIV-1 in key populations was crucial for comprehending the development of regional HIV-1 epidemics. The finding was reported the identification of two new unique recombinant forms (URF 20110561 and 21110743) from individuals infected with HIV-1 in Tongzhou, Beijing in 2020-2022. Sequences of near full-length genome (NFLG) were amplified, then identification of amplification products used phylogenetic analyses. The result showed that CRF01_AE was the main backbone of 20110561 and 21110743. In the <i>gag</i> region of the virus, 20110561 was inserted two fragments from CRF07_BC, while in the <i>pol</i> and <i>tat</i> regions of the virus, 21110743 was inserted four fragments from CRF07_BC. The CRF01_AE parental origin in the genomes of the two URFs was derived from the CRF01_AE Cluster 4. In the phylogenetic tree, the CRF07_BC parental origin of 20110561 clustered with 07BC_N and the CRF07_BC parental origin of 21110743 clustered with 07BC_O. In summary, the prevalence of novel second-generation URFs of HIV-1 was monitored in Tongzhou, Beijing. The emergence of the novel CRF01_AE/CRF07_BC recombination demonstrated that there was a great significance of continuous monitoring of new URFs in MSM populations to prevent and control the spreading of new HIV-1 URFs.</p>","PeriodicalId":7544,"journal":{"name":"AIDS research and human retroviruses","volume":" ","pages":"722-727"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141603150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sequence Notes: Near Full-Length Genome Analysis of the First-Reported HIV-1 Circulating Recombinant Form (CRF)_10CD in Uganda. 对乌干达首次报告的 HIV-1 循环重组型 (CRF)_10CD 进行近全长基因组分析。
IF 1.5 4区 医学
AIDS research and human retroviruses Pub Date : 2024-12-01 Epub Date: 2024-07-16 DOI: 10.1089/AID.2024.0034
Nicholas Bbosa, Vera Holzmayer, Deogratius Ssemwanga, Robert Downing, Alfred Ssekagiri, Mark Anderson, Mary A Rodgers, Pontiano Kaleebu, Gavin Cloherty
{"title":"Sequence Notes: Near Full-Length Genome Analysis of the First-Reported HIV-1 Circulating Recombinant Form (CRF)_10CD in Uganda.","authors":"Nicholas Bbosa, Vera Holzmayer, Deogratius Ssemwanga, Robert Downing, Alfred Ssekagiri, Mark Anderson, Mary A Rodgers, Pontiano Kaleebu, Gavin Cloherty","doi":"10.1089/AID.2024.0034","DOIUrl":"10.1089/AID.2024.0034","url":null,"abstract":"<p><p>HIV-1 is characterized by remarkable genetic diversity resulting from its high replication rate, error-prone reverse transcriptase enzyme and recombination events. In Uganda, HIV-1 subtype diversity is mostly dominated by subtypes A, D, and A1/D Unique Recombinant Forms (URFs). In this study, deep sequences of HIV from patients with known antiretroviral therapy (ART) status were analyzed to determine the subtypes and to identify drug-resistance mutations circulating in the study population. Of the 187 participant samples processed for next-generation sequencing (NGS), 137 (73%) were successfully classified. The majority of HIV-1 strains were classified as subtype A (75, 55%), D (43, 31%), with other subtypes including C (3, 2%), A1/D (9, 7%) and CRF10_CD (1, <1%). Recombinant analysis of nine complete A1/D HIV genomes identified novel recombination patterns described herein. Furthermore, we report for the first time in Uganda, an HIV-1 CRF10_CD strain from a fisherfolk in a Lake Victoria Island fishing community.</p>","PeriodicalId":7544,"journal":{"name":"AIDS research and human retroviruses","volume":" ","pages":"718-721"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141496843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early Implementation and Outcomes Among People with HIV Who Accessed Long-Acting Injectable Cabotegravir/Rilpivirine at Two Ryan White Clinics in the U.S. South. 在美国南部两家瑞安-怀特诊所使用长效注射用卡博替拉韦/瑞匹韦林的 HIV 感染者的早期实施情况和结果。
IF 1.5 4区 医学
AIDS research and human retroviruses Pub Date : 2024-12-01 Epub Date: 2024-07-16 DOI: 10.1089/AID.2024.0007
Grace C Haser, Laurence Balter, Stephen Gurley, Marsha Thomas, Thomas Murphy, Jeri Sumitani, Eric Paul Leue, Angela Hollman, Maima Karneh, Leah Wray, Melissa Washington, Della Corbin-Johnson, Alton Condra, Larisa Niles-Carnes, Bradley L Smith, Wendy S Armstrong, Ameeta S Kalokhe, Jonathan A Colasanti, Lauren F Collins
