Clinical approach to drug resistance interpretation: expert advice.

Abstract:

PURPOSE OF REVIEW:The body of knowledge regarding antiretroviral drug resistance is rapidly evolving as a result of extensive research and the continuous availability of new antiretroviral drugs. The interpretation of drug resistance tests may be difficult for clinicians not working in highly specialized healthcare environments. This may lead to inadequate treatment decisions, and can compromise the efficacy of antiretroviral regimens. RECENT FINDINGS:Several studies have demonstrated better virological outcomes if the design of second and subsequent antiretroviral treatment lines incorporates expert advice in addition to genotypic resistance testing. The benefits of expert advice are limited to therapies to treat the second antiretroviral failure and probably extend to four or five failures. It confers no additional benefit if multiple and equally effective treatment options are available (i.e. after the first antiretroviral treatment failure) or if treatment alternatives are severely limited (i.e. after multiple treatment lines have failed). Conference calls provide a means of improving the availability of healthcare providers. SUMMARY:Expert advice helps to optimize the design of salvage therapy after the second to the fourth or fifth treatment failure. It provides a continuous update to clinicians and can be made easily and broadly available through conference calls.

journal_name

Curr Opin HIV AIDS

authors

Clotet B,Paredes R

doi

10.1097/COH.0b013e32801470f6

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

145-9

issue

2

eissn

1746-630X

issn

1746-6318

pii

01222929-200703000-00011

journal_volume

2

pub_type

杂志文章
  • The dysfunction of T follicular helper cells.

    abstract:PURPOSE OF REVIEW:T follicular helper (Tfh) cells play a critical role as providers of B-cell help and dysfunction in Tfh/B-cell interactions can lead to autoimmunity or immunodeficiency. These observations have generated a great deal of interest in understanding how these cells are affected during HIV infection and ho...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000095

    authors: Cubas R,Perreau M

    更新日期:2014-09-01 00:00:00

  • Candidates for inclusion in a universal antiretroviral regimen: dolutegravir.

    abstract:PURPOSE OF REVIEW:The review addresses the role of dolutegravir (DTG) in first-line therapy. In the era of test and treat, where United Nations AIDS Program and WHO have set the ambitious targets of 90/90/90, new efficacious, well tolerated, and simple therapeutic options are needed. RECENT FINDINGS:DTG has been teste...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000388

    authors: Cahn P

    更新日期:2017-07-01 00:00:00

  • Role of the gastrointestinal tract in establishing infection in primates and humans.

    abstract:PURPOSE OF REVIEW:Here we present recent studies examining the gastrointestinal tract during primary HIV and simian immunodeficiency virus infections and emphasizing the onset of severe pathologic processes that are not adequately reflected in peripheral blood. We discuss these findings and hypotheses relating to the r...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章

    doi:10.1097/COH.0b013e3282f331b0

    authors: Mehandru S,Dandekar S

    更新日期:2008-01-01 00:00:00

  • Next-generation sequencing to assess HIV tropism.

    abstract:PURPOSE OF REVIEW:Deep sequencing of the V3 region of the HIV envelope gene can detect minority non-R5 variants in patients with high sensitivity and specificity. As next-generation sequencing approaches have matured, the clinical utility of deep sequencing for HIV tropism has entered the clinic. Accurate and sensitive...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e328356e9da

    authors: Swenson LC,Däumer M,Paredes R

    更新日期:2012-09-01 00:00:00

  • The role of family planning in elimination of new pediatric HIV infection.

    abstract:PURPOSE OF REVIEW:We reviewed recent literature on the role of family planning in eliminating new pediatric HIV infections. RECENT FINDINGS:Global commitments to eliminate new pediatric HIV infections recognize that preventing unintended pregnancies among women with HIV is essential to achieving this goal. However, su...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e3283632bd7

    authors: Wilcher R,Petruney T,Cates W

    更新日期:2013-09-01 00:00:00

  • Which HIV patients should be screened for osteoporosis: an international perspective.

