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New technology opens gateway to studying HIV-specific neutralizing antibodies
March 16, 2009
Many scientists believe a vaccine that prevents HIV infection will need to stimulate the body to make neutralizing antibodies, infection-fighting proteins that prevent HIV from entering immune cells. Previous research has shown that some individuals who control HIV infection without medication naturally produce antibodies able to neutralize diverse strains of HIV. Until now, however, scientists were hampered in studying the way effective HIV-neutralizing antibodies arise during natural HIV infection because scientists lacked the tools to obtain more than a few HIV-specific antibodies from any given individual. A new research endeavor has assembled a group of state-of-the-art techniques for the first time to study the phenomenon of natural antibody-mediated HIV neutralization. The project demonstrates how this system can isolate dozens of HIV-specific antibodies from a single HIV-infected individual, something never accomplished before. Applied prospectively to a large group of HIV-infected individuals, the system will enable scientists to identify and define the diverse set of neutralizing antibodies that arise during natural HIV infection, information that may prove important in vaccine development. John R. Mascola, M.D., Richard T. Wyatt, Ph.D., and Mark Connors, M.D., all of the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, participated in the research, which NIAID co-funded. Michel C. Nussenzweig, M.D., Ph.D., of The Rockefeller University led the team of 22 co-investigators in this collaboration. The process begins with collecting memory B cells, which produce antibodies, from HIV-infected individuals previously screened for strong neutralizing antibody responses. These B cells are incubated with a specially flagged protein from the outer shell of an HIV virus particle. The HIV-specific memory B cells bind to the flagged protein, enabling researchers to identify these cells, isolate and store them. Then, for each of the HIV-specific memory B cells, a pioneering technique expresses the genes that code for HIV-specific antibodies. Finally, assays help scientists determine which of these antibodies can effectively neutralize HIV. NIH/National Institute of Allergy and Infectious Diseases

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Healing HIV: How to Rebuild Your Immune System
by Jon D. Kaiser (Author)
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MMHIV: Medical Management of HIV Infection (2012 Medical Management of HIV Infection, 16th Edition)
by M.D John G. Bartlett (Author), M.D., M.P.H. Joel E. Gallant (Author), Pharm.D. Paul A. Pham (Author)
MMHIV: The Medical Management of HIV Infection is provided as a resource for physicians and other health care professionals in providing care and treatment to patients with HIV/AIDS. The 2011-2012 edition of Medical Management of HIV Infection reflects substantial changes in the treatment of patients with HIV infection and AIDS since the previous edition was published in 2010.
This edition includes 214 tables and more than 900 references to publications or presentations made in 2010 and 2011, reflecting the authors' efforts to keep abreast of new developments by attendance at major scientific conferences and by systematic review of 42 relevant journals. Recommendations presented here are based largely on US federal guidelines for antiretroviral therapy for adults, pregnancy management,...
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Johns Hopkins HIV Guide 2012
by Joel E. Gallant (Author)
Based On The Same Award-Winning Content As The Johns Hopkins POC-IT Center Online Database, The Johns Hopkins HIV Guide 2012 Is The Most Up-To-Date HIV Treatment And Management Resource On The Market. Written By Dr. Joel E. Gallant, World Renowned Expert In The Field Of HIV And Infectious Disease, This Concise And Well-Organized Medical Reference Is Broken Down Into Several Modules, Including: Diagnosis And Evaluation, Treatment Options, Resistance And Complications, Prophylaxis And Antiretroviral Drug Summaries. Johns Hopkins HIV Guide 2012 Contains The Most Current, Relevant And Evidence-Based Information On HIV And AIDS. Selected Topics Include: • Antiretroviral Therapy Adverse Effects • HIV Antibody Testing • Important Genotype-Resistant Patterns • Musculoskeletal And...
