2007
DOI: 10.1002/rmv.543
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Biological mechanisms of vertical human immunodeficiency virus (HIV‐1) transmission

Abstract: In the absence of interventions, 30-45% of exposed infants acquire human immunodeficiency virus type 1 (HIV-1) through mother-to-child transmission. It remains unclear why some infants become infected while others do not, despite significant exposure to HIV-1 in utero, during delivery and while breastfeeding. Here we discuss the correlates of vertical transmission with an emphasis on factors that increase maternal HIV-1 levels, either systemically or locally in genital secretions and breast milk. Immune respon… Show more

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Cited by 86 publications
(90 citation statements)
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“…Infants who are born to HIV-positive mothers are referred to as being HIV-exposed. It is estimated that more than 30% of HIV-exposed infants are HIV-positive when there has been no intervention (Sharland and Bryant, 2009;Dabis, et al, 1993;Boylan and Stein, 1991 (UNAIDS, 2010;Lehman and Farquhar, 2007).…”
Section: Epidemiologymentioning
confidence: 99%
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“…Infants who are born to HIV-positive mothers are referred to as being HIV-exposed. It is estimated that more than 30% of HIV-exposed infants are HIV-positive when there has been no intervention (Sharland and Bryant, 2009;Dabis, et al, 1993;Boylan and Stein, 1991 (UNAIDS, 2010;Lehman and Farquhar, 2007).…”
Section: Epidemiologymentioning
confidence: 99%
“…MTCT can occur during pregnancy, intrapartum or during breastfeeding (Lehman and Farquhar, 2007;Kourtis, et al, 2001;Kuhn and Stein, 1995). Maternal viral load (presence of HIV-RNA in plasma) is a strong independent determinant of the risk of vertical transmission (John and Kreiss, 1996).…”
Section: Mother-to-child Transmission Of Hiv (Mtct)mentioning
confidence: 99%
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“…The view that early viruses use CCR5 and late viruses use CXCR4 depends up on the type of the clade [23]and may not hold true for clade A, C or D. Clade A viruses tend to favor CCR5 even at later stages, while clade C strains rarely become CXCR4/SI even in the stage of the disease [24]. The reason for this was attributed to persistent immune activation experienced by many Africans [18], as persistent immune activation constantly trigger CCR5 over-expression.…”
Section: Discussionmentioning
confidence: 99%