Semen may harbor HIV despite effective HAART: another piece in the puzzle.

<h4>Background</h4>The risk of male-to-female intravaginal HIV-1 transmission is estimated at about 1 event per 200-2000 coital acts. The aim of this study was to assess the residual risk of HIV presence in semen in patients under HAART therapy.<h4>Methods and findings</h4>Th...

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Autores principales: Philippe Halfon, Claude Giorgetti, Hacène Khiri, Guillaume Pénaranda, Philippe Terriou, Géraldine Porcu-Buisson, Véronique Chabert-Orsini
Formato: article
Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2010
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Acceso en línea:https://doaj.org/article/c01e4b328ad1416d9ab44928bf630611
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Sumario:<h4>Background</h4>The risk of male-to-female intravaginal HIV-1 transmission is estimated at about 1 event per 200-2000 coital acts. The aim of this study was to assess the residual risk of HIV presence in semen in patients under HAART therapy.<h4>Methods and findings</h4>The study took place in France from October 2001 to March 2009. 394 paired blood and semen samples were provided from 332 HIV-1 infected men. The Roche Cobas AMPLICOR Monitor HIV assay was used to quantify HIV-1 RNA in blood and in seminal plasma. Three percent of 394 HIV-1 infected men enrolled in an assisted reproductive technology program harbored detectable HIV-1 RNA in semen, although they had no other sexually transmitted disease and their blood viral load was undetectable for at least 6 months under antiretroviral treatment.<h4>Conclusion</h4>These data suggest that undetectable plasma HIV RNA means a lower risk of viral transmission through seminal fluid on a population level, but not necessarily at the level of the individual.