16th International AIDS Conference


Toronto, Canada — August 13-18, 2006

Cite as: Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. xx

Table of Contents
Main  Monday Tuesday  Wednesday  Thursday  Late-Breakers
Wednesday Oral Abstracts
Track A
WeAa01 Host Factors
WeAa0101
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0101

Abstract not available.
WeAa0102 HUMAN TRIPARTITE MOTIF PROTEIN 1 BLOCKS HUMAN IMMUNODEFICIENCY VIRUS REPLICATION
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0102
Marchant D.1, Neil S.J.D.2, Carter G.2, Harrison I.2, Aubin K.2, Meroni G.3, McKnight Á.2
After fusion with the cell membrane and entry into the cytoplasm, HIV-1 and -2 must therefore avoid host intracellular anti-viral factors including TRIM 1 to complete replication. It will be important to determine the role of these TRIM proteins in the tissue compartmentalisation and pathogenesis of HIV.
WeAa0103 ADVANTAGE OF KIR2DS2 AND HLA-C GROUP C1 IN HIV-1-INFECTED ADOLESCENTS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0103
Lazaryan A.1, Tang J.2, Wilson C.3, Kaslow R.4
The KIR2DS2 allele and its epistatic interaction with the HLA-C C1 appear advantageous in the immune responses of adolescents to HIV-1 infection. Our findings extend the evidence for a role of NK receptors in the pathogenesis of HIV/AIDS.
WeAa0104
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0104

Abstract not available.
WeAa0105 PROTHYMOSIN ALPHA A NOVEL ANTIVIRAL RESTRICTION FACTOR THAT BLOCKS TRANSCRIPTION
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0105
Mosoian A.1, Teixeira A.1, High A.A.2, Hunt D.F.2, Shabanowitz J.2, Liu X.1, Klotman M.E.1
ProTa suppresses HIV-1 gene transcription in primary macrophages and dendritic cells and contributes to the anti-viral activity of CD8+ cell supernatant.
WeAa0106 GLOBOTRIAOSYLCERAMIDE: A NATURAL RESISTANCE FACTOR TO HIV INFECTION
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0106
Lund N.1, Sakac D.2, Lingwood C.A.3, Levene C.4, Hellberg Å.5, Olsson M.L.5, Branch D.R.2
Overall, HIV infection is inhibited when Gb3 is cell surface expressed, while its absence enhances infection. Furthermore, exogenously introduced Gb3 seems to mimic natural Gb3 over-expression (P1k). These findings support Gb3 as providing natural resistance to HIV-1.
WeAa02 Effectiveness of Anti-HIV T Cell Immunity
WeAa0201 DESIGNING A VACCINE STRATEGY: IMPLICATIONS OF VIRAL ESCAPE AND SHIV-SPECIFIC CD8 T CELLS AT TRANSMISSION AND DURING ACUTE INFECTION
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0201
Fernandez C.S.1, Smith M.Z.1, Batten C.J.1, De Rose R.1, Reece J.1, Rollman E.1, Venturi V.2, Davenport M.P.2, Kent S.J.1
Effector T cells present at transmission and capable of rapid expansion are vital for the prevention of reversion to wild-type and control of HIV/SHIV viremia.
WeAa0202 INCORPORATION OF SEQUENCE DIVERSITY INCREASES THE RATE OF DETECTION OF HIV-SPECIFIC T CELL RESPONSES
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0202
Frahm N.1, Yusim K.2, Fisher W.2, Muldoon M.3, Linde C.1, Hewitt H.1, Faircloth K.1, Walker B.1, Brander C.1, Korber B.2
The data thus show that toggled peptides represent a powerful tool for the detection of more comprehensive breadth and magnitude of T cell responses, therefore providing additional insight as to which regions of HIV are targets of the virus-specific cellular immune responses, and hence may reflect potential vaccine candidates.
WeAa0203 DUAL SELECTION PRESSURE BY DRUGS AND HLA CLASS I-RESTRICTED IMMUNE RESPONSES ON HIV-1 PROTEASE
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0203
Mueller S.M.1, Schaetz B.1, Eismann K.1, Bergmann S.1, Bauerle M.1, Schmitt-Haendle M.1, Maurer K.1, Schmucker M.2, Walter H.3, Schmidt B.3, Korn K.3, Sticht H.4, Spriewald B.5, Harrer E.G.1, Harrer T.1, HIV Competence Network HIV/AIDS
Our results support a fundamental role of HLA class I-restricted immune responses in shaping the sequence of the HIV-1 protease in vivo. This may have important clinical implications both for to the understanding of drug resistance pathways and for the design of therapeutic vaccine.
WeAa0204 VACCINE INDUCED T-CELL RESPONSES IN IMMUNISED RHESUS MACAQUES CORRELATE WITH SIV REPLICATION KINETICS IN VITRO BUT NOT IN VIVO
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0204
Ochieng' W., Stahl-Hennig C., Suh Y.-S., Sopper S., Hunsmann G., Sauermann U.
SIV replication in vitro correlates with vaccine-induced T cell responses and shows "immunisation-route-dependent" kinetics. This kinetics was predictive of post-challenge outcome and may be useful in designing pre-clinical vaccine and pathogenesis studies. Additional factors worth investigation may influence in vitro vaccine response.
WeAa0205 CROSS-CLADE RECOGNITION OF GAG-P24 GPSHKARVL EPITOPE RESTRICTED BY HLA-B7 IN A HIV-1 CRF15_01B INFECTED INDIVIDUAL
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0205
Castro E.1, Harari A.1, Cellerai C.1, Bart P.A.1, Chave J.P.2, Pantaleo G.1
We provide evidence that Gag-p24 sequence "GPSHKARVL" is a viral conserved motif and CTL epitope in a patient with a CRF15_01B infection. The fact that this epitope has been previously reported among other HLA-B7 individuals infected with clades C and B underlines its relevance for vaccine trial monitoring.
WeAa03 Mucosal and Innate Immunity
WeAa0301 DIFFERENTIAL CYTOKINE RESPONSIVENESS TO TOLL-LIKE RECEPTOR (TLR) LIGAND STIMULATION IN HIV-1 RESISTANT SEX WORKERS FROM NAIROBI, KENYA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0301
Ball T.B.1, Lester R.1, Wachihi C.2, Marlin C.1, Plummer F.1, HayGlass K.3
Resistant women have significantly altered innate responses to some TLR ligands compared to uninfected controls, which may reflect their ability to mount a protective adaptive response to HIV-1. Interestingly cytokines known to induce cellular immunity were depressed while these women had elevated immunosuppressive cytokine responses. HIV resistance may therefore be associated with a hyporesponsive innate response rather than a preference to generate cellular immune responses.
WeAa0302 TREG CHARACTERIZATION IN SIV INFECTION OF RHESUS MACAQUES
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0302
Barbercheck J.1, Apetrei C.2, Ploquin M.3, Butor C.4, Muller-Trutwin M.3, Veazey R.1, Lackner A.5, Pandrea I.1
Our study demonstrates that these species are good models for studying Tregs' role in HIV infection. Tregs' decrease during SIVmac infection may result in lack of immuneoregulation and aberrant hyperactivation of T cells. The role of Tregs in pathogenicity can only be determined using animal models.
WeAa0303 MULTIPLE NEWLY IDENTIFIED URIDINE-RICH TLR7/8 LIGANDS WITHIN THE RNA OF HIV-1 ACTIVATE HUMAN CD8+ T CELLS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0303
Meier A., Alter G., Streeck H., Teigen N., Altfeld M.
These data demonstrate that uridine-rich regions of the ssRNA of HIV-1 can serve as potent immune-modulators and induce immune activation of T cells through the ligation of TLR7/8. HIV-1-derived TLR ligands may therefore contribute to the chronic immune activation observed during viremic HIV-1 infection, as well as to the associated immune pathogenesis and disease progression.
WeAa0304 POTENTIAL MUCOSAL IMMUNE MECHANISMS FOR INCREASED HIV SUSCEPTIBILITY IN WOMEN INFECTED BY HERPES SIMPLEX TYPE 2
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0304
Rebbapragada A.1, Pettengell C.1, Sunderji S.1, Huibner S.1, Sheung A.1, Moussa G.2, Mazzuli A.2, Wachihi C.3, Jaoko W.4, Ball B.5, Fowke K.5, Plummer F.5, Kaul R.1
DC-SIGN, which has been hypothesized to act as a "Trojan horse" in transporting HIV virions from mucosal sites to lymph nodes, was significantly increased in the FGT of women with chronic HSV2 infection. This suggests a potential immune mechanism for enhanced HIV susceptibility. HSV2 shedding was infrequent in HIV uninfected FSWs, and TLR9 induction may be associated with local control of HSV2 reactivation.
WeAa0305 TRANSCYTOSIS OF HIV ACROSS POLARIZED ORAL EPITHELIAL CELLS REDUCES INFECTIOUS ACTIVITY OF HIV-1 VIRIONS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0305
Tugizov S.1, Herrera R.1, Levy J.1, Martinez-Marino B.2, Abreu M.1, Soros V.3, Greene W.3, Palefsky J.1
Cell-free and cell-associated HIV migrate across polarized oral epithelial cells by apical-to-basolateral transcytosis. Compared with virions transcytosed across endometrial cells, virions transcytosed across tongue and pharyngeal cells lost most of their infectious activity. Inactivation of HIV during transcytosis across oral epithelial cells might contribute to the low rate of oral HIV transmission.
WeAa04 T Cell Immunity to HIV in Acute/Chronic Infection
WeAa0401 LONG-TERM NONPROGRESSOR'S JOURNEY INTO PROGRESSIVE DISEASE: ASSOCIATION WITH ESCAPE FROM CELLULAR IMMUNE CONTROL
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0401
Kemal K.1, Beattie T.2, Dong T.2, Weiser B.1, Kuiken C.3, Sutton J.2, Lang D.3, Yang H.2, Yang P.2, Collman R.4, Philpott S.1, Rowland-Jones S.2, Burger H.1
This man's journey from LTNP to progressive infection was associated with both the acquisition of viral mutations conferring escape from CD8 mediated control and targeted depletion of HIV-1-specific CD4+ T cells. These data are relevant to the correlates of protection from disease progression.
WeAa0402
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0402

Abstract not available.
WeAa0403 SURVEILLANCE OF IL-2 INDUCING CD4+ T CELL EPITOPES IN ACUTE HIV-1 INFECTION FOR THE EMERGENCE OF ESCAPE MUTANTS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0403
Jones R.B.1, Yue F.Y.1, Kovacs C.M.2, Mohamed R.1, MacDonald K.S.1, Ostrowski M.A.1
This is the first study to characterize IL-2 inducing epitopes during acute HIV-1 infection, and their contemporaneous plasma viruses. The data support that selective pressure exerted by the CD4 immune response contributes to virus variation. However, the progressive loss of HIV-1 p55 specific IL-2 producing CD4 T cells could not be attributed solely to viral evasion of immune responses through the fixation of escape mutations within targeted epitopes. Examining the responses of these clones to autologous p55 variants, from both early and late stages of infection, will shed further light on whether the observed flanking mutations represent a means of escape from immunological pressure.
WeAa0404 T CELL RESPONSES TO HUMAN ENDOGENOUS RETROVIRUSES IN PRIMARY HIV INFECTION: A NOVEL VACCINE STRATEGY?
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0404
Garrison K.1, Jones R.B.2, Meiklejohn D.A.1, Agrawal A.1, Anwar N.2, Spotts G.3, Hecht F.M.3, Rakoff-Nahoum S.4, Lenz J.5, Ostrowski M.A.2, Nixon D.F.1
WeAa0405 HIV-SPECIFIC IFN- AND IL-2 SECRETING RESPONSES AND THEIR ASSOCIATION TO HLA ALLELES
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0405
Peretz Y.1, Ndongala L.M.1, Boulassel R.2, Routy J.-P.2, Sékaly R.-P.3, Tremblay C.L.3, Tsoukas C.M.4, Bernard N.F.1
Responses restricted to slow progressing alleles such as B27 and B57 are more likely to stimulate IFN-γ and IL-2 secretion, a functional profile that is associated with viral control.
WeAa0406 COMPARATIVE VIRAL FITNESS ASSESSMENT OF CONGENIC MUTATIONS WITHIN AN IMMUNODOMINANT CD8+ T CELL EPITOPE OF HIV
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0406
Christie N.1, Willer D.O.2, Lobritz M.3, Cochrane A.4, Luscher M.A.2, Arts E.J.3, MacDonald K.S.5
Mono- and dual infection assays indicate that the emergence of potential immune escape mutations are limited by factors other that purely viral fitness constraints. This suggests that a lack of emergence of CTL escape mutations may not always be indicative of restrictions in viral replication. In fact, the conservation of these epitopes may be a feature of a crippled immune response, incapable of placing pressure on the viral sequence.
Track B
WeAa05 Microbicide Development
Power Point PresentationWeAa0501 Invited Presentation: Overview of Microbicide Development
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0501
Robin Shattock
This is a Power Point presentation. There is no abstract available.
WeAa0502 CONTRACEPTIVE AND NON-CONTRACEPTIVE THIOUREA NON-NUCLEOSIDE INHIBITOR-BASED ANTI-HIV MICROBICIDES
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0502
D'Cruz O.1, Uckun F.2
Membrane-permeable tight-binding thiourea NNRTIs have particular clinical utility as spermicidal or non-spermicidal broad-spectrum anti-HIV-1 microbicides as well as prophylactic antiviral agents. Supported by: NIH grants AI052594, AI052633, AI054352 and HD043683.
WeAa0503 CHARACTERIZATION OF IN VITRO RELEASE AND IN VIVO DELIVERY OF TMC120 WITH AN INTRAVAGINAL RING: IMPLICATIONS FOR MICROBICIDE DELIVERY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0503
Romano J.1, Coplan P.1, Mitchnick M.1, Douville K.1, Malcolm K.2, Van Roey J.3, Temmerman M.4, Van Bortel L.4, Weyers S.4, Rosenberg Z.1
The study demonstrated that IVR delivery of TMC120 was safe and generally well tolerated, and release of drug in vivo could be achieved.
WeAa0504 TRAPPIN-2: DISCOVERY OF A NOVEL INHIBITOR OF HIV HIGHLY ELEVATED IN HIV-RESISTANT SEX WORKERS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0504
Iqbal S.1, Ball T.1, Ao Z.1, Maranan L.1, Rutherford J.1, Wachihi C.2, Pak B.3, Podust V.3, Yao X.-J.1, Plummer F.1
We have identified a previously uncharacterized inhibitor of HIV using a novel proteomics approach. Importantly, elevated expression of this protein is highly associated with natural immunity to HIV infection in a HIV-resistance cohort. As such, this protein may make an ideal candidate for a component of a preventative microbicide.
WeAa0505 PRECLINICAL ASSESSMENT OF TOPICAL MICROBICIDES: DEVELOPMENT OF A MICROBICIDE QUALITY ASSURANCE PROGRAM (MQAP)
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAa0505
Cummins J.1, Lackman-Smith C.1, Richardson-Harman N.2, Beer B.1, Reichelderfer P.3
Given the wide range of existing and novel assay methods, there is a need to maintain a quality control program for topical microbicides. By establishing standardized guidelines for preclinical testing and analysis, the MQAP will expedite advancement of microbicides through the drug development pipeline.
Track B
WeAb01 Delivering HAART in Women Following Delivery
WeAb0101 LOW SENSITIVITY OF TOTAL LYMPHOCYTE COUNT, AS A SURROGATE MARKER TO IDENTIFY PRE- AND POST-PARTUM INDIAN WOMEN WHO REQUIRE ANTIRETROVIRAL THERAPY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAb0101
Gupta A.1, Gupte N.2, Nayak U.3, Kulkarni V.2, Paranjape R.4, Thakar M.4, Sastry J.2, Phadke M.5, Bollinger R.1, MIT-BJMC-JHU Study Group
Our data suggests that pre-partum and PP women with TLC <1200 cells/mm3 are likely to have CD4 cell counts <200. However, the sensitivity of this TLC cut-off was low. Between 45 – 64% of pre-partum and PP women requiring initiation of ART may not be identified by using TLC alone as a surrogate marker for CD4<200. The UNAIDS recommended TLC cutoff of <1200 cells/mm3 is not optimal for this female population.
