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Updated: Jul 11, 2026

Isolation of Leukocytes from Human Breast Milk for Use in an Antibody-dependent Cellular Phagocytosis Assay of HIV Targets
Published on: September 6, 2019
Prevention of human immunodeficiency virus-1 transmission to the infant through breastfeeding: new developments
Athena P Kourtis1, Denise J Jamieson, Isabelle de Vincenzi
1Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA. apk3@cdc.gov
Insights
Preventing mother-to-child HIV transmission during breastfeeding is crucial. Research explores strategies like exclusive breastfeeding, milk treatment, and antiretroviral prophylaxis to reduce infant infections globally.
Area of Science:
- Public Health
- Infectious Diseases
- Pediatrics
Background:
- Breastfeeding is a major route for infant human immunodeficiency virus (HIV) transmission, accounting for up to 50% of infections globally.
- The transmission risk via breastfeeding can reach 15% by the second year of life.
- Safe, affordable, and culturally acceptable replacement feeding options are limited in many regions, making breastfeeding essential for infant survival.
Purpose of the Study:
- To review current and planned research on strategies aimed at preventing HIV transmission from mother to child through breastfeeding.
- To explore innovative approaches to mitigate the risks associated with breastfeeding in the context of HIV.
Main Methods:
- Focus on strategies currently being tested in clinical trials.
- Includes analysis of interventions such as exclusive breastfeeding with rapid weaning.
- Examines viral inactivation of expressed breast milk and antiretroviral prophylaxis for mother or infant.
Main Results:
- Multiple promising strategies are under investigation to reduce breastfeeding-related HIV transmission.
- Antiretroviral prophylaxis and modified breastfeeding practices show potential for significant risk reduction.
- Future research will include passive and active immunoprophylaxis.
Conclusions:
- Reducing breastfeeding-associated HIV transmission is a critical global health priority.
- A combination of approaches, including medical interventions and modified infant feeding practices, is likely necessary.
- Ongoing research is vital to develop effective and accessible methods to protect infants from HIV through breastfeeding.
Abstract:
Breastfeeding accounts for up to half of all infant human immunodeficiency virus (HIV) infections worldwide and carries an estimated transmission risk of about 15% when continued into the second year of life. Because replacement feeding is not safely available, culturally acceptable, or affordable in many parts of the world and because breastfeeding provides protection against other causes of infant mortality, approaches that reduce breastfeeding mother-to child transmission of HIV are being explored. These include exclusive breastfeeding for the infant's first few months of life followed by rapid weaning, treatments of expressed milk to inactivate the virus, and antiretroviral prophylaxis taken by the infant or mother during breastfeeding, which are strategies currently being tested in clinical trials. Passive (antibodies) and active (vaccine) immunoprophylaxis will also soon begin to be tested. This paper focuses on current and planned research on strategies to prevent breastfeeding transmission of HIV.
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