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Fighting the HIV epidemic

A new study found that stigma about HIV preventive medication (PrEP) use is significantly associated with lower intention to start PrEP among women. The study recommends expanding public messaging, addressing stereotype beliefs, and designing interventions that integrate stigma reduction at the individual and community levels.

SourceUniversity of Pennsylvania School of Nursing·JournalStigma and Health·DateNov 4, 2019

Most kidney transplants between people with HIV have long-term success

Researchers found high rates of overall survival and kidney graft survival in recipients living with HIV who received kidney transplants from deceased donors with HIV. The study, published in the New England Journal of Medicine, showed that outcomes were comparable to those in a previous US study using kidneys from donors without HIV.

SourceNIH/National Institute of Allergy and Infectious Diseases·JournalNew England Journal of Medicine·DateOct 2, 2019

Long-acting injectable multi-drug implant shows promise for HIV prevention and treatment

A new study published in Nature Communications presents a promising alternative for HIV treatment and prevention. The injectable implant combines multiple drugs and is ultra-long-acting, addressing challenges faced with current methods. It can be removed surgically within weeks or biodegrades into body-absorbed acids if not needed.

SourceUniversity of North Carolina Health Care·JournalNature Communications·DateSep 20, 2019

Cross clade immune responses found in South Africa from the RV144/Thai HIV vaccine regimen

The study found significant cellular and antibody responses in South African participants, with higher CD4+ T cell response rates and stronger cross-clade antibody responses compared to Thai participants. The results suggest that the RV144/Thai vaccine regimen can induce a broader immune response across different HIV clades.

SourceHIV Vaccine Trials Network (HVTN)·JournalScience Translational Medicine·DateSep 18, 2019

Texas Biomed researchers pinpoint why HIV patients are more likely to develop tuberculosis

Researchers at Texas Biomedical Institute have discovered that lung-specific chronic immune activation is responsible for the progression of disease in HIV patients. This dysfunction leads to a constant production of cytokines and chemokines, dysregulating the body's ability to fight off other infections.

SourceTexas Biomedical Research Institute·JournalJournal of Clinical Investigation·DateSep 12, 2019

Earthquake symmetry

A recent study analyzed 100,000 localized seismic events to search for patterns in the data. Researchers found that earthquakes of differing magnitudes share more similarities than previously thought, suggesting predictable characteristics may aid forecasting.

SourceUniversity of Tokyo·JournalNature·DateSep 4, 2019

PrEParing family planning clinics in Kenya to prevent new HIV infections

In a feasibility study, PrEP was successfully integrated into family planning clinics in Kenya, with 114 women out of 278 initiating PrEP experiencing no HIV infections. The study indicates that integration of screening for HIV risk and preventive treatment among young women in a family planning clinic setting is feasible.

SourcePLOS·JournalPLOS Medicine·DateSep 3, 2019

Heavy drinking and HIV don't mix

Researchers found that heavy alcohol consumption is associated with altered immune function among people living with HIV, leading to higher levels of biomarkers linked to mortality. The study highlights the potential harms of heavy drinking on people with HIV and emphasizes the need for further research.

New BioIVT research examines potential link between HIV integrase inhibitor drugs and neural tube defects during pregnancy

Researchers found that HIV integrase inhibitor dolutegravir is not a clinical inhibitor of folate transport pathways, reducing concerns about its impact on maternal and fetal health. The study's results suggest that these drugs may be safer for pregnant women than previously thought.

SourceRana Healthcare Solutions LLC·JournalDrug Metabolism and Disposition·DateAug 15, 2019

Multiple dosing of long-acting rilpivirine in a model of HIV pre-exposure prophylaxis

A new study examines the safety and effectiveness of multiple doses of injected rilpivirine, a long-acting antiretroviral agent. The results show that rilpivirine is associated with significant inhibition of HIV replication in rectal tissue, persisting for up to 4 months after treatment, but not in cervicovaginal tissue.

SourceMary Ann Liebert, Inc./Genetic Engineering News·JournalAIDS Research and Human Retroviruses·DateJul 25, 2019

Persistent HIV in central nervous system linked to cognitive impairment

A study of 69 individuals on long-term antiretroviral therapy found nearly half had persistent HIV in cells of their cerebrospinal fluid, associated with neurocognitive difficulties. HIV can persist in the nervous system even when suppressed in blood medication, suggesting a significant obstacle to efforts to eradicate HIV.

SourceNIH/National Institute of Allergy and Infectious Diseases·JournalJournal of Clinical Investigation·DateJul 15, 2019

NIH and partners to launch HIV vaccine efficacy trial in the Americas and Europe

The NIH is launching a Phase 3 HIV vaccine efficacy trial called Mosaico, which will assess the safety and effectiveness of an investigational vaccine regimen designed to prevent HIV acquisition among men who have sex with men and transgender people. The trial will enroll 3,800 participants in North America, South America, and Europe.

The Lancet: First randomised trial finds no substantial difference in risk of acquiring HIV for three different forms of contraception

A randomised trial of over 7,800 African women found that a type of contraceptive injection (DMPA-IM), copper IUD, and levonorgestrel implant posed no substantially increased risk of HIV acquisition. The study suggests continued access to these highly effective contraceptives alongside high-quality HIV prevention services.

SourceThe Lancet·JournalThe Lancet·DateJun 13, 2019

'Stepped' treatment reduces drinking in patients with HIV

A Yale-led study found that integrated stepped alcohol treatment reduced heavy drinking days and improved abstinence rates in patients with HIV. The treatment model, which involves 'stepping up' treatments based on patient needs, also led to better HIV outcomes, including higher medication adherence and undetectable viral loads.

SourceYale University·JournalThe Lancet HIV·DateMay 17, 2019

Study: Health care providers split on who should prescribe HIV prevention drug

A new study by University at Buffalo researchers found that health care providers are divided on who should prescribe PrEP, with some arguing primary care physicians should take the lead. Meanwhile, pharmacy students showed a positive attitude towards PrEP, with 89% agreeing it can be a cost-effective tool to prevent HIV infection.

SourceUniversity at Buffalo·JournalJournal of the Association of Nurses in AIDS Care·DateApr 30, 2019