Maternal viral load, CD4 cell count and vertical transmission of HIV-1

作者: Siobhan O'Shea , Marie-Louise Newell , David T. Dunn , Marie-Cruz Garcia-Rodriguez , Isabel Bates

DOI: 10.1002/(SICI)1096-9071(199802)54:2<113::AID-JMV8>3.0.CO;2-9

关键词:

摘要: HIV load and CD4 cell numbers were measured among 95 infected women during pregnancy in order to determine their value as prognostic markers for transmission of virus from mother infant. Among the 94 live births, 13 children with HIV, 69 uninfected 12 unknown infection status. RNA levels, by nucleic acid sequence based amplification, significantly higher (P < 0.001) who transmitted than those did not transmit maternal viral was a stronger predictor number. The predicted rate relative 2% at 1,000 copies, 11% 10,000 copies 40% 100,000 copies/ml. Little variation occurred there an association between prematurity, mean gestation delivery decreasing 1.3 weeks every 10-fold increase = 0.007). This study demonstrates that high level is risk factor infant more marker High also associated premature delivery. Maternal therefore useful on which base management decisions pregnancy.

参考文章(24)
Pardi G, Newell Ml, Dunn Dt, Semprini Ae, Peckham Cs, Vertical transmission of HIV-1: maternal immune status and obstetric factors. The European Collaborative Study. AIDS. ,vol. 10, pp. 1675- 1681 ,(1996)
M. O. McClure, P. D. Bieniasz, J. N. Weber, R. S. Tedder, S. O'Shea, J. E. Banatvala, G. Tudor-Williams, Simmonds, E. C. Holmes, HIV clearance in an infant Nature. ,vol. 375, pp. 637- 638 ,(1995) , 10.1038/375637A0
O. Coll, M. Hernandez, C. A. B. Boucher, C. Fortuny, B. M. de Tejada, Y. Canet, I. Caragol, J. Tijnagel, J. M. Bertran, T. Espanol, Vertical HIV-1 transmission correlates with a high maternal viral load at delivery. Journal of Acquired Immune Deficiency Syndromes. ,vol. 14, pp. 26- 30 ,(1997) , 10.1097/00042560-199701010-00005
William Borkowsky, Keith Krasinski, Yunzhen Cao, David Ho, Henry Pollack, Tiina Moore, Song-He Chen, Machelle Allen, Pei-Tan Tao, Correlation of perinatal transmission of human immunodeficiency virus type 1 with maternal viremia and lymphocyte phenotypes The Journal of Pediatrics. ,vol. 125, pp. 345- 351 ,(1994) , 10.1016/S0022-3476(05)83274-3
Guowei Fang Guowei Fang, H Burger, R Grimson, P Tropper, S Nachman, D Mayers, O Weislow, R Moore, C Reyelt, N Hutcheon, D Baker, B Weiser, Maternal plasma human immunodeficiency virus type 1 RNA level: A determinant and projected threshold for mother-to-child transmission Proceedings of the National Academy of Sciences of the United States of America. ,vol. 92, pp. 12100- 12104 ,(1995) , 10.1073/PNAS.92.26.12100
Donald M. Thea, Richard W. Steketee, Vadim Pliner, Katherine Bornschlegel, Teresa Brown, Sherry Orloff, Pamela B. Matheson, Elaine J. Abrams, Mahrukh Bamji, Genevieve Lambert, Ellie A. Schoenbaum, Pauline A. Thomas, Margaret Heagarty, Marcia L. Kalish, The effect of maternal viral load on the risk of perinatal transmission of HIV-1 AIDS. ,vol. 11, pp. 437- 444 ,(1997) , 10.1097/00002030-199704000-00006
Yunzhen Cao, Paul Krogstad, Bette T. Korber, Richard A. Koup, Mark Muldoon, Catherine Macken, Jia-Li Song, Zhanqun Jin, Jla-Qi Zhao, Sheila Clapp, Irvin S.Y. Chen, David D. Ho, Arthur J. Ammann, Maternal HIV-1 viral load and vertical transmission of infection: the Ariel Project for the prevention of HIV transmission from mother to infant. Nature Medicine. ,vol. 3, pp. 549- 552 ,(1997) , 10.1038/NM0597-549
Denis R Henrard, Jack F Phillips, Larry R Muenz, William A Blattner, Dallas Wiesner, M Elaine Eyster, James J Goedert, Natural History of HIV-1 Cell-Free Viremia JAMA. ,vol. 274, pp. 554- 558 ,(1995) , 10.1001/JAMA.1995.03530070052029
Bernhard Zöllner, Heinz-Hubert Feucht, Gertrud Helling-Giese, Matthias Schröter, Rainer Laufs, HIV quantification: useful for prediction of vertical transmission? The Lancet. ,vol. 347, pp. 899- 899 ,(1996) , 10.1016/S0140-6736(96)91376-8
M.S. Saag, M. Holodniy, D.R. Kuritzkes, W.A. O'Brien, R. Coombs, M.E. Poscher, D.M. Jacobsen, G.M. Shaw, D.D. Richman, P.A. Volberding, HIV viral load markers in clinical practice Nature Medicine. ,vol. 2, pp. 625- 629 ,(1996) , 10.1038/NM0696-625