Prevention technologies

This article originally appeared in HIV & AIDS treatment in practice, an email newsletter for healthcare workers and community-based organisations in resource-limited settings published by NAM between 2003 and 2014.
This article is more than 16 years old.
Antiretroviral treatment lowers rates of HIV transmission in heterosexual couples in Africa

Antiretroviral treatment is associated with a lower risk of heterosexual HIV transmission in African serodiscordant couples, according to findings from Uganda, Rwanda and Zambia, presented on Monday at the Sixteenth Conference on Retroviruses and Opportunistic Infections.

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HIV sporadically detectable in semen of men with undetectable plasma viral loads

At the Sixteenth Conference on Retroviruses and Opportunistic Infections in Montreal on Monday morning, two back-to-back oral presentations affirmed that HIV is indeed often detectable in semen despite undetectable viral loads in blood plasma. The two studies found measurable HIV RNA ("viral shedding") in 3% to 14% of seminal fluid samples taken from study participants with undetectable plasma viral loads.

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Seminal HIV: cell-free virus, not infected cells, leads to transmission between men

Glossary

microbicide

A product (such as a gel or cream) that is being tested in HIV prevention research. It could be applied topically to genital surfaces to prevent or reduce the transmission of HIV during sexual intercourse. Microbicides might also take other forms, including films, suppositories, and slow-releasing sponges or vaginal rings.

plasma

The fluid portion of the blood.

simian human immunodeficiency virus (SHIV)

An artificial form of HIV adapted to cause infection and disease in monkeys. It combines elements of a virus that affects monkeys (SIV) with the envelope protein of HIV itself. Researchers study SHIV as a way to learn more about HIV.

detectable viral load

When viral load is detectable, this indicates that HIV is replicating in the body. If the person is taking HIV treatment but their viral load is detectable, the treatment is not working properly. There may still be a risk of HIV transmission to sexual partners.

shedding

Viral shedding refers to the expulsion and release of virus progeny (offspring such as competent particles, virions, etc.) following replication. In HIV this process occurs in the semen, the vaginal secretions and other bodily fluids, making those fluids more infectious.

At the Sixteenth Conference on Retroviruses and Opportunistic Infections in Montreal on Monday morning, David Butler of the University of California San Diego presented data on four cases of male-to-male sexual transmission, showing that cell-free virus in semen – not proviral DNA in infected cells – was the means of transmission in all four cases.

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PrEP could work even if taken several days in advance

A study using tenofovir and FTC (Truvada) to prevent rectal SHIV infection in monkeys – so-called pre-exposure prophylaxis (PrEP) - has shown that it is as effective for the medication to be given up to three days before exposure as it is one day before. Even giving Truvada a full week before exposure resulted in a considerable reduction in the risk of infection.

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Microbicide reduces HIV infections by 30% in first success for field

Campaigners were celebrating the results of a trial of a microbicide to prevent HIV that has produced a positive result, the first one to do so. The results of the HPTN 035 were announced at the Sixteenth Conference on Retroviruses and Opportunistic Infections in Montreal today.

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High-dose tenofovir microbicide completely protects monkeys

An animal study has found that a single dose of a microbicide gel containing tenofovir and FTC completely protected six out of six monkeys given a twice-weekly vaginal challenge of a combined human/monkey virus called SHIV. No monkeys were infected after 20 challenges with the virus whereas monkeys no given the microbicide were infected after an average of four challenges.

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