    abstract:PURPOSE OF REVIEW:This review provides international insights into the real-world clinical approach to screening for bone mineral density (BMD) and osteoporosis in people living with HIV (PLWH) using opinions from HIV physicians from key regions around the world. RECENT FINDINGS:Although a significant proportion of PL...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000269

    authors: Alvarez E,Belloso WH,Boyd MA,Inkaya AÇ,Hsieh E,Kambugu A,Kaminski G,Martinez E,Stellbrink HJ,Walmsley S,Brown TT,Mallon PW

    更新日期:2016-05-01 00:00:00

  • Clinical management of HIV infection in children.

    abstract:PURPOSE OF REVIEW:The aim of this article is to review recent advances in the clinical care of HIV-infected children. RECENT FINDINGS:Obstacles to diagnosing HIV in children and providing clinical care to those HIV infected relate to a number of technical and operational factors. Most countries now have antiretroviral...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章

    doi:10.1097/COH.0b013e3282ddedf5

    authors: Crowley S,Kekitiinwa A,Vaz P

    更新日期:2007-09-01 00:00:00

  • HIV, alcohol, and noninjection drug use.

    abstract:PURPOSE OF REVIEW:Alcohol and noninjection drug use has been shown to be associated with increased risk of HIV infection in select populations. In this review, we discuss recent data on the prevalence of alcohol and noninjection drug use and the relationship to HIV acquisition and transmission risk. RECENT FINDINGS:A ...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e32832aa902

    authors: Van Tieu H,Koblin BA

    更新日期:2009-07-01 00:00:00

  • Ethical considerations in HIV cure research: points to consider.

    abstract:PURPOSE OF REVIEW:Research directed toward an HIV cure presents ethical as well as scientific challenges. RECENT FINDINGS:International guidelines, regulations, and the medical literature provide helpful guidance on protecting research participants. SUMMARY:This review presents points to consider for researchers, spo...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e32835ea1c5

    authors: Lo B,Grady C,Working Group on Ethics of the International AIDS Society.

    更新日期:2013-05-01 00:00:00

  • Modelling sexual transmission of HIV: testing the assumptions, validating the predictions.

    abstract:PURPOSE OF REVIEW:To discuss the role of mathematical models of sexual transmission of HIV: the methods used and their impact. RECENT FINDINGS:We use mathematical modelling of 'universal test and treat' as a case study to illustrate wider issues relevant to all modelling of sexual HIV transmission. SUMMARY:Mathematic...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e32833a51b2

    authors: Baggaley RF,Fraser C

    更新日期:2010-07-01 00:00:00

  • Prophylactic antiretroviral regimens for prevention of mother-to-child transmission of HIV in resource-limited settings.

    abstract:PURPOSE OF REVIEW:With the large international mobilization against HIV/AIDS, more HIV-infected people in resource-limited settings have access to antiretroviral therapy, including pregnant women. The relevance of simplified prophylactic antiretroviral regimens for the prevention of mother-to-child transmission of HIV ...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章

    doi:10.1097/COH.0b013e3282f51b89

    authors: Arrivé E,Dabis F

    更新日期:2008-03-01 00:00:00

  • HIV vaccine research and discovery in the nonhuman primates model: a unified theory in acquisition prevention and control of SIV infection.

    abstract:PURPOSE OF REVIEW:Here we highlight the latest advances in HIV vaccine concepts that will expand our knowledge on how to elicit effective acquisition-prevention and/or control of simian immunodeficiency virus (SIV) replication in the nonhuman primate (NHP) model. RECENT FINDINGS:In the context of the promising analyse...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e328361cfe8

    authors: Lynch RM,Yamamoto T,McDermott AB

    更新日期:2013-07-01 00:00:00

  • Particle-based delivery of the HIV envelope protein.

    abstract:PURPOSE OF REVIEW:A major focus in HIV vaccine research is the development of suitable antigens that elicit broadly neutralizing antibody responses targeting HIV's envelope protein (Env). Delivery of Env in a repetitive manner on particle-based carriers allows higher avidity interactions and is therefore expected to ef...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章

    doi:10.1097/COH.0000000000000366

    authors: Asbach B,Wagner R

    更新日期:2017-05-01 00:00:00

  • Can the United States achieve 90-90-90?