WeAb0102 24 MONTH OUTCOME OF NEVIRAPINE BASED HIGHLY ACTIVE ANTIRETROVIRAL THERAPY (HAART) IN WOMEN DURING THE POSTPARTUM PERIOD: A PMTCT+ PILOT PROGRAM SUPPORTED BY THE GLOBAL FUND IN THAILAND
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAb0102
Jourdain G.1, Briand N.2, Fregonese F.3, Halue G.4, Chutanunta A.5, Nilmanat A.6, Prommas S.7, Bowonwatanuwong C.8, Yuthavisuthi P.9, Lallemant M.10, Program for HIV Prevention and Treatment (PHPT) - IRD 174
The good response to triple therapy would not have been observed without optimal adherence. If international efforts had not facilitated access to efficacious combinations, it is likely that patients would have use affordable but suboptimal combinations, increasing the risk of spreading resistance mutations in the population.
WeAb0103 DEVELOPMENT OF ANTIRETROVIRAL RESISTANCE AMONG HIV-1-INFECTED WOMEN FIRST EXPOSED TO ANTIRETROVIRALS DURING PREGNANCY: THE NICHD INTERNATIONAL SITE DEVELOPMENT INITIATIVE (NISDI) PERINATAL STUDY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAb0103
Duran A.1, Losso M.1, Salomón H.2, Pampuro S.2, Harris R.3, Soto-Ramirez L.4, Read J.5, NISDI Perinatal Study Group
Among HIV-1-infected mothers from Latin American and Caribbean countries receiving ARVs for prevention of MTCT, PRMs are relatively common.
WeAb0104 MATERNAL IMMUNE RESPONSE AND CLINICAL OUTCOMES ON NNRTI-BASED ANTIRETROVIRAL THERAPY (ART) FOLLOWING EXPOSURE TO SINGLE-DOSE NEVIRAPINE (NVP) FOR PREVENTION OF MOTHER-TO-CHILD HIV TRANSMISSION (PMTCT)
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAb0104
Chi B.1, Sinkala M.2, Levy J.1, Cantrell R.1, Stringer E.1, Bulterys M.3, Zulu I.4, Kaseba C.4, Mtonga V.5, Wilfert C.6, Stringer J.1
In this large programmatic ART cohort in Zambia, exposure to NVP for PMTCT was not associated with attenuated maternal immune response or worse clinical outcomes overall. Further studies are needed to determine the potential impact on treatment failure of timing between NVP exposure and ART initiation, particularly among women reporting recent NVP use.
WeAb0105 HIGH RATE OF NELFINAVIR-ASSOCIATED MUTATIONS OBSERVED AMONG WOMEN EXPOSED TO PROPHYLACTIC ANTIRETROVIRAL DURING PREGNANCY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAb0105
Kakehasi F.M., Tupinanmbas U., Cleto S., Aleixo A., Lin E., Melo V., Aguiar R., Pinto J., Maternal and Pediatric AIDS Group
In this group of women ART regimens were very efficient to block MTCT, despite the partial virologic suppression. The finding of a high rate of nelfinavir resistant mutation observed in the post-partum period may impact future therapeutic options for these women.
WeAb02 STIs: Is it Smart to Stop HAART?
WeAb0201 PLASMA LEVELS OF NEVIRAPINE FOLLOWING INTERRUPTION OF ZDV/3TC/NVP IN AFRICAN ADULTS WITHIN THE DART TRIAL
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAb0201
Kikaire B.1, Walker S.2, Khoo S.3, Munderi P.1, Ssali F.4, Namale L.4, Reid A.5, Gibb D.2, Mugyenyi P.4, Grosskurth H.1
Plasma NVP levels are below the subtherapeutic range after one week, and below the limit of quantitation after two weeks, in the majority of patients investigated. These data support the use of a one-week dual nucleoside 'cover' for planned treatment interruptions with NVP.
WeAb0202 CD4-GUIDED STI: FOUR-YEARS FOLLOW-UP OF A CONTROLLED, PROSPECTIVE TRIAL
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAb0202
Maggiolo F.1, Ripamonti D.1, Callegaro A.2, Gregis G.1, Quinzan G.1, Airoldi M.1, Bombana E.1, Arici C.1, Suter F.1
CD4-guided pulse-therapy is as least as effective as continuous HAART from the immunologic, virologic and clinical standpoints and is generally safe if patients are properly monitored. A nadir CD4 cell count <350 cell/mcL is the main predictor of CD4 cell decline and of the possibility to stay off-therapy. These findings should be considered in designing STI programs, but also outline possible risks of a late start of HAART.
WeAb0203 PROGRESSION OF HIV-RELATED DISEASE OR DEATH (POD) IN THE RANDOMISED SMART STUDY: WHY WAS THE RISK OF POD GREATER IN THE CD4-GUIDED ((RE)-INITIATE ART AT CD4 <250 CELLS/μL) DRUG CONSERVATION (DC) VS THE VIROLOGICAL SUPPRESSION (VS) ARM?
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAb0203
Lundgren J.D., on behalf of the SMART Study Group
Intended differences in proximal CD4 and VL levels between the arms of the study explains a substantial part of the difference in the risk of POD between the DC and VS arms. Additional analyses on predictors of POD will be presented.
WeAb0204 INFERIOR CLINICAL OUTCOMES WITH EPISODIC CD4-GUIDED ANTIRETROVIRAL THERAPY AIMED AT DRUG CONSERVATION (DC) IN SMART STUDY: CONSISTENCY OF FINDING IN ALL PATIENT SUBGROUPS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAb0204
El-Sadr W., for the SMART Study Group
HR for DC/VS groups for POD was consistent in a number of subgroups with no patient subgroup having lower POD rate in DC arm. Patients with HIV RNA <400 copies/ml (on ART at Entry) had significantly higher HR estimates (DC/VS), as this subgroup of patients had low POD rates in VS arm. Episodic ART as per SMART design is inferior to VS across a number of a priori defined subgroups.
WeAb0205 TIME TO HAART RESUME AFTER STRUCTURED TREATMENT INTERRUPTION IS STRONGLY ASSOCIATED WITH HIV DNA LEVEL IN PBMC AT INTERRUPTION: RESULTS OF THE ANRS 116 SALTO TRIAL
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAb0205
Piketty C.1, Weiss L.1, Bachir-Cherif S.2, Assoumou L.2, Burgard M.3, Ragnaud J.-M.4, Bentata M.5, Girard P.-M.6, Rouzioux C.3, Costagliola D.2, The ANRS 116 SALTO study group
Long term treatment interruption is feasible in patients who started HAART based on earlier guidelines. HIV-DNA level may be a useful tool to select patients who may benefit of a prolonged treatment interruption.
WeAb03 Optimizing HAART for Children
WeAb0301 EFFICACY AND SAFETY RESULTS OF 48 WEEKS OF TREATMENT WITH APTIVUS ORAL SOLUTION CO-ADMINISTERED WITH LOW DOSE RITONAVIR (APTIVUS/R) IN CHILDREN AND TEENAGERS (PHASE I/IIA STUDY)
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAb0301
Salazar J.1, Cahn P.2, Della Negra M.3, Castelli-Gattinara G.4, Fortuny C.5, Flynn P.6, Giaquinto C.7, Yogev R.8, Caparelli E.9, Fenton T.10, Mikl J.11, Jelaska A.11, PACTG 1051
Clinically relevant virological and immunological improvements were seen with APTIVUS/r therapy in treatment experienced children aged 2 – 18 years at Week 48. APTIVUS/r provides a potent and well-tolerated therapeutic option for children and teenagers.
