Viral Load Dynamics in Plasma and Semen When Antiretroviral Therapy Is Initiated During Early HIV-1 Infection

Author:

Gilada Trupti1,Ulrich Angela K23,Wang Yixin4,Lama Javier R5,Alfaro Ricardo6,Harb Socorro7,Daza Glenda7,Holte Sarah8910ORCID,Pasalar Siavash4ORCID,Rios Jessica11,Ganoza Carmela12,Dasgupta Sayan4ORCID,Coombs Robert W7,Duerr Ann489

Affiliation:

1. Unison Medicare and Research Center , Mumbai , India

2. Center for Infectious Disease Research and Policy, University of Minnesota , Minneapolis, Minnesota , USA

3. Division of Environmental Health Science, University of Minnesota , Minneapolis, Minnesota , USA

4. Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center , Seattle, Washington , USA

5. Asociación Civil Impacta Salud y Educación , Lima , Peru

6. Centro de Investigaciones Tecnológicas Biomédicas y Medioambientales , Lima , Peru

7. School of Medicine, University of Washington , Seattle, Washington , USA

8. Public Health Sciences Division, Fred Hutchinson Cancer Center , Seattle, Washington , USA

9. Department of Global Health, University of Washington , Seattle, Washington , USA

10. Department of Biostatistics, University of Washington , Seattle, Washington , USA

11. Pharmaceutical Product Development, Inc , Lima , Peru

12. HIV Vaccine Trials Network , Lima , Peru

Abstract

Abstract We assessed human immunodeficiency virus (HIV) load in plasma and semen during primary HIV infection using serial samples of semen and plasma during the first 24 weeks after diagnosis in untreated participants and those who started antiretroviral therapy (ART) immediately at diagnosis. In the absence of treatment, semen viral load was >1000 copies/mL in almost all specimens (83%) collected 2–10 weeks after the estimated date of HIV acquisition and remained >1000 copies/mL in 35% of untreated participants at the last observed time point. Thus, in the absence of ART, semen viral load remained at a level consistent with transmissibility throughout primary infection.

Funder

National Institute on Drug Abuse

US National Institutes of Health

International AIDS Society

National Agency for Research on AIDS

and Viral Hepatitis

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Immunology and Allergy

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