2007
DOI: 10.2174/187461360701015063
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Active Methamphetamine Use is Associated with Transmitted Drug Resistance to Non-Nucleoside Reverse Transcriptase Inhibitors in Individuals with HIV Infection of Unknown Duration

Abstract: Abstract:Background: Frequent methamphetamine use among recently HIV infected individuals is associated with transmitted drug resistance (TDR) to non-nucleoside reverse transcriptase inhibitors (NNRTI); however, the reversion time of TDR to drug susceptible HIV may exceed 3 years. We assessed whether recreational substance use is associated with detectable TDR among individuals newly diagnosed with HIV infection of unknown duration.Design: Cross-sectional analysis.Methods: Subjects were enrolled at the Univers… Show more

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Cited by 4 publications
(4 citation statements)
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References 25 publications
(47 reference statements)
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“…In a feline immunodeficiency virus model, methamphetamine markedly increased viral replication in astrocytes, facilitating cell‐associated infection 27 . Thus, methamphetamine use leads to poor viral control and promotes resistance to antiretroviral drugs 28 . In the brain of HIV‐infected methamphetamine users, there is induction of interferon‐inducible genes, suggesting a dysregulation of the innate immune responses 29 …”
Section: Effects Of Drugs Of Abuse On Hiv Replicationmentioning
confidence: 99%
“…In a feline immunodeficiency virus model, methamphetamine markedly increased viral replication in astrocytes, facilitating cell‐associated infection 27 . Thus, methamphetamine use leads to poor viral control and promotes resistance to antiretroviral drugs 28 . In the brain of HIV‐infected methamphetamine users, there is induction of interferon‐inducible genes, suggesting a dysregulation of the innate immune responses 29 …”
Section: Effects Of Drugs Of Abuse On Hiv Replicationmentioning
confidence: 99%
“…While ART has been shown to reduce sexual transmission of HIV by 96% in a recent clinical trial , failure to adhere to ART regimens can result in seroconversions by sexual transmission, probably as a result of inadequate suppression of HIV viral load in plasma, semen and cervicovaginal fluids . In terms of the direct effects of club drugs, one study actually suggests that amphetamine use can result in transmitted drug resistance rendering some ART medicines ineffective in these individuals , and yet another study indicates that amphetamines can directly stimulate HIV viral replication . The combination of exaggerated high‐risk sexual behaviour among club drug users and the potentially higher transmission efficiency of HIV‐infected club drug users highlights the urgent need for a better understanding of this problem, so that effective interventions can be implemented quickly.…”
Section: Introductionmentioning
confidence: 99%
“…Furthermore, for the purpose of investigating how methamphetamine abuse (which is frequently observed in HIV‐1 patients 93 ) could accelerate HIV‐1 disease progression, a recent study has investigated the impact of methamphetamine on IL‐1β production and the impact of IL‐1β on HIV‐1 replication in CD4 + T cells 94 . It is worth mentioning that at the behavioural level, methamphetamine abuse can increase HIV‐1 spread by fostering risky sexual behaviours and reducing the adherence to anti‐retroviral therapies 95,96 . Methamphetamine abuse has been reported to increase HIV‐1 replication by enhancing the infection of target cells such as macrophages, activating the HIV‐1 LTR, decreasing the frequency and functionality of T cells, and or altering the cytokines production 97–100 .…”
Section: Il‐1β and The Pathogenesis Of Human Immunodeficiency Virus T...mentioning
confidence: 99%