从创新到实施:艾滋病毒暴露前预防的演变和未来的影响
Marta Rosas Cancio-Suárez1,2,3,4, Jorge Díaz-Álvarez1,2,3, Raquel Ron1,2,3
1Infectious Diseases Department, Hospital Ramón y Cajal, Carretera de Colmenar Km 9.1, 28034 Madrid, Spain.
Pathogens (Basel, Switzerland)
|July 29, 2023
概括
暴露前预防 (PrEP) 显著降低高达99%的艾滋病毒风险. 需要制定战略来提高高风险人群对PrEP的认识和采用,尽管它已被证明是有效的.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 药理学 药理学是指药理学的学科.
背景情况:
- 暴露前预防 (PrEP) 是一种关键的艾滋病毒预防方法.
- 它涉及每日抗逆转录病毒药物治疗高风险的HIV阴性个体.
- 准备可以降低高达99%的性传播艾滋病毒的风险.
研究的目的:
- 审查PrEP在减少艾滋病毒传播方面的有效性.
- 识别PrEP实施和普及的障碍.
- 提出改善PrEP意识和风险群体使用的策略.
主要方法:
- 对PrEP有效性研究的综合文献综述.
- 分析了对准备剂的获取和遵守的记录障碍.
- 综合增强PrEP吸收的策略.
主要成果:
- 在预防艾滋病毒感染方面,PrEP非常有效.
- 尽管有效性已被证明,但关键人群中吸收率仍然很低.
- 障碍包括意识,获取,成本和污名.
结论:
- 加强策略对于改善PrEP吸收至关重要.
- 解决实施障碍对于最大限度地提高PrEP的公共卫生影响至关重要.
- 进一步的研究应侧重于针对风险人群的有针对性的干预措施.
相关概念视频
Retrovirus Life Cycles
46.2K
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...
46.2K
Viral Mutations
32.4K
A mutation is a change in the sequence of bases of DNA or RNA in a genome. Some mutations occur during replication of the genome due to errors made by the polymerase enzymes that replicate DNA or RNA. Unlike DNA polymerase, RNA polymerase is prone to errors because it is not capable of “proofreading” its work. Viruses with RNA-based genomes, like HIV, therefore accrue mutations faster than viruses with DNA-based genomes. Because mutation and recombination provide the raw material...
32.4K
Sexually Transmitted Infections
351
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...
351
CRISPR
52.4K
Genome editing technologies allow scientists to modify an organism’s DNA via the addition, removal, or rearrangement of genetic material at specific genomic locations. These types of techniques could potentially be used to cure genetic disorders such as hemophilia and sickle cell anemia. One popular and widely used DNA-editing research tool that could lead to safe and effective cures for genetic disorders is the CRISPR-Cas9 system. CRISPR-Cas9 stands for Clustered Regularly Interspaced...
52.4K
Microorganisms in Medicine and Therapeutics
54
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.
54
Evolutionary Psychology
311
Evolutionary psychology explores the origins of human behavior and mental processes by framing them within the context of natural selection, a theory famously propounded by Charles Darwin. This field asserts that many behaviors common across human societies — ranging from instinctive fear reactions to complex social interactions — arose as evolutionary adaptations. These adaptations enhanced the survival and reproductive success of our ancestors, thereby becoming embedded in the...
311


