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Pathogens (Basel, Switzerland) · 2023

Increased HIV Incidence in Wuchereria bancrofti Microfilaria Positive Individuals in Tanzania.

СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Mnkai Jonathan, Ritter Manuel, Maganga Lucas, Maboko Leonard, Olomi Willyhelmina, Clowes Petra, Minich Jessica, Lelo Agola Eric, Kariuki Daniel, Debrah Alexander Yaw, Geldmacher Christof, Hoelscher Michael, Saathoff Elmar, Chachage Mkunde, Pfarr Kenneth, Hoerauf Achim, Kroidl Inge

Аннотация

BACKGROUND: Infections with Wuchereria bancrofti are associated with reduced immunity against concomitant infections. Indeed, our previous study described a 2.3-fold increased HIV incidence among individuals with W. bancrofti infection, as measured by the circulating filarial antigen of the adult worm. This new study aimed to retrospectively determine microfilariae status of the participants to assess if the previously described increased HIV susceptibility was associated with the presence of MF in the same cohort.

METHODS: CFA positive but HIV negative biobanked human blood samples (n = 350) were analyzed for W. bancrofti MF chitinase using real time PCR.

RESULTS: The PCR provided a positive signal in 12/350 (3.4%) samples. During four years of follow-up (1109 person years (PY)), 22 study participants acquired an HIV infection. In 39 PY of W. bancrofti MF chitinase positive individuals, three new HIV infections occurred (7.8 cases per 100 PY), in contrast to 19 seroconversions in 1070 PY of W. bancrofti MF chitinase negative individuals (1.8 cases per 100 PY, p = 0.014).

CONCLUSIONS: In the subgroup of MF-producing Wb-infected individuals, the HIV incidence exceeded the previously described moderate increased risk for HIV seen in all Wb-infected individuals (regardless of MF status) compared with uninfected persons from the same area.

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

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