WeAb0302 3TC +ABC MAINTAINS VIROLOGICAL SUPERIORITY OVER ZDV+3TC AND ZDV+ABC BEYOND 5 YEARS IN CHILDREN: THE PENTA 5 TRIAL
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAb0302
Gibb D.M.1, Green H.1, Saidi Y.2, Pillay D.3, Compagnucci A.2, Harper L.1, Walker A.S.1, Castelli-Gattinara G.4, della Negra M.5, Levy J.6, Candeias F.7, Butler K.8, Feiterna-Sperling C.9, Wintergerst U.10, Giaquinto C.11, on behalf of PENTA 5
Improved efficacy, in terms of VL suppression and growth changes, and lower rates of switching with detectable VL in the 3TC +ABC arm were sustained through to year 5.
WeAb0303 LONG-TERM EFFECTIVENESS OF HIGHLY ACTIVE ANTIRETROVIRAL THERAPY ON THE SURVIVAL OF CHILDREN AND ADOLESCENTS INFECTED WITH HIV-1
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAb0303
Patel K.1, Hernán M.A.1, Williams P.L.2, Seeger J.D.1, McIntosh K.3, Seage III G.R.1, for the Pediatric AIDS Clinical Trials Group 219/219C Study Team
The use of HAART is highly effective in reducing mortality among children and adolescents infected with HIV. Effects of HAART on survival, appropriately controlling for confounding by severity, are consistent with those observed in adult trials.
WeAb0304 COMPARATIVE BIOAVAILABILITY STUDY OF A NOVEL PEDIATRIC FIXED DOSE DISPERSIBLE TABLET (FDDT) OF LAMIVUDINE, STAVUDINE AND NEVIRAPINE VERSUS INDIVIDUAL MARKETED LIQUID FORMULATIONS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAb0304
Shankar G.1, Manaktala C.1, Verma M.1, Chhabra A.2, Juneja S.2
It was concluded that the FDDT of lamivudine, stavudine and nevirapine could be used in place of individual liquid formulations. This would enhance convenience of administration and compliance with therapy.
WeAb0305 NEVIRAPINE CONCENTRATIONS IN HIV-INFECTED CHILDREN TREATED WITH DIVIDED FIXED DOSE COMBINATION TABLETS IN MALAWI AND ZAMBIA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAb0305
Mulenga V.1, Ellis J.2, Ewings F.3, L'homme R.4, Chintu C.1, van Oosterhout J.5, Chileshe R.1, Molyneux E.2, Gibb D.3, Burger D.4
To avoid nevirapine underdosing in young children, divided FDC triomune should be used with caution; nevirapine levels may be reduced in stunted but increased in wasted children. Further studies investigating these relationships are required.
Track C
WeAc01 Thinking Positive: The Role of People Living with HIV in Prevention Initiatives
WeAc0101 UNSAFE SEX IN STEADY PARTNERSHIP AMONG HIV-INFECTED PATIENTS: EVIDENCE FROM A LARGE REPRESENTATIVE SAMPLE OF OUTPATIENTS ATTENDING FRENCH HOSPITALS (VESPA/ANRS 2003)
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAc0101
Bouhnik A.-D.1, Préau M.1, Schiltz M.-A.2, Obadia Y.1, Lert F.3, Spire B.1, VESPA study group
A high number of serodifferent couples persist in reporting risky sexual behaviour. Patients' personal experience and HIV disclosure represent key factors on the path to adopting safer sex among homosexuals. Among heterosexuals, socio-economic conditions play a major role in risk-taking.
WeAc0102 EXPERIENCES OF PEOPLE LIVING WITH AIDS (PLWA) FOLLOWING ENROLLMENT IN THE BOTSWANA NATIONAL TREATMENT PROGRAMME (BNTP)
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAc0102
Percy-de Korte F.1, Weiser S.1, Leiter K.1, de Korte D.1, Wolfe W.1, Phaladze N.2, Iacopino V.1, Heisler M.3
Sexual behaviour change facilitating HIV prevention was reported, in association with increasing comfort in disclosing sero-status. These findings are contrary to studies in developed countries, reporting re-uptake of risky sexual behaviour among men having sex with men receiving ART. Results indicate the importance of including PLWA enrolled in treatment programmes as agents of behaviour change in high prevalence countries. Policies and programmes which involve PLWA can facilitate HIV testing, treatment uptake, disclosure, subsequent enrollment of others, and show promise in changing sexual behaviour for reduced HIV transmission.
WeAc0103 KNOWLEDGE OF HIV POSITIVE STATUS DECREASES PREGNANCY INTENTION AND INCREASES CONTRACEPTIVE USE AMONG WOMAN IN LILONGWE, MALAWI
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAc0103
Hoffman I.1, Chanza H.2, Martinson F.2, Chilongozi D.2, Powers K.1, Hosseinipour M.2, Dziza E.2, Kachipa E.2, Mphande C.2, Nkhalamba T.2, Stephenson R.3, Tsui A.4
There was a significant reduction in women wanting pregnancy after being notified of their positive HIV status, and an accompanying increase in the use of contraceptives. Condom use among these HIV+ women was disturbingly low. Despite counseling and the availability of contraceptive services, incidence of pregnancy was high, even among women reporting they did not want another child. Immune status affects both pregnancy intention and contraceptive use. Culturally sensitive programs that assist HIV+ women in making sound reproductive choices are urgently needed.
WeAc0104 PREVENTION WITH POSITIVES PROGRAMS IN CLINICAL CARE SETTINGS IN THE UNITED STATES: RECEIPT OF PREVENTION COUNSELING AND CARE SATISFACTION
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAc0104
Patel S.N.1, Golin C.E.2, Lu T.-S.3, Tien H.3, Thompson M.4, Thrun M.5, Wilson T.6, Timmons A.6, Yale A.5, Clemons J.4, Quinlivan E.B.7, Wright J.8
People living with HIV (HIV) reported increases in provider-delivered risk reduction counseling and satisfaction with care after 6 months. Although we cannot stratify yet by dose of provider intervention received, 12 month follow-up and dose collection are underway and may strengthen our conclusions.
WeAc0105 EXPERIENCE OF THE RUSSIAN RED CROSS IN PROVIDING MEDICAL AND PSYCHOLOGICAL ASSISTANCE TO HIV+ WOMEN AND CHILDREN BORN TO HIV+ MOTHERS IN IRKUTSK CITY (EAST SIBERIA), RUSSIAN FEDERATION
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAc0105
Zagainova A.1, Shishkina V.2
The experience of the C&S Project and the visiting nurse service in Irkutsk has been a unique and successful model of collaboration between federal institutions and NGOs such as the RRC. This collaboration has helped create a system of advocacy and integrated services (care & prevention) for HIV+ women and HIV+ children. With continued support and funding from Federal health authorities, this model can be replicated in other RRC branches in Russia.
WeAc02 What's New? Innovations in HIV Prevention
WeAc0201 REACHING OUT TO CSWS THROUGH A CARE AND SUPPORT PROGRAMME FOR OVC
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAc0201
Singh V.1, Chhakchhuak L.2
Care and support for children infected and/or affected by HIV/AIDS is effective for engage CSWs and drug users in preventive programs, especially in difficult social circumstances. Advocacy with communities helps reduce stigma and discrimination - a key for effective HIV/AIDS prevention programs.
WeAc0202 BASELINE STUDY INFORMS ESTABLISHMENT OF A MOBILE UNIT PROVIDING HIV/AIDS/STI INFORMATION, SKILLS AND SERVICES TO VULNERABLE ADOLESCENTS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAc0202
Campbell P.1, Bell R.2
Rich, detailed findings disaggregated by age, gender and location were provided, enabling the service to be tailored to address specific vulnerabiliities. The service's mobility was strongly endorsed because staff "not from area".
WeAc0203 RANDOMIZED CONTROLLED TRIAL OF AN HIV RISK-REDUCTION INTERVENTION FOR DEPRESSED AFRICAN AMERICAN ADOLESCENTS: A SUBSET ANALYSIS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAc0203
DiClemente R., Wingood G., Lang D.
This is the first study to demonstrate a significant intervention effect for depressed adolescents. Given the high prevalence of depression among this population, the intervention could have a substantial impact in reducing adolescents' vulnerability for HIV infection.
