HIV therapyPub Date : 2009-07-06DOI: 10.2217/HIV.09.16
S. Sahay, M. Ghate, S. Mehendale
{"title":"Managing HIV therapy literacy in resource-limited settings","authors":"S. Sahay, M. Ghate, S. Mehendale","doi":"10.2217/HIV.09.16","DOIUrl":"https://doi.org/10.2217/HIV.09.16","url":null,"abstract":"A program of antiretroviral therapy (ART) roll-out is currently undergoing expansion in India and it is critical to ensure policy makers’ support, sustained commitment to funding and existence of ART literacy even in dispensaries at sub-district levels. There are challenges in ensuring adequate treatment coverage and high levels of adherence. The effectiveness of ART would increase through periodic specialized ART-related training of practitioners of modern and indigenous medicine working in both private and public sectors in India. Treatment literacy among healthcare providers should aim at providing them with basic information regarding ART, how antiretroviral drugs act and why they fail. Investment should be made in the research and development sector towards studying indigenous treatments, drug resistance patterns and unconventional approaches to treatment. Demystification of HIV by clarifying the knowledge gaps and creating awareness through celebrities, iconic individuals and opinion leaders may sig...","PeriodicalId":88510,"journal":{"name":"HIV therapy","volume":"21 1","pages":"339-344"},"PeriodicalIF":0.0,"publicationDate":"2009-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86906539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HIV therapyPub Date : 2009-07-06DOI: 10.2217/HIV.09.24
Ying Wang, B. Tomlinson
{"title":"Tesamorelin: a synthetic growth hormone-releasing factor analog for the treatment of HIV-associated lipodystrophy","authors":"Ying Wang, B. Tomlinson","doi":"10.2217/HIV.09.24","DOIUrl":"https://doi.org/10.2217/HIV.09.24","url":null,"abstract":"HIV-associated lipodystrophy has become a major challenge in the treatment of HIV infection. Recombinant human growth hormone has shown clinical effectiveness in therapy for growth hormone-deficient disorders and HIV-associated lipodystrophy, but its association with a variety of adverse effects has led to the development of human growth hormone-releasing factor analogs. Tesamorelin, a synthetic growth hormone-releasing factor, has been developed for the potential treatment of HIV-associated lipodystrophy. A multicenter, randomized, placebo-controlled, Phase III clinical trial demonstrated that tesamorelin was a beneficial treatment strategy for HIV-associated lipodystrophy with a good safety profile and a positive effect on reducing visceral fat and improving lipid profiles.","PeriodicalId":88510,"journal":{"name":"HIV therapy","volume":"50 1","pages":"319-327"},"PeriodicalIF":0.0,"publicationDate":"2009-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74699279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HIV therapyPub Date : 2009-07-06DOI: 10.2217/HIV.09.23
E. Magiorkinis, M. Detsika, A. Hatzakis, D. Paraskevis
{"title":"Monitoring HIV drug resistance in treatment-naive individuals: molecular indicators, epidemiology and clinical implications.","authors":"E. Magiorkinis, M. Detsika, A. Hatzakis, D. Paraskevis","doi":"10.2217/HIV.09.23","DOIUrl":"https://doi.org/10.2217/HIV.09.23","url":null,"abstract":"Transmitted drug resistance (TDR) has been documented to occur soon after the introduction of HAART. The purpose of this review is to summarize the current knowledge regarding the epidemiology, the clinical implications and the trends in the research field of TDR. Until now, there have been different approaches for monitoring TDR, however, the surveillance drug resistance-associated mutations list seems fairly advantageous for TDR surveillance compared with other methods. The prevalence of TDR is approximately 10% in Europe and North America among recently or newly infected individuals sampled over the last few years. TDR was found to be higher among patients infected in Europe and North America compared with those in geographic areas with a high prevalence of HIV-1, reflecting the differences in the access to HAART in the two populations. Resistant viruses show different reversal rates to wild-type depending on the fitness cost of particular mutations. TDR in treatment-naive individuals is of major impor...","PeriodicalId":88510,"journal":{"name":"HIV therapy","volume":"14 1","pages":"369-390"},"PeriodicalIF":0.0,"publicationDate":"2009-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74577480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HIV therapyPub Date : 2009-07-01DOI: 10.2217/hiv.09.19