{"title":"Early Implementation and Outcomes Among People with HIV Who Accessed Long-Acting Injectable Cabotegravir/Rilpivirine at Two Ryan White Clinics in the U.S. South.","authors":"Grace C Haser, Laurence Balter, Stephen Gurley, Marsha Thomas, Thomas Murphy, Jeri Sumitani, Eric Paul Leue, Angela Hollman, Maima Karneh, Leah Wray, Melissa Washington, Della Corbin-Johnson, Alton Condra, Larisa Niles-Carnes, Bradley L Smith, Wendy S Armstrong, Ameeta S Kalokhe, Jonathan A Colasanti, Lauren F Collins","doi":"10.1089/AID.2024.0007","DOIUrl":"10.1089/AID.2024.0007","url":null,"abstract":"<p><p>The use of long-acting injectable cabotegravir/rilpivirine (LAI-CAB/RPV) as maintenance therapy for persons with HIV (PWH), which may improve treatment access and outcomes, though real-world data on uptake are limited, was studied at two Ryan White clinics in Atlanta, Georgia. Among PWH referred from 4/1/2021 to 9/15/2022 to switch to LAI-CAB/RPV, characteristics were ascertained at time of referral; and disposition (initiated; ineligible; uninterested; pending) was recorded as of 9/15/2022. Among patients initiated on CAB/RPV, we assessed the drug procurement process and clinical outcomes through 6/1/2023. Among 149 PWH referred, 74/149 (50%) initiated CAB/RPV as of 9/15/2022, of whom, characteristics were median age 47 (Q1-Q3 36-55) years, 16% cisgender female, 72% Black race, median HIV duration 15 (Q1-Q3 9-19) years, and 64% had commercial health insurance. Of the 75 PWH not initiated, 35 were ineligible owing to a clinical concern (<i>n</i> = 16) or insurance issue (<i>n</i> = 19); 15 patients changed their mind about switching; and 25 were pending eligibility review or therapy initiation. Median time from CAB/RPV prescription to initiation was 46 (Q1-Q3 29-78) days. Of 731 total injections administered (median 11 injections/patient), 95% were given within 7 days of the target treatment date. Nearly all patients were virally suppressed upon referral and remained suppressed through follow-up. At two clinics in the U.S. South, half of the patients referred for LAI-CAB/RPV successfully accessed therapy nearly 2 years after U.S. drug approval. We identified barriers to uptake at the patient and structural levels, highlighting key areas to invest resource and personnel support to sustain and scale long-acting antiretroviral therapy programming.</p>","PeriodicalId":7544,"journal":{"name":"AIDS research and human retroviruses","volume":" ","pages":"690-700"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141496840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identification of a Novel HIV-1 Circulating Recombinant Form (CRF150_Cpx) Among Men Who Have Sex with Men in China. 在中国男男性行为者中发现新型 HIV-1 循环重组形式(CRF150_cpx)。
IF 1.5 4区 医学
AIDS research and human retroviruses Pub Date : 2024-12-01 Epub Date: 2024-08-20 DOI: 10.1089/AID.2024.0061
Min Chen, Huichao Chen, Jie Dai, Lijuan Dong, Yanling Ma, Manhong Jia
{"title":"Identification of a Novel HIV-1 Circulating Recombinant Form (CRF150_Cpx) Among Men Who Have Sex with Men in China.","authors":"Min Chen, Huichao Chen, Jie Dai, Lijuan Dong, Yanling Ma, Manhong Jia","doi":"10.1089/AID.2024.0061","DOIUrl":"10.1089/AID.2024.0061","url":null,"abstract":"<p><p>Recent studies have reported increasing complexity in human immunodeficiency virus 1 (HIV-1) genotypes among men who have sex with men (MSM) in China. In an HIV-1 molecular epidemiological study conducted among MSM in Yunnan Province, China, we discovered that four samples could potentially represent a circulating recombinant form (CRF). In this study, we conducted further analysis on their nearly full-length genome (NFLG) sequences. The NFLG sequences formed a distinct monophyletic clade in the phylogenetic tree. Recombination analysis indicated that the four sequences were constructed upon the backbone of CRF149_01B, with the insertion of three CRF07_BC fragments. Consequently, they were designated as CRF150_cpx. Evolutionary analyses suggested that CRF150_cpx emerged between approximately 2014 and 2015. The identification of new CRFs not only deepens our understanding of HIV recombination but also aids in comprehending the prevalence and transmission history of HIV among specific populations.</p>","PeriodicalId":7544,"journal":{"name":"AIDS research and human retroviruses","volume":" ","pages":"728-732"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141900622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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