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HIV in pregnancy: Mother-to-child transmission, pharmacotherapy, and toxicity
L. Cerveny, P. Murthi, F. Staud
Language English Country Netherlands
Document type Journal Article, Research Support, Non-U.S. Gov't, Review
NLK
Elsevier Open Access Journals
from 1995-01-25 to 1 year ago
Elsevier Open Archive Journals
from 1995-01-25 to 1 year ago
- MeSH
- Anti-Retroviral Agents pharmacology MeSH
- HIV Infections drug therapy transmission MeSH
- Pregnancy Complications, Infectious drug therapy virology MeSH
- Humans MeSH
- Placenta virology MeSH
- Pregnancy MeSH
- Infectious Disease Transmission, Vertical prevention & control MeSH
- Animals MeSH
- Check Tag
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
- Animals MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Review MeSH
An estimated 1.3 million pregnant women were living with HIV in 2018. HIV infection is associated with adverse pregnancy outcomes and all HIV-positive pregnant women, regardless of their clinical stage, should receive a combination of antiretroviral drugs to suppress maternal viral load and prevent vertical fetal infection. Although antiretroviral treatment in pregnant women has undoubtedly minimized mother-to-child transmission of HIV, several uncertainties remain. For example, while pregnancy is accompanied by changes in pharmacokinetic parameters, relevant data from clinical studies are lacking. Similarly, long-term adverse effects of exposure to antiretrovirals on fetuses have not been studied in detail. Here, we review current knowledge on HIV effects on the placenta and developing fetus, recommended antiretroviral regimens, and pharmacokinetic considerations with particular focus on placental transport. We also discuss recent advances in antiretroviral research and potential effects of antiretroviral treatment on placental/fetal development and programming.
Department of Obstetrics and Gynaecology The University of Melbourne Parkville Victoria Australia
Hudson Institute of Medical Research The Ritchie Centre Clayton Victoria Australia
References provided by Crossref.org
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- $a An estimated 1.3 million pregnant women were living with HIV in 2018. HIV infection is associated with adverse pregnancy outcomes and all HIV-positive pregnant women, regardless of their clinical stage, should receive a combination of antiretroviral drugs to suppress maternal viral load and prevent vertical fetal infection. Although antiretroviral treatment in pregnant women has undoubtedly minimized mother-to-child transmission of HIV, several uncertainties remain. For example, while pregnancy is accompanied by changes in pharmacokinetic parameters, relevant data from clinical studies are lacking. Similarly, long-term adverse effects of exposure to antiretrovirals on fetuses have not been studied in detail. Here, we review current knowledge on HIV effects on the placenta and developing fetus, recommended antiretroviral regimens, and pharmacokinetic considerations with particular focus on placental transport. We also discuss recent advances in antiretroviral research and potential effects of antiretroviral treatment on placental/fetal development and programming.
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