    abstract:PURPOSE OF REVIEW:To summarize recent trends in knowledge of HIV status, care and viral suppression, and the status of implementation of relevant contextual requirements for the United States to achieve the 90-90-90 goals. Recently, the US government announced a plan to decrease HIV incidence by over 90% by 2030. Reach...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000578

    authors: Hall HI,Brooks JT,Mermin J

    更新日期:2019-11-01 00:00:00

  • Pipeline of drugs for related diseases: tuberculosis.

    abstract:PURPOSE OF REVIEW:For the first time in decades, there are multiple new drugs in the pipeline for the treatment of tuberculosis (TB). In addition, existing drugs are being repurposed or optimized for TB with the goal of shortened treatment duration for drug-sensitive TB and safer, shorter treatments for multidrug-resis...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000009

    authors: Dooley KE,Nuermberger EL,Diacon AH

    更新日期:2013-11-01 00:00:00

  • A role for antibodies in natural HIV control.

    abstract:PURPOSE OF REVIEW:Rare patients naturally control HIV replication without antiretroviral therapy. Understanding the mechanisms implicated in natural HIV control will inform the development of immunotherapies against HIV. Elite controllers are known for developing efficient antiviral T-cell responses, but recent finding...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000554

    authors: Moris A,Pereira M,Chakrabarti L

    更新日期:2019-07-01 00:00:00

  • The mucosal barrier and immune activation in HIV pathogenesis.

    abstract:PURPOSE OF REVIEW:Significant gastrointestinal pathology occurs in progressive HIV and simian immunodeficiency virus (SIV) infections. This review will examine the relationship between the detrimental events to the gastrointestinal tract during the acute phase of infection and disease progression through the chronic ph...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章

    doi:10.1097/COH.0b013e3282f9ae9c

    authors: Brenchley JM,Douek DC

    更新日期:2008-05-01 00:00:00

  • Stopping HAART temporarily in the absence of virus rebound: exploring new HIV treatment options.

    abstract:PURPOSE OF REVIEW:To examine the literature in search of data supporting (stopping highly active antiretroviral therapy (HAART) temporarily in the absence of virus rebound) to expand HIV treatment options. RECENT FINDINGS:We proposed investigating HAART interruptions after the 'Berlin patient' had discontinued HAART w...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章

    doi:10.1097/COH.0b013e328011aad6

    authors: Lori F,Foli A,Lisziewicz J

    更新日期:2007-01-01 00:00:00

  • Dynamic characteristics of HIV-1 reservoirs.

    abstract:PURPOSE OF REVIEW:To examine kinetic issues related to the stability of the latent reservoir and the observation of low levels of viremia (< 50 copies/ml) in patients treated with highly active antiretroviral therapy. RECENT FINDINGS:Once HIV-1 RNA becomes undetectable it is difficult to deduce the events occurring in...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章

    doi:10.1097/01.COH.0000203836.08974.96

    authors: Kim H,Perelson AS

    更新日期:2006-03-01 00:00:00

  • Early antiretroviral therapy mortality in resource-limited settings: what can we do about it?

    abstract:PURPOSE OF REVIEW:Highly active antiretroviral therapy has markedly reduced HIV morbidity and mortality in industrialized countries. Expanded access to the 6.5 million individuals in immediate need of antiretroviral therapy using a public-health-systems approach is now promulgated as an international policy. An approxi...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章

    doi:10.1097/COH.0b013e3281e72cbd

    authors: Bekker LG,Egger M,Wood R

    更新日期:2007-07-01 00:00:00

  • Guiding the long way to broad HIV neutralization.

    abstract:PURPOSE OF REVIEW:It has been demonstrated that extensive virus diversification and antibody coevolution are necessary to give rise to broadly neutralizing antibodies targeting the envelope protein of HIV-1. Here, we discuss recent progress of vaccine design approaches aiming on strategies to initiate and guide B-cell ...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000356

    authors: Peterhoff D,Wagner R

    更新日期:2017-05-01 00:00:00

  • Dual HIV risk and vulnerabilities among women who use or inject drugs: no single prevention strategy is the answer.

    abstract:PURPOSE OF REVIEW:This article examines the dual HIV and sexually transmitted infection (STI) risk behaviors engaged in by women who use or inject drugs; the individual, social, and structural drivers of HIV and STI risk; prevention strategies; and the implications for multilevel, combined, sex-specific HIV prevention ...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e3283536ab2

    authors: El-Bassel N,Wechsberg WM,Shaw SA

    更新日期:2012-07-01 00:00:00

  • In-vitro and in-vivo models for hepatitis B cure research.