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Handbook of HIV and Social Work: Principles, Practice, and Populations
by Cynthia Cannon Poindexter (Author)
Praise for Handbook of HIV and Social Work"Cynthia Cannon Poindexter has given us a remarkable edited volume that contains much information on HIV that every professional social worker needs to know in order to practice competently in today's complex world."—From the Foreword by Vincent J. Lynch, MSW, PhD, Boston College Graduate School of Social Work"This comprehensive handbook assembles a group of social work scholars and practitioners to participate in, guide, and address many of the unresolved challenges characterizing the HIV debates. This handbook is a valuable and timely addition to the literature."—King Davis, MSW, PhD, The Robert Lee Sutherland Chair in Mental Health and Social Policy, The University of Texas at Austin School of Social Work"This handbook is an outstanding...
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The First Year: HIV: An Essential Guide for the Newly Diagnosed
by Brett Grodeck (Author), M.D. Daniel S. Berger M.D. (Foreword)
This supportive resource explores the next generation of HIV/AIDS drugs and also includes new research on HIV and crystal meth, as well as new insights for the hardest hit population — African Americans.
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Application of Causal Inference Methods to Improve Treatment of HIV Infection
by Maya Petersen (Author)
Advances in causal inference have improved the ability of statistical methods to answer practical questions in epidemiology and clinical research. In particular, the counterfactual framework and marginal structural models have provided the basis for practical and theoretical advances in the statistical estimation of causal parameters. The dissertation focuses on the development and application of statistical methods based on the counterfactual framework. Three methods are presented and each is applied to answer a practical research question. The presentation of each method is aimed at a distinct audience: clinicians, epidemiologists, and statisticians, respectively. The unifying theme is the use of state-of-the-art causal inference methods to answer questions surrounding the treatment of...
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The Guide to Living with HIV Infection: Developed at the Johns Hopkins AIDS Clinic (A Johns Hopkins Press Health Book)
by John G. Bartlett (Author), Ann K. Finkbeiner (Author)
The Guide to Living with HIV Infection is the most complete source of medical, emotional, social, and practical advice available for those infected with HIV and their loved ones. Developed at the Johns Hopkins AIDS Clinic, the guide provides essential information for making decisions about treatment and testing in a world transformed by new research and pharmacotherapy.In this thoroughly updated sixth edition, Dr. John Bartlett and Ann K. Finkbeiner address the latest information about risks of transmission, viral mutations that confer drug resistance, and new, rapid, HIV testing. They offer guidelines for Highly Active Antiretroviral Therapy (HAART), a therapy protocol that has dramatically increased life expectancy for HIV-positive people. They describe how to follow HAART and when to...
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"HIV is God's Blessing": Rehabilitating Morality in Neoliberal Russia
by Jarrett Zigon (Author)
This provocative study examines the role of today's Russian Orthodox Church in the treatment of HIV/AIDS. Russia has one of the fastest-growing rates of HIV infection in the world--80 percent from intravenous drug use--and the Church remains its only resource for fighting these diseases. Jarrett Zigon takes the reader into a Church-run treatment center where, along with self-transformational and religious approaches, he explores broader anthropological questions--of morality, ethics, what constitutes a "normal" life, and who defines it as such. Zigon argues that this rare Russian partnership between sacred and political power carries unintended consequences: even as the Church condemns the influence of globalization as the root of the problem it seeks to combat, its programs are...
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COMMUNITY-ACQUIRED PNEUMONIA IN IMMUNOCOMPROMISED PATIENTS: Opportunistic infections to consider in differential diagnosis Patients with HIV infection ... in primary care. (Postgraduate Medicine)
by JTE Multimedia
Differential diagnosis can be extensive in immunocompromised patients who present for evaluation of apparent community-acquired pneumonia. In addition to the usual pathogens seen in the general population, many opportunistic organisms of widely differing classes may require consideration. Here, the authors have chosen to focus on four pathogens that may be overlooked in the primary care setting. Epidemiologic, clinical, and therapeutic points are highlighted.
Original Publication Date: January 2003
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