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Hyper-excretion of human immunodeficiency virus type 1 RNA in saliva.
Shugars, D C; Patton, L L; Freel, S A; Gray, L R; Vollmer, R T; Eron, J J; Fiscus, S A.
Afiliación
  • Shugars DC; School of Dentistry, University of North Carolina at Chapel Hill, 27599-7450, USA. diane_shugars@dentistry.unc.edu
J Dent Res ; 80(2): 414-20, 2001 Feb.
Article en En | MEDLINE | ID: mdl-11332524
Anatomical compartments (e.g., the reproductive tract) are reservoirs of human immunodeficiency virus type-1 (HIV-1) and potential sites of residual infection in patients receiving anti-retroviral therapy (ART). Viral hyper-excretion relative to blood is a hallmark of reservoirs. To determine whether hyper-excretion can occur in the oral cavity, we compared viral loads in blood plasma and saliva of 67 adults. Salivary viral hyperexcretion was defined as a four-fold or higher viral load in saliva than in plasma. HIV-1 RNA was detected in 79% of plasma samples, in 44% of unfiltered saliva samples, in 16% of filtered saliva samples, and in 59% of saliva-derived cell pellets. Compared with non-hyper-excretors (n = 62), hyper-excretors (n = 5) had elevated levels of viral RNA in unfiltered saliva and saliva-derived cells, HIV-associated periodontal disease, gingival inflammation, and no combination ART. Morphological characterization of cell pellets identified lymphocytes as a likely HIV-1 source. These collective findings are consistent with an oral HIV-1 reservoir in selected individuals.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Saliva / Infecciones por VIH / VIH-1 / Carga Viral Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male Idioma: En Revista: J Dent Res Año: 2001 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Saliva / Infecciones por VIH / VIH-1 / Carga Viral Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male Idioma: En Revista: J Dent Res Año: 2001 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos