학술논문

Associations Between Genital Tract Infections, Genital Tract Inflammation, and Cervical Cytobrush HIV-1 DNA in US Versus Kenyan Women
Document Type
article
Source
JAIDS Journal of Acquired Immune Deficiency Syndromes. 62(2)
Subject
Cervical Cancer
HIV/AIDS
Infectious Diseases
Clinical Research
Cancer
Infection
Good Health and Well Being
Adult
Anti-Retroviral Agents
CD4 Lymphocyte Count
Cervix Uteri
Cytomegalovirus Infections
DNA
Viral
Female
HIV Infections
HIV-1
Herpes Genitalis
Humans
Interleukin-1
Interleukin-1beta
Interleukin-8
Kenya
Middle Aged
Prospective Studies
RNA
Viral
Reproductive Tract Infections
United States
Uterine Cervicitis
Vagina
Vaginitis
Viral Load
HIV-1 DNA
genital HIV-1 shedding
genital cytokines
genital infections
Clinical Sciences
Public Health and Health Services
Virology
Language
Abstract
Cervical shedding of HIV-1 DNA may influence HIV-1 sexual transmission. HIV-1 DNA was detected in 250 (80%) of 316 and 207 (79%) of 259 cervical cytobrush specimens from 56 US and 80 Kenyan women, respectively. Plasma HIV-1 RNA concentration was associated with increased HIV-1 DNA shedding among US and Kenyan women. Kenyan women had higher cervicovaginal concentrations of proinflammatory interleukins (IL)-1β, IL-6, IL-8, and anti-inflammatory secretory leukocyte protease inhibitor compared with US women (all P < 0.01). HIV-1 DNA shedding was associated with increased concentrations of IL-1β and IL-6 and lower secretory leukocyte protease inhibitor among US women but not Kenyan women.