David M Iser, Sharon R Lewin
{"title":"Future directions in the treatment of HIV-HBV coinfection.","authors":"David M Iser, Sharon R Lewin","doi":"10.2217/hiv.09.19","DOIUrl":"https://doi.org/10.2217/hiv.09.19","url":null,"abstract":"<p><p>Liver disease is a major cause of mortality in individuals with HIV-HBV coinfection. The pathogenesis of liver disease in this setting is unknown, but is likely to involve drug toxicity, infection of hepatic cells with both HIV and HBV, and an altered immune response to HBV. The availability of therapeutic agents that target both HIV and HBV replication enable dual viral suppression, and assessment of chronic hepatitis B is important prior to commencement of antiretroviral therapy. Greater importance is now placed on HBV DNA levels and staging of liver fibrosis, either by liver biopsy or noninvasive measurement, such as transient elastography, since significant liver fibrosis may exist in the presence of normal liver function tests. Earlier treatment of both HIV and HBV is now generally advocated and treatment is usually lifelong.</p>","PeriodicalId":88510,"journal":{"name":"HIV therapy","volume":"3 4","pages":"405-415"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/hiv.09.19","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28718337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HIV therapyPub Date : 2009-07-01DOI: 10.2217/hiv.09.20
Manish Sagar
{"title":"Clinical implications of new findings in HIV basic research.","authors":"Manish Sagar","doi":"10.2217/hiv.09.20","DOIUrl":"https://doi.org/10.2217/hiv.09.20","url":null,"abstract":"<p><p>HIV has been studied extensively over the past 25 years. Insights into the different stages of the virus' replication cycle and its interaction with host-cell proteins have led to the development of an armamentarium of effective antiretroviral medications. These antiviral drugs have dramatically changed the prognosis for HIV-infected subjects from an inevitable march towards death to a chronic disease with a potentially normal lifespan. Even with these successes, there is a continuing need to provide new drugs, especially those effective against drug-resistant viruses, to devise optimal strategies to prevent adverse events from either immunosuppression or the antiretroviral medications, and to develop treatments aimed at eliminating virus replication in the absence of antiviral drugs. In this review, how these important issues are being addressed will be highlighted, emphasizing clinical implications from some recent basic science studies and demonstrating how they could change the face of HIV therapeutics over the next 5-10 years.</p>","PeriodicalId":88510,"journal":{"name":"HIV therapy","volume":"3 4","pages":"351-360"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/hiv.09.20","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29145085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HIV therapyPub Date : 2009-05-01Epub Date: 2009-04-30DOI: 10.2217/hiv.09.8
Adriano Boasso
{"title":"Type I interferon in HIV treatment: from antiviral drug to therapeutic target.","authors":"Adriano Boasso","doi":"10.2217/hiv.09.8","DOIUrl":"10.2217/hiv.09.8","url":null,"abstract":"<p><p>Type I interferons (IFNs) are soluble molecules that exert potent antiviral activity and are currently used for the treatment of a panel of viral infections. In the case of HIV, the use of type I IFN has had limited success, and has almost been abandoned. During the last decade, a series of studies has highlighted how HIV infection may cause overactivation of type I IFN production, which contributes to the exhaustion of the immune system and to disease progression. This review describes the transition from the proposed use of type I IFN as antiviral drugs in HIV infection, to the idea that blocking their activity or production may provide an immunologic benefit of much greater importance than their antiviral activity.</p>","PeriodicalId":88510,"journal":{"name":"HIV therapy","volume":"3 3","pages":"269-282"},"PeriodicalIF":0.0,"publicationDate":"2009-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7147345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37827032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HIV therapyPub Date : 2009-04-30DOI: 10.2217/HIV.09.10
G. George, J. Gow, A. Whiteside