WeAc0204 INVOLVING MEN IN PREVENTION AND CARE - CRUCIAL INTERVENTION FOR REDUCTION OF HIV/AIDS MORBIDITY AND MORTALITY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAc0204
Byakatonda J.1, Kerressey M.2
Creative programmes tailored towards constructive involvement of men and designed to reduce gender inequalities and minimize the impact of HIV/AIDS is needed. Sensitization on risks of contracting HIV/AIDS within marriage with peer support in couple clubs is important prevention strategies, decreasing not only HIV/AIDS morbidity but also supporting healthier family lives.
WeAc0205 HOW TO TRAIN HEALTH PROVIDERS TO TALK ABOUT SEXUAL PLEASURE: EXPERIENCES FROM CAMBODIA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAc0205
Gordon P.1, Chi S.2, Philpott A.1
With support, sexual health trainers can be enabled to discuss sex and pleasure as a way of promoting safer sex. By the end of the training, almost without exception, participants expressed a commitment to extending this discussion to their own practice. As a result of the training, the Pleasure Project is designing a "sexy sexual health toolkit" as an education/training resource to help sex educators promote safer sex in a sex-positive way in their own projects.
WeAc03 Global Trends in HIV Risk Behaviours
WeAc0301 TRENDS IN CONDOM USE IN LAST SEX AMONG YOUNG SINGLE AFRICAN WOMEN, 1996 – 2002
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAc0301
Ali M.M.1, Cleland J.2
Condom promotion in Africa has had an impact on the behaviour of young single women and the pace of change compares favourably with changes in other behaviour that harms health, such as cigarette smoking. However, sharp socio-economic disparities in use are apparent that may reflect differential access. A greater emphasis on condom promotion for pregnancy-prevention is justified because it must be more feasible for a young woman to negotiate use for this purpose than for disease-prevention.
WeAc0302 A LONGITUDINAL ASSESSMENT OF HIV/AIDS KNOWLEDGE, RISK, AND BEHAVIOR IN CAMBODIA (2003 – 2005)
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAc0302
Keo P.1, Cheaty L.1, Khim V.1, Chann B.2, O'Connell K.1
Messages should continue to stress the importance of consistent condom use and communicate that all partners pose a risk for HIV/AIDS. Campaigns should continue to reduce stigma related to condom use and foster social support by promoting it as appropriate with all partners, even trusted partners.
WeAc0303 TRENDS IN HIV-RELATED RISK BEHAVIORS AMONG US ADOLESCENTS: 15 YEARS OF PROGRESS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAc0303
Kann L., Lowry R., Eaton D., Wechsler H.
While HIV-related risk behaviors have decreased steadily overall, some subgroups of high school students in the United States may be at increased risk.
WeAc0304 HIV EPIDEMIC STATUS AND BEHAVIORAL SURVEILLANCE AMONG MSM IN CHINA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAc0304
Xu H.1, Zhang B.2, Zeng Y.3, Li X.2
Though HIV prevalence was relative low in Chinese MSMs, however high-risk sexual behaviors still existed in MSMs. They often practiced unsafe sex. Once HIV enters the MSM population in some cities, it will quickly spread in this group. In addition, MSMs often had sex with females. Virus can transmit between MSMs and prostitutes, then transmit to to general population. Urgent harm reduction program and health education program should be implemented to reduce the epidemic risk of HIV among MSMs.
WeAc0305 SEX WORK TYPOLOGY AND RISK FOR HIV IN FEMALE SEX WORKERS (FSWS): FINDINGS FROM AN INTEGRATED BIOLOGICAL AND BEHAVIOURAL ASSESSMENT IN THE SOUTHERN INDIAN STATE OF KARNATAKA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAc0305
Ramesh B.1, Washington R.2, Mondal S.3, Moses S.4, Alary M.5, Blanchard J.F.6
HIV risk among FSWs varies considerably by type of sex work. Preventive interventions for these highly vulnerable individuals must incorporate this information into their designs.
Track D
WeAd01 Economic exclusion, racism and vulnerability
WeAd0101 WHAT WILL HAPPEN WHEN GRANDMOTHERS DIE? UNPACKING THE GENDER AND GENERATIONAL IMPLICATIONS OF AIDS AND HOUSEHOLD CHANGES AMONG STREET TRADERS IN DURBAN, SOUTH AFRICA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0101
Chazan M.
Older women in this study are unevenly and increasingly burdened by AIDS. As prevalence and unemployment levels rise, they assume ever greater financial and care-taking responsibilities in their families; they are also displaced and chronically ill. Yet, the phenomenon of households pivoting around grandmothers is not new in southern Africa. What is new is AIDS: combining national data with detailed ethnography, this analysis raises questions about what will happen when today's grandmothers die and suggests that the "next generation" of grandmothers may be disappearing. Together, understanding the country's changing demographics, street traders' household dynamics, and older women's vulnerabilities provides key insights into the gender and generational implications of AIDS in this context of rapid urbanization and political-economic change.
WeAd0102 RACISM AND HIV/AIDS: IMPACTS OF RACIALIZED DISCOURSE ON THE DAILY LIVES OF AFRICAN AND CARIBBEAN COMMUNITIES IN TORONTO, CANADA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0102
Gardezi F.1, Calzavara L.1, Lawson E.1, Husbands W.2, Tharao E.3, Willms D.4, George C.5, Myers T.1, Remis R.S.6, Taylor D.7, Adebajo S.1, McGee F.8, Wambayi E.J.9
Representation and discourse around race and HIV/AIDS filters into the daily lives of African and Caribbean people, and resonates with experiences of racism, colonialism and lack of access to resources. Education, policy and institutional practices responding to HIV cannot neglect the ways in which they may perpetuate systems of inequality, furthering HIV stigma. Institutional practices and policies need to be informed by the lived experiences of African and Caribbean people and their critiques of dominant discourses.
WeAd0103 HIV VACCINE CONCERNS AND MISTRUST AMONG VULNERABLE COMMUNITIES: TOWARDS PROACTIVE, CULTURALLY-APPROPRIATE INTERVENTIONS (PROJECT VIBE)
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0103
Newman P.A.1, Cunningham W.E.2, Lee S.-J.3, Seiden D.3, Duan N.3
Widespread HIV vaccine concerns, misconceptions and mistrust among vulnerable communities present formidable challenges to HIV vaccine dissemination, and may thereby compromise the effectiveness of vaccines in controlling the AIDS pandemic. Culturally-appropriate, empirically-based individual- and community-level interventions are essential to address HIV vaccine concerns and mistrust before an approved vaccine becomes pubicly available.
WeAd0104 DETERMINANTS OF HIV-RISK BEHAVIOR IN REFUGEES FROM AFRICA RESIDING IN SWEDEN
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0104
Steel J.1, Dunlavy A.2, Herlitz C.3, Theorell T.4
HIV/AIDS prevention interventions should be culturally sensitive and address specific determinants of risk behavior of that population.
WeAd0105 THE CHALLENGE OF PROVIDING ADEQUATE INFANT NUTRITION FOLLOWING EARLY BREASTFEEDING CESSATION BY HIV-POSITIVE, FOOD-INSECURE MOZAMBICAN MOTHERS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0105
Johnson W.1, Alons C.2, Fidalgo L.3, Piwoz E.4, Kahn S.5, Macombe A.6, Catarina R.7, Briend A.8, Lovich R.9, Warming E.10, Floriano F.1, Chavane V.10
EBC is likely to increase the risk of malnutrition among already vulnerable infants from food insecure families. Specialized replacement foods and/or increased access to maternal ARV treatment are needed to protect child health and survival in areas affected by chronic and seasonal food shortages.
WeAd02 Young People and Sexuality: The Unspoken and the Taboo
WeAd0201 SURVEY OF CHILD SEX TOURISM ON THE KENYAN COAST - PRELIMINARY RESULTS AND POLICY IMPLICATIONS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0201
Jones C.S.1, Ferguson A.2, Mirikau A.3, Dunn J.3
The study demonstrates that it is possible to collect accurate data in difficult-to-reach populations using a combination of traditional and innovative methodologies. It further demonstrates that policy and interventions are frequently based on the false premise that there is a collective repudiation of child sex tourism as a practice. This suggests the need for a radically new approach to curbing child sex tourism.
