暴露于艾滋病毒的儿童-未感染:母亲的ART治疗方案是否重要?
Richard Patrick Ellis1, Ceri Evans2,3, Catherine J Wedderburn4
1Faculty of Medicine and Dentistry, Queen Mary University of London, London.
Current opinion in HIV and AIDS
|November 8, 2024
概括
怀孕期间的抗逆转录病毒疗法 (ART) 改善了暴露于艾滋病毒但未感染儿童 (CHEU) 的健康结果. 较新的ART药物如多卢特格拉维尔似乎是安全的,但需要对长期影响进行更多研究.
科学领域:
- 儿科健康 儿科健康
- 传染性疾病 传染性疾病
- 孕产妇健康 孕产妇健康
背景情况:
- 与未暴露于艾滋病毒的儿童 (CHU) 相比,暴露于艾滋病毒但未感染的儿童 (CHEU) 的健康结果不同.
- 怀孕和母乳养期间的抗逆转录病毒疗法 (ART) 已经发展,需要对其对CHEU健康的影响进行审查.
研究的目的:
- 审查最近关于ART对CHEU健康,生长和发展的影响的研究.
- 评估不同ART疗法对孕妇的安全性和有效性以及它们对CHEU的影响.
主要方法:
- 审查最近的元分析和基于人口的研究.
- 随机试验分析,比较ART疗法 (例如,杜洛特格拉维尔与埃法维伦兹).
- 审查关于神经发育,神经成像和CHEU中生长的研究.
主要成果:
- 在艾滋病毒阳性孕妇中观察到更高的不良分娩结果,特别是那些不接受ART的孕妇.
- 治疗时间较长的ART通常与出生不良结果的风险较低有关.
- 多卢特格拉维尔暴露与神经管缺陷无关;与埃法维伦兹相比,母亲服用多卢特格拉维尔的婴儿的新生儿死亡率较低.
结论:
- 多卢特格拉维尔在怀孕期间被认为是安全的.
- 早期启动母体ART似乎对CHEU有保护作用.
- 进一步的随机试验与长期随访对于了解ART对CHEU结果的贡献至关重要.
相关概念视频
Retrovirus Life Cycles
45.7K
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...
45.7K
Immunodeficiency Diseases
909
Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
There are three main causes of immunodeficiency...
909
Teratogenicity
2.4K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.4K
Pulmonary Tuberculosis I
220
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
220