{"title":"HIV/AIDS in private sector companies: cost impacts and responses in southern Africa","authors":"G. George, J. Gow, A. Whiteside","doi":"10.2217/HIV.09.10","DOIUrl":"https://doi.org/10.2217/HIV.09.10","url":null,"abstract":"The effects of the HIV epidemic, particularly in southern Africa, have been increasingly experienced by companies in recent years. Initially, the lag in presentation of morbidity and mortality allowed companies to ignore the epidemic. However, in the past decade, companies have been confronted with the cost impacts of seriously ill and dying employees. Companies in many countries in the region are strongly engaged in generating effective prevention, and treatment and care responses to the epidemic. However, many small and medium size companies ignore the problem, due to inadequate resources. Nonetheless, some large companies are pioneering best practices in workplace HIV/AIDS programs in prevention, and care and treatment.","PeriodicalId":88510,"journal":{"name":"HIV therapy","volume":"1 1","pages":"293-300"},"PeriodicalIF":0.0,"publicationDate":"2009-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76709236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HIV therapyPub Date : 2009-04-30DOI: 10.2217/HIV.09.2
F. Pérez, V. Leroy
{"title":"Pediatric adherence to antiretroviral therapy in resource-poor settings: challenges and future perspectives","authors":"F. Pérez, V. Leroy","doi":"10.2217/HIV.09.2","DOIUrl":"https://doi.org/10.2217/HIV.09.2","url":null,"abstract":"The HIV pediatric epidemic in low-income countries is still growing with an increasing impact on children. By the end of 2007, more than 2 million children under 15 years of age worldwide were living with HIV, 90% in subSaharan Africa. In that year alone, 370,000 children were newly infected and 270,000 died. AIDS has become one of the leading causes of mortality among children under the age of 5 years in developing countries [101]. In the absence of combination antiretroviral therapy (cART), 52% of children infected with perinatally acquired HIV infection will die by the age of 2 years [1]. Numerous studies have confirmed the clinical efficacy and feasibility of cART in HIVinfected adults in Africa [2,3] but, to date, resources and programs targeting HIV-infected children in resource-poor settings remain limited. Even though the use of cART to treat children has increased in recent years in subSaharan Africa, less than 15% of children needing cART in Africa currently receive it [102]. It is estimated that more than 780,000 children are in need of cART in lowand middle-income countries [103]. When made accessible, treatment for children in this context has proved highly effective [4]. Studies have found the survival probability at 12 months for children on cART to be more than 95% in settings in sub-Saharan Africa [5] and Asia [6]. Education and adherence counseling are therefore essential components of cART and adherence in HIV-infected children is critical to the success of cART.","PeriodicalId":88510,"journal":{"name":"HIV therapy","volume":"159 1","pages":"213-219"},"PeriodicalIF":0.0,"publicationDate":"2009-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77902638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HIV therapyPub Date : 2009-04-30DOI: 10.2217/HIV.09.3
T. M. Souza, Carlos Frederico Leite Fontes
{"title":"Promising novel compounds for the generation of new anti-HIV-RT therapeutic drugs","authors":"T. M. Souza, Carlos Frederico Leite Fontes","doi":"10.2217/HIV.09.3","DOIUrl":"https://doi.org/10.2217/HIV.09.3","url":null,"abstract":"The recent literature has highlighted several classes of antiretrovirals used as powerful weapons against AIDS. Current antiretrovirals include drugs that act as inhibitors of integrase, protease or even the fusion entry step of HIV-1. However, reverse transcriptase remains an attractive target for new anti-HIV-1 drug design. The clinical base already established and relatively low cytotoxicity support reverse transcriptase inhibitors as an important field of research and also a fruitful source of potentially new antiretrovirals. The goal of this article is to provide an overview of some recently approved drugs and drug candidates, which are endowed with novel mechanisms of action, and to discuss new approaches that may be an alternative to clinically available reverse transcriptase inhibitors. Some of these drugs are promising options for future treatments against multiresistant HIV-1 strains found in treatment-experienced patients.","PeriodicalId":88510,"journal":{"name":"HIV therapy","volume":"6 1","pages":"255-267"},"PeriodicalIF":0.0,"publicationDate":"2009-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89149739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}