WeAd0202 ADOLESCENT MSM IN JAMAICA-HIV RISK, HOMOPHOBIA, VIOLENCE AND GENDER STEREOTYPES IN RELATIONSHIPS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0202
Haniff N.
This very complex and troubling behavior among many of these youths is directly related to their high HIV infection rates and stifling homophobia More research and good interventions are urgently needed.
WeAd0203 ANAL INTERCOURSE AMONG YOUNG HETEROSEXUALS IN THREE US STD CLINIC POPULATIONS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0203
Gorbach P.M.1, Manhart L.E.2, Stoner B.P.3, Martin D.H.4
Anal intercourse is common among young heterosexuals attending STD clinics and few report using condoms. Those who practice anal intercourse report other sexual risks such as sex work suggesting a confluence of risks for HIV infection among young heterosexuals practicing anal intercourse.
WeAd0204 HIV RISKS AMONG YOUNG MALE MIGRANTS USING HEROIN IN HANOI, VIETNAM
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0204
Giang L.M.1, Clatts M.C.2, Goldsamt L.A.2, Yi H.2, Son N.M.1
Young men migrating to urban cities in Southeast Asia like Hanoi for wage labor are clearly at risk of HIV infection. Many are missing in prevention programs that have difficulties in even reaching local residents. The confluence of both drug and sexual risks reflects the complex vulnerability that exists in this population group and the urgent need for prevention programming targeting both drug and sexual risks.
WeAd0205 URBAN YOUTH CULTURES, MASCULINITY AND SEXUAL RISK
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0205
Munoz-Laboy M.
The notion of citizenship and rights seem to be influenced by a notion of the "real Hip Hop" and no by other forms of youth culture. The above findings suggest that understanding cultural narratives of masculinity is critical to advance an effective social agenda that promotes gender equity and sexual health among urban youth.
WeAd03 Civil Society Institutions: Caught Between Stigma and Social Responsability
WeAd0301 INNOVATIONS IN EDUCATION: THE ROLE OF THE EDUCATION SECTOR IN COMBATING HIV/AIDS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0301
Blackett-Dibinga K.1, Anah K.1, Matinhure N.2
Governments and organizations should consider such innovations that address the needs of the entire communities in order to address the needs of vulnerable groups, especially OVC.
WeAd0302 CHANGES IN ASSOCIATIONAL COMMITMENT IN THE FIGHT AGAINST HIV/AIDS IN SWITZERLAND
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0302
Voegtli M., Horat S.
This historical and comparative study helps us to understand the commitment principles of people involved in associations fighting against HIV/AIDS. This study is particularly important in order to understand the demobilization observed in swiss associations since the introduction of HAART.
WeAd0303 BUDDHISM AS A SUPPORT MECHANISM FOR PEOPLE LIVING WITH HIV/AIDS IN VIETNAM
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0303
Tran N.T.
Providing support through religious institutions is an effective approach in supporting PLWHA and educating the community. Religious leaders have an important role to play in the response to the HIV/AIDS epidemic as compassionate, accepting and influential leaders in society. Building the capacity and strengthening HIV knowledge within religious institutions will provide increased access to support for PLWHA and will contribute towards reducing stigma and discrimination in society. Encouraging PLWHA to look to the pagoda for support will help them have a more positive outlook and can restore hope.
WeAd0304 DOES THE CHURCH DELIVER? PERCEPTIONS AMONGST SOUTH AFRICANS ABOUT THE ROLE OF THE CHURCH IN THE HIV/AIDS FIELD
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0304
Van Dyk P.
The church is considered an important support system to HIV-positive people by most South Africans, although some participants thought that the church could do more. Although attitudes towards HIV-positive people and condom usage were mostly positive, negative attitudes were sometimes more prevalent amongst active church members and certain categories of people.
WeAd0305 ASIAN IMMIGRANT COMMUNITY INSTITUTIONS IN NEW YORK CITY (NYC): BARRIERS TO INVOLVEMENT IN HIV-RELATED ACTIVITIES
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0305
Chin J.J.1, Mantell J.2, Weiss L.1
Understanding the barriers to immigrant organizations' involvement in HIV intervention is a key step in engaging them in HIV-related activities. Given the growing HIV problem in Asian immigrant communities, involvement of these organizations is critical to raising awareness and combating stigma.
WeAd04 The Old and the New: Culture, Communication and HIV Prevention
WeAd0401 REDEFINING AIDS PREVENTION STRATEGIES AMONG YOUTH IN THE MULTICULTURAL SOCIETY OF GUATEMALA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0401
Ikeda J., Yac J., López Tellez C.A.
It is important to involve youth representatives in redefining AIDS Prevention Strategies in Multi-cultural countries such as Guatemala.
WeAd0402 BREAKING THE BARRIER: USING TRADITIONAL APPROACHES IN HIV/AIDS PREVENTION FOR MOBILE HERDSMEN AND INITIATES IN LESOTHO
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0402
Ochan W.1, Maketha D.2, Hachonda H.3
This approach offers lessons for integrating HIV/AIDS prevention messages in traditional communication channel in reaching rural and pastoral communities more effectively; through their language and design, adapted to their situation and life style.
WeAd0403 CULTURAL RESPONSES TO THE AIDS EPIDEMIC IN UGANDA: THE CHANGING ROLES OF STAKEHOLDERS PROVIDING SEXUAL ADVICE TO YOUTH IN TWO PERI-URBAN SETTINGS IN SOUTHWESTERN UGANDA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0403
Mbonye M.1, Wolff B.1, Bufumbo L.1, Ssejjaaka P.1, Grosskurth H.2
HIV/AIDS awareness and urban migration are eroding old taboos against direct discussion between parents and children on sexual issues and catalyzing new approaches to informal sex education such as urban aunties for informal sex education. Rise of new traditions reflect continued demand among youth for advice from trusted elders. Greater involvement of different stakeholders should be encouraged to reinforce AIDS prevention messages to reach mobile youth in high-risk environments.
WeAd0404 DYNAMICS IN HIV/AIDS COMMUNICATION INTERVENTIONS: A CASE STUDY OF THE DATOGA SPEAKING PEOPLE, NORTHERN TANZANIA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0404
Nyoni J.
As such we suggest that "interventionists" need to take more seriously social and contextual variables in the communication process. In addition, demystification of HIV/AIDS among indigenous groups like the Datoga would open a common platform whereby conceivers and recipients of HIV/AIDS information would to a large extend be talking about the same thing.
WeAd0405 USING CULTURE TO FIGHT CULTURE: PREVENTING HIV TRANSMISSION BY CHANGING HARMFUL PRACTICES SURROUNDING CIRCUMCISION OF YOUNG MEN IN EAST NUSA TENGGARA, INDONESIA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAd0405
Lake P.1, Hakim W.2
The model that will be presented may be applied in settings where harmful traditional practices exists, and suitable cultural mechanisms are available or can be developed. Further efforts should be put into building models of cultural-participatory monitoring.
Track E
WeAe01 Routine and Rapid HIV Testing
WeAe0101 ROUTINE TESTING: ARE WE READY TO THROW HUMAN RIGHTS OUT OF HIV TESTING POLICY?
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAe0101
Csete J., Elliott R.
Research is urgently needed on the real experience of both VCT and provider-initiated models. This research must meaningfully involve people living with HIV and others who have experienced HIV testing, especially womem tested in antenatal care.
WeAe0102 FCS IN FACILITATION OF VCCT GUIDELINES FOR CHURCHES IN NIGERIA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAe0102
Musa S.A.U.1, Akpo O. E.2, Zakka A.1, Udeoba E. S.3, Mershak B. D. P.4
Church policy development initiatives should emphasise on involvement of all key stakeholders, especially youth and women.
WeAe0103 THE NATIONAL SCALE-UP OF VOLUNTARY COUNSELING AND TESTING (VCT) IN KENYA HAS POTENTIAL FOR ABUSE IN THE COUNSELING ROOM
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAe0103
Hamilton C.1, Okoko D.2, Tolhurst R.3, Kilonzo N.2, Theobald S.4, Taegtmeyer M.5
Despite a strong focus on quality assurance and supervision in many VCT sites, the study demonstrates the potential for abuse in the VCT process. This has important implications for policymakers. Further debate around this issue and the application of ethical guidelines and codes of conduct are urgently needed to ensure the protection of clients and providers in the scale-up of VCT and wider HIV/AIDS treatment and care programmes.
WeAe0104 IMPACT OF ROUTINE HIV COUNSELING AND TESTING WITH AN OPT-OUT STRATEGY COMPARED TO VOLUNTARY COUNSELING AND TESTING IN THE IMPLEMENTATION OF PMTCT SERVICES, LILONGWE, MALAWI
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAe0104
Zimba C.1, Kamanga E.1, Chilongozi D.1, Martinson F.1, Kayambo F.2, Meme J.3, Hoffman I.4, van der Horst C.4
The opt-out approach to HIV counseling and testing was responsible for a 22.5% increase in testing among this antenatal population. It is an acceptable and effective strategy to provide HIV counseling and testing among women attending antenatal clinics in Malawi.
WeAe0105 COUNSELING IN THE USE OF ANTI-HIV RAPID TEST: THE EXPERIENCE OF THE BRAZILIAN AIDS PROGRAM
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAe0105
Serafim D., Ferraz D., Chequer P.
Training should emphasize the attention to specific vulnerabilities, include simulated use of the protocol and qualify the relationship between professional and service user. It should include practical exercise of counseling and cases discussion. Counseling protocol for primary care services should be simplified facilitating its insertion in the routine. Periodic monitoring is essential to reinforce service training thus increasing the staff's confidence and ability and guaranteeing the quality of counseling.
WeAe02 Young People Control the Future of the Response!
WeAe0201 JOINT RESPONSIBILITY - JOINT ACTION: CHINA YOUTH NETWORK, A YOUTH-ADULTS PARTNERSHIP IN THE FIGHT AGAINST HIV/AIDS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAe0201
Hang C.
Young people are the main force and the biggest beneficiary in the fight against HIV/AIDS, especially in a country with a large territory and population of young people like China, where the epidemic is increasing dramatically. However, though the rights of young people are gradually recognized, still huge amount of them don't have access to information and services and are neglected in programs and decision-making at all levels.
WeAe0202 ADOLESCENT PEER EDUCATION: THE NEED FOR FAMILY LIFE AND SEXUAL AND REPRODUCTIVE HEALTH RELATED EDUCATION IN DEVELOPING LIFE SKILL IN BANGLADESH
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAe0202
Hasan K.
In order to help adolescents earn some means of an income, it is mandatory to give them some type of vocational training. It is not enough to only make sure they participate in peer education programs and acquire vocational training but also to use their acquired knowledge. Therefore, micro credit scheme may be introduced.
WeAe0203 STRENGTHENING YOUTH PARTICIPATION IN NATIONAL REPRODUCTIVE HEALTH (RH)/HIV/AIDS RESPONSES
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAe0203
Mahler H., Vasileva-Blazev M.
Greater efforts to meaningfully involve youth should be made as it improves the relevance and technical approach to national processes and strategic planning.
WeAe0204 ELECTED YOUTH LEADERS FROM THE POOR REGION OF MINDANAO, THE PHILIPPINES CLAIM THEIR RIGHT TO SEXUAL AND REPRODUCTIVE HEALTH EDUCATION AND SERVICES
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAe0204
Datoy M.V.1, Amomonpon D.L.2
Scaling up is indeed a possibility but may seem relevant only in areas which have the same conditions and characteristics as this region.
WeAe0205 Discussant: Sam Ocen, Uganda
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAe0205
Sam Ocen, Uganda
Abstract not available.
Track X
WeAx01 Young People Control the Future of the Response!
WeAx0101 SEXUAL TRANSMISSION OF HEPATITIS C AMONG HIV-INFECTED MEN WHO HAVE SEX WITH MEN IN ENGLAND AND WALES
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0101
S. Dougan1, M. Balogun2, J. Elford3, L. Brant2, K. Sinka1, B. Evans1, M. Ramsay2
Using national surveillance data in E&W, only 31 MSM co-diagnosed with HIV and hepatitis C were identified. Clinic studies indicate that this is an underestimate of sexually-transmitted hepatitis C among HIV-infected MSM in E&W. Sentinel surveillance data however, indicate that a substantial number of HIV-diagnosed MSM tested hepatitis C positive in E&W during 2003, and that co-infection is not confined to London.
WeAx0102 EFFICACY OF A 24 WEEK COURSE OF ACUTE HCV TREATMENT WITH PEG-INTERFERON A-2B AND RIBAVIRIN IN HIV INFECTED PATIENTS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0102
Kruk A., Polovinkina N.
After 24 week of acute HCV treatment with peg-interferon and ribavirin the majority of treated patients (94%) achieved sustained virological response (negative qualitative HCV RNA 24 weeks after the end of treatment).
WeAx0103 HIGH LEVELS OF RISK IN YOUNG OFFENDERS: AN EPIDEMIC IN THE MAKING – RESULTS OF THE ONTARIO HIV AND HEPATITIS C REMAND STUDY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0103
Calzavara L.1, Ramuscak N.1, Burchell A.1, Myers T.1, Swantee C.2, Ford P.3, Raymond S.4
Despite low HIV and HCV prevalence rates, young offenders are engaging in high-risk behaviours. Unavailability of harm reduction measures in correctional facilities increase the level of risk. Targeted prevention and education programs are needed to ensure that prevalence of blood-borne infections remain at the current low level.
WeAx0104 PREVALENCE OF HIV, HEPATITIS B & C AND SYPHILIS INFECTION SUBSTANCE USERS IN ZANZIBAR TANZANIA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0104
Dahoma M.1, Salim A.A.1, Abdool R.2, Othman A.A.1, Nganga L.3, Abdullah A.4, Kibuka T.3, Ali A.S.1
Injection drug use and needle-sharing are common among SUs in Zanzibar resulting in high prevalence of blood-borne infections. IDU could present a bridging population for HIV spread into the general population in Zanzibar, and interventions are critically needed to prevent this spread.
WeAx0105 REDUCING HIV/HEPATITIS CO-INFECTION IN EUROPE
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0105
Eramova I.1, Munz M.1, Salmon D.2, Malkin J.-E.3
After the protocols, the next steps should include increasing access to the prevention and treatment of hepatitis by raising awareness of hepatitis morbidity as a public health issue, through the development of a price reduction strategy for anti-hepatitis drugs and diagnostics, and increasing access to the HBV vaccination.
WeAx0106 NON-MEDICAL STAFF KNOWLEDGE, ATTITUDES AND PROFICIENCY ABOUT HIV AND HEPATITIS C FOR INJECTION DRUG USERS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0106
Rowe K.1, Tesoriero J.1, Heavner K.1, Rothman J.2, Litwin A.3, Birkhead G.2
This study demonstrated that individuals providing HIV services to IDUs have lower knowledge, less favorable attitudes and lower self-rated proficiency towards HCV than they have towards HIV. These barriers should be addressed prior to integrating HCV services into settings already providing HIV services.
WeAx02 Education and AIDS: challenges and possibilities
WeAx0201 ASSESSING GLOBAL READINESS OF THE EDUCATION SECTOR TO MANAGE AND MITIGATE HIV AND AIDS IMPACT
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0201
Badcock-Walters P.1, Boler T.2, Carroll K.2, Desmond C.1, Görgens M.1, Heard W.1, Jellema A.3, Kelly M.4, Smart R.1, Wilson D.1, Draxler A.5, Castle C.5, Sass J.5
To institutionalise comprehensive, inclusive responses, MoEs and civil society need to better understand and benchmark the impact of HIV/AIDS on education; identify key problems and omissions in the Sector response; and develop and implement policy and comprehensive, strategic, time-bound plans.
WeAx0202 HIV/AIDS AND TEACHER ABSENTEEISM: IMPLICATIONS FOR ATTAINMENT OF QUALITY EDUCATION IN UGANDA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0202
Twesigye P.
HIV/AIDS has impacted on the education sector in Uganda through keeping a big number of teachers absent from work not only for many days but also for long and extended periods. Due to Stigma, many teachers suffer. While they may be physically present at school and in classrooms, they are spiritually absent.
WeAx0203 CAPACITY BUILDING FOR HIV POSITIVE TEACHERS (KENEPOTE) IN KENYA'S EDUCATION SECTOR
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0203
Lawson P.J.1, Siparo A.2, Gatua E.2, Wambete M.3, Ouko E.3, Atieno J.4
HIV positive teachers face extreme stigma and discrimination in the education sector. Teachers can play a role to decrease stigma and discrimination, support children and change the way the education sector addresses HIV.
WeAx0204 ARE TEACHERS AND STUDENTS READY TO ACCEPT LESSONS ON HIV/AIDS?: EXPERIENCES FROM BANGLADESH
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0204
Ahmed L.1, Ahmed N.U.1, Khan S.I.2, Ali K.B.1, Rasheduzzaman Shah M.1, Chowdhury A.Y.3
Because of preoccupied etic notions of sensitivities, issues related to sexuality and HIV/AIDS receive inadequate attention at educational institutes. However, when well-designed initiatives are taken for actions after providing training to teachers on technical content as well as the methods of initiation of discussion, most of the teachers and students support 'open and free' discussions on so called 'sensitive' issues at classroom settings. This has challenged our conventional views about 'silence' regarding sexuality and given social space to rethink for scaling-up sexuality education program at national level.
WeAx0205 LEADING THE WAY IN THE EDUCATION SECTOR: ADVOCATING FOR A COMPREHENSIVE APPROACH TO HIV AND AIDS IN THE CARIBBEAN
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0205
Constantine C.
Replicating this campaign with Ministries of Education throughout the Caribbean region, will help senior level decision makers understand and address the impact of HIV and AIDS on schools, teachers and society.
WeAx03 Women: Doing Better than Men?
WeAx0301 FOOD INSUFFICIENCY PREDICTS HIGH-RISK SEXUAL BEHAVIOR AMONG WOMEN BUT NOT MEN IN SOUTHERN AFRICA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0301
Weiser S.1, Leiter K.2, Heisler M3, Percy-de Korte F.4, Hlanze Z.5, DeMonner S.6, Tlou S.7, Phaladze N.7, Iacopino V.2, Bangsberg D.8
Food insufficiency is an important risk factor for increased sexual risk taking among women in Southern Africa. Targeted food assistance and income generation programs may play an important future role in decreasing transmission risk for women.
WeAx0302 DISCLOSURE OF HIV STATUS AMONG SOUTH AFRICAN WOMEN: FACTORS THAT IMPEDE DISCLOSURE AND SUBSEQUENT REPERCUSSIONS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0302
Forsyth B.1, Visser M.2, Makin J.D.3, De Villiers A.4, Jeffery B.3, Serithi
Despite common perceptions, the majority of HIV+ women (81%) do disclose their diagnosis to others, and few experience repercussions. This greater understanding about the consequences of knowing one's HIV status should help promote wider HIV testing.
WeAx0303 REPEAT PREGNANCY IN INDIAN WOMEN WITH KNOWN HIV STATUS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0303
Suryavanshi N.1, Erande A.1, Pisal H.1, Shankar A.2, Phadke M.3, Bolinger R.4, Ssatry J.1, BJ JHU MIT study group, Pune, India
The majority of the repeat pregnancies for HIV-positive women were both unplanned and unwanted. Inabilities to terminate the pregnancy and family pressure appear to drive repeat pregnancy in HIV-positive Indian women. Interventions focused on contraception negotiation skills to empower HIV-positive women and involving partners and family, when possible, in postpartum counseling are important to assist women who don't want to become pregnant again.
WeAx0304 HIV-1 POSITIVE RWANDAN WOMEN HAVE A HIGH FREQUENCY OF LONG-TERM SURVIVAL: 20-YEAR FOLLOW-UP FROM A PROSPECTIVE COHORT STUDY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0304
Peters P.1, Meinzen-Derr J.2, Karita E.3, Kayitenkore K.3, Kim D.-J.4, Tichacek A.5, Allen S.5, and the Rwanda Zambia HIV Research Group (www.rzhrg.org)
HIV positive Rwandan women have higher rates of long-term survival than predicted by current natural history models of HIV infection in Africa. The majority of these long-term survivors, however, still have evidence of disease progression.
WeAx0305 MORTALITY AMONG PARTICIPANTS IN THE MULTICENTER AIDS COHORT STUDY (MACS) AND THE WOMEN'S INTERAGENCY HIV STUDY (WIHS): IMPACT OF ACCIDENTS AND INJURY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0305
Cohen M.1, Kalinowski A.2, Mullen J.3, Palella F.4, Anastos K.5, Benning L.3, Hessol N.2
The higher risk of deaths from injury and accident among women in WIHS compared to men in MACS warrants further study. The characteristics identified may help target groups and interventions to reduce accidental and injury-related deaths.
WeAx04 Risk and Risk Reduction for Female Sex Workers
WeAx0401 RESEARCH ON HIV/AIDS-RELATED BEHAVIORS OF 986 CLIENTS OF SEX WORKERS IN SICHUAN PROVINCE, CHINA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0401
Wan S.1, Zhang J.2
Clients surveyed are at risk of HIV infection and transmission. They seldom receive health services and intervent.
WeAx0402 SHORT TERM EFFECT OF A CULTURAL ADAPTATION OF VOLUNTARY COUNSELING AND TESTING AMONG FEMALE SEX WORKERS IN CHINA: A QUASI-EXPERIMENTAL TRIAL
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0402
Li X.1, Wang B.1, Fang X.2, Zhao R.2, Stanton B.1, Hong Y.3, Dong B.4, Liu W.4, Zhou Y.4, Liang S.4, Yang H.1
This quasi-experimental trial provides evidence that the brief VCT intervention, through appropriate cultural adaptation, can be efficacious in increasing condom use and reducing STD infection rate among FSWs in China.
WeAx0403 A JOURNEY OF EMPOWERMENT OF RURAL TRADITIONAL FEMALE SEX WORKERS (RTFSW) IN RAJASTHAN, INDIA: A CASE STUDY FROM RAJASTHAN, INDIA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0403
Mathur A.1, Singh P.2, Moses S.3, Blanchard J.3, O'Neil J.3
Empowering rural traditional female sex workers, their clients and communities to reduce their risk & vulnerability to HIV/AIDS is a unique challenge given historical and cultural conditions. The Saksham project began with an understanding of the rural sex work environment and developed a community relevant HIV/AIDS prevention, care and support program model.
WeAx0404 THE ROLE OF ALCOHOL CONSUMPTION IN TRANSACTIONAL SEX IN MALAWI: A SIGNIFICANT FACTOR FOR HIV PREVENTION INTERVENTION DESIGN
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0404
Mack N.1, Alleman P.1, Chaponda M.2, Bula A.2, Hoffman I.3, MacQueen K.1
HIV prevention intervention strategies should accommodate alcohol as a significant risk factor. Alcohol impairment among FSW and clients necessitates a more aggressive approach to condom promotion at HTAs than might otherwise be considered appropriate.
WeAx0405 MEASURING THE EFFECTIVENESS OF INTERVENTION AMONG FEMALE SEX WORKERS (FSW) AND LONG DISTANCE TRUCK DRIVERS (LDTD) THROUGH CROSS-SECTIONAL MEASUREMENT OF TRENDS OF RISKY SEXUAL BEHAVIORS IN THE CORRIDORS OF HOPE PROJECT (COH), ZAMBIA 2000 – 2006
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WeAx0405
Kamanga J.1, Ndubani P.2, Siziya S.3, Long L.1
The results of the third trend point among FSW and LDTD will provide a direction to which intervention activities are going. And will provide the basis on which to re-design current HIV/AIDS strategies and intervention aimed at most high risk populations.
Poster Exhibitions
Track A – Biology and Pathogenesis of HIV
WePE0001 ESCAPE FROM AN HLA-B57-RESTRICTED CTL RESPONSE IN CAPSID REDUCES HIV-1 FITNESS AND RT EFFICIENCY
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0001
M.A. Brockman, A. Schneidewind, M