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Analysis of HIV tropism in Ugandan infants
Journal article   Open access   Peer reviewed

Analysis of HIV tropism in Ugandan infants

Jessica D Church, Wei Huang, Anthony Mwatha, Philippa Musoke, J. Brooks Jackson, Danstan Bagenda, Saad B Omer, Deborah Donnell, Clemensia Nakabiito, Chineta Eure, …
Current HIV research, Vol.8(7), pp.498-503
10/01/2010
DOI: 10.2174/157016210793499187
PMCID: PMC3075545
PMID: 21073438
url
https://www.ncbi.nlm.nih.gov/pmc/articles/3075545View
Open Access

Abstract

HIV-infected infants may have CXCR4-using (X4-tropic) HIV, CCR5-using (R5-tropic) HIV, or a mixture of R5-tropic and X4-tropic HIV (dual/mixed, DM HIV). The level of infectivity for R5 virus (R5-RLU) varies among HIV-infected infants. HIV tropism and R5-RLU were measured in samples from HIV-infected Ugandan infants using a commercial assay. DM HIV was detected in 7/72 (9.7%) infants at the time of HIV diagnosis (birth or 6–8 weeks of age, 4/15 (26.7%) with subtype D, 3/57 (5.3 %) with other subtypes, P=0.013). A transition from R5-tropic to DM HIV was observed in only two (6.7%) of 30 infants over 6–12 months. Six (85.7%) of seven infants with DM HIV died, compared to 21/67 (31.3%) infants with R5-tropic HIV (p=0.09). Higher R5-RLU at 6–8 weeks was not associated with decreased survival. Infants with in utero infection had a higher median R5-RLU than infants who were HIV-uninfected at birth (p=0.025).
HIV-1 transmission survival tropism CXCR4 CCR5 infant

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