    abstract:PURPOSE OF REVIEW:Antiviral therapy for chronic hepatitis B infection is rarely curative, thus research in HBV cure strategies is a priority. Drug development and testing has been hampered by the lack of robust cell culture systems and small animal models. This review summarizes existing models for HBV cure research an...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章

    doi:10.1097/COH.0000000000000616

    authors: Allweiss L,Strick-Marchand H

    更新日期:2020-05-01 00:00:00

  • Kill: boosting HIV-specific immune responses.

    abstract:PURPOSE OF REVIEW:Increasing evidence suggests that purging the latent HIV reservoir in virally suppressed individuals will require both the induction of viral replication from its latent state and the elimination of these reactivated HIV-infected cells ('Shock and Kill' strategy). Boosting potent HIV-specific CD8 T ce...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000286

    authors: Trautmann L

    更新日期:2016-07-01 00:00:00

  • A pièce de resistance: how HIV-1 escapes small molecule CCR5 inhibitors.

    abstract:PURPOSE OF REVIEW:Small molecule inhibitors targeting the CCR5 coreceptor represent a new class of drugs for treating HIV-1 infection. Maraviroc has received regulatory approvals, and vicriviroc is in phase 3 trials. Understanding how resistance to these drugs develops and is diagnosed is essential to guide clinical pr...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e3283223d46

    authors: Moore JP,Kuritzkes DR

    更新日期:2009-03-01 00:00:00

  • HIV molecular epidemiology: transmission and adaptation to human populations.

    abstract:PURPOSE OF REVIEW:To provide an update on the origin of the HIV epidemic and insights into how the immune response is shaping virus evolution. RECENT FINDINGS:Characterization of archival samples showed that by the 1960s, HIV had already diverged within humans. It is now estimated that HIV has been in humans since at ...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0b013e32832c0672

    authors: Woodman Z,Williamson C

    更新日期:2009-07-01 00:00:00

  • Recent developments with advancing gene therapy to treat chronic infection with hepatitis B virus.

    abstract:PURPOSE OF REVIEW:The available vaccine and therapies against hepatitis B virus (HBV) rarely eliminate chronic infection with the virus. High mortality resulting from complicating cirrhosis and hepatocellular carcinoma makes improving anti-HBV therapy an important priority. Recent advances with using gene therapy to co...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章

    doi:10.1097/COH.0000000000000623

    authors: Maepa MB,Jacobs R,van den Berg F,Arbuthnot P

    更新日期:2020-05-01 00:00:00

  • Aging with HIV: osteoporosis and fractures.

    abstract:PURPOSE OF REVIEW:Osteoporosis remains an important focus of contemporary research in HIV, with co-morbidities and mortality from non-AIDS illnesses now a major barrier to normal lifespan in many populations living with HIV. This review outlines the major recent advances in our understanding of osteoporosis and fractur...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000080

    authors: Mallon PW

    更新日期:2014-07-01 00:00:00

  • More than osteoporosis: age-specific issues in bone health.

    abstract:PURPOSE OF REVIEW:The interaction between fall and fracture risk factors is an area of increasing clinical relevance, but little information is known about the age-specific issues in bone health unique to HIV-infected adults. The present review will focus on what is known about falls and fall risk factors among HIV-inf...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000258

    authors: Erlandson KM,Guaraldi G,Falutz J

    更新日期:2016-05-01 00:00:00

  • Will antiretroviral therapy reduce HIV-related liver risk?

    abstract:PURPOSE OF REVIEW:With the introduction of combined antiretroviral therapy (cART) and consequent reduction in the incidence of AIDS-related mortality, there has been a relative increase in the importance of non-AIDS-related conditions such as liver disease. This article reviews the positive and potential negative impac...

    journal_title:Current opinion in HIV and AIDS

    pub_type: 杂志文章,评审

    doi:10.1097/COH.0000000000000022

    authors: Allen J,Smith C,Bhagani S

    更新日期:2014-01-01 00:00:00