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Related Concept Videos

Hand hygiene01:23

Hand hygiene

Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Surface Membrane Barriers01:18

Surface Membrane Barriers

The skin and mucous membranes serve as the primary line of defense against pathogens by providing both physical and chemical protection. These barriers are essential in preventing the entry and establishment of microbes, thereby maintaining the integrity of the host.
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
Retrovirus Life Cycles01:10

Retrovirus Life Cycles

Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the retrovirus to...
Microorganisms in Medicine and Therapeutics01:29

Microorganisms in Medicine and Therapeutics

Microorganisms play a fundamental role in vaccine development, gene therapy, and therapeutic production. Their biological properties are harnessed to advance medicine and public health. Beyond immunization, microorganisms contribute to gut health, antibiotic synthesis, and genetic disease treatment.Live Attenuated and Inactivated VaccinesLive attenuated vaccines, such as the measles, mumps, and rubella (MMR) vaccine, utilize weakened forms of pathogens to closely resemble natural infections.
Microbial Corrosion01:24

Microbial Corrosion

Microbiologically Influenced Corrosion (MIC) is a significant form of material degradation caused by the metabolic activities of microorganisms. This phenomenon poses substantial challenges across various industries, including oil and gas, maritime, and water treatment sectors.MIC occurs when microorganisms, such as bacteria, archaea, and fungi, colonize metal surfaces, forming biofilms that alter the local electrochemical environment. These biofilms can lead to the production of corrosive...
Sexually Transmitted Infections01:26

Sexually Transmitted Infections

Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...

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Related Experiment Video

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Ex Vivo Infection of Human Lymphoid Tissue and Female Genital Mucosa with Human Immunodeficiency Virus 1 and Histoculture
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Microbicides: topical prevention against HIV.

Robin J Shattock1, Zeda Rosenberg

  • 1Centre for Infection and Immunity, Division of Clinical Sciences, St. George's, University of London, London SW17 0RE, United Kingdom. shattock@sgul.ac.uk

Cold Spring Harbor Perspectives in Medicine
|February 23, 2012
PubMed
Summary
This summary is machine-generated.

New vaginal microbicides using potent antiretroviral drugs show promise for HIV prevention in women. Research is advancing, focusing on drug combinations and sustained delivery for better efficacy.

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Area of Science:

  • Virology
  • Public Health
  • Pharmaceutical Sciences

Background:

  • Microbicides offer a discreet HIV prevention method for women.
  • Early microbicides lacked efficacy, but newer antiretroviral (ARV)-based candidates show promise.
  • The CAPRISA 004 trial of tenofovir gel marked a significant advancement.

Purpose of the Study:

  • To review the current development of ARV-based microbicides.
  • To discuss key considerations in ARV-based microbicide development.
  • To highlight the need for sustained-delivery formulations and integrated prevention strategies.

Main Methods:

  • Review of current research and clinical trial data on ARV-based microbicides.
  • Discussion of selection criteria, drug resistance, combination strategies, and PK/PD assessments.
  • Exploration of synergistic potential with other HIV prevention technologies.

Main Results:

  • Positive efficacy data from tenofovir gel trials support ARV-based microbicides.
  • Established consensus on selection criteria and PK/PD assessment methods.
  • Identified challenges including potential drug resistance and need for improved formulations.

Conclusions:

  • ARV-based microbicides represent a viable HIV prevention strategy for women.
  • Continued research is crucial for optimizing formulations and addressing drug resistance.
  • Integrating microbicides with other prevention methods may enhance overall HIV prevention efforts.