Analysis of HIV tropism in Ugandan infants.

  • Jessica D. Church
  • , Wei Huang
  • , Anthony Mwatha
  • , Philippa Musoke
  • , J. Brooks Jackson
  • , Danstan Bagenda
  • , Saad B. Omer
  • , Deborah Donnell
  • , Clemensia Nakabiito
  • , Chineta Eure
  • , Laura A. Guay
  • , Allan Taylor
  • , Paul M. Bakaki
  • , Flavia Matovu
  • , Michelle McConnell
  • , Mary Glenn Fowler
  • , Susan H. Eshleman

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

HIV-infected infants may have CXCR4-using (X4-tropic) HIV, CCR5-using (R5-tropic) HIV, or a mixture of R5-tropic and X4-tropic HIV (dual/mixed, DM HIV). The level of infectivity for R5 virus (R5-RLU) varies among HIV infected infants. HIV tropism and R5-RLU were measured in samples from HIV-infected Ugandan infants using a commercial assay. DM HIV was detected in 7/72 (9.7%) infants at the time of HIV diagnosis (birth or 6-8 weeks of age, 4/15 (26.7%) with subtype D, 3/57 (5.3 %) with other subtypes, P=0.013). A transition from R5-tropic to DM HIV was observed in only two (6.7%) of 30 infants over 6-12 months. Six (85.7%) of seven infants with DM HIV died, compared to 21/67 (31.3%) infants with R5-tropic HIV (p=0.09). Higher R5-RLU at 6-8 weeks was not associated with decreased survival. Infants with in utero infection had a higher median R5-RLU than infants who were HIV-uninfected at birth (p=0.025).

Original languageEnglish (US)
Pages (from-to)498-503
Number of pages6
JournalCurrent HIV research
Volume8
Issue number7
StatePublished - Oct 1 2010

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