艾滋病毒产后预防:多长时间足够长?
Philippe Van de Perre1, Jean-Pierre Moles1, Nicolas Nagot1
1Pathogenesis and Control of Chronic and Emerging Infections, Montpellier University, INSERM, CHU Montpellier, Montpellier, France.
Expert review of anti-infective therapy
|November 11, 2025
概括
延长产后预防 (ePNP) 对于消除儿科艾滋病病毒至关重要. 目前正在进行研究,以优化ePNP的持续时间,并探索母乳养婴儿的长效选择,以防止艾滋病毒传播.
科学领域:
- 儿童艾滋病毒预防
- 艾滋病毒从母亲传播到婴儿.
- 抗逆转录病毒预防药物
背景情况:
- 尽管取得了进展,但儿童艾滋病毒消除仍然是一个挑战.
- 延长产后预防 (ePNP) 是一个潜在的策略.
- 在整个母乳养期间,艾滋病毒传播风险仍然存在.
研究的目的:
- 审查有关ePNP时间和表述的关键问题.
- 探索用于新生儿和儿童的长效抗逆转录病毒产品的潜力.
- 确定优化ePNP的研究重点.
主要方法:
- 在四个数据库中进行文献搜索.
- 包括1990年至2025年间以英语出版的文章.
- 审查关于ePNP和未来预防策略的专家意见.
主要成果:
- 无论母亲的病毒载量如何,ePNP应持续到母乳养终止.
- 确定最佳的抗逆转录病毒药物或广泛中和HIV抗体 (bNAb) 水平以保护母乳养是优先考虑的.
- 目前没有用于儿科预防的长效抗逆转录病毒药物.
结论:
- 长效抗逆转录病毒药物和bNAbs在预防产后艾滋病毒感染方面表现有前途.
- 目前正在对新生儿和儿童的bNAb安全性和药理动力学进行进一步的研究.
- 优化ePNP对于实现小儿艾滋病毒消除的目标至关重要.
相关概念视频
Retrovirus Life Cycles
49.2K
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...
49.2K
Pharmacokinetics in Pediatric Patients: Drug Excretion
197
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
197
Development of Immunocompetence
778
The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
778


