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Updated: Jun 8, 2026

Humanized NOG Mice for Intravaginal HIV Exposure and Treatment of HIV Infection
Published on: January 31, 2020
Systemic preexposure prophylaxis for human immunodeficiency virus infection
Frank Romanelli1, Brian Murphy
1Colleges of Pharmacy, University of Kentucky, Lexington, Kentucky 40536, USA. froma2@uky.edu
Pre-exposure prophylaxis (PrEP) using antiretrovirals shows promise for preventing HIV transmission in at-risk individuals. However, knowledge and use of PrEP are currently limited, necessitating further research and ethical considerations.
Area of Science:
- Infectious Diseases
- Virology
- Public Health
Background:
- Antiretroviral therapy has improved HIV management, increasing life expectancy.
- HIV infection rates remain stable but are rising in specific groups.
- Pre-exposure prophylaxis (PrEP) is a strategy to reduce HIV transmission in at-risk populations.
Purpose of the Study:
- To review the concept and current status of pre-exposure prophylaxis (PrEP) for HIV prevention.
- To discuss the scientific basis, preliminary data, and ongoing research for PrEP.
- To highlight challenges including limited knowledge, ethical issues, and cost-effectiveness.
Main Methods:
- Review of existing data on antiretroviral use for HIV prevention.
- Analysis of animal studies on simian immunodeficiency virus (SIV) prevention.
- Discussion of ongoing and planned human clinical trials, including tenofovir-disoproxil fumarate and emtricitabine regimens.
- Survey of at-risk populations regarding PrEP awareness and usage intentions.
Main Results:
- Animal studies support the potential efficacy of PrEP for HIV prevention in humans.
- Clinical trials are investigating tenofovir-disoproxil fumarate and emtricitabine-based regimens.
- Awareness and routine use of PrEP among at-risk individuals are very limited.
- Ethical considerations and cost-effectiveness are significant factors for future implementation.
Conclusions:
- PrEP is a promising intervention for HIV prevention, supported by preclinical and early clinical data.
- Widespread adoption of PrEP is hindered by limited knowledge, ethical concerns, and unproven cost-effectiveness.
- Further research and clinical investigations are crucial to optimize PrEP use and address implementation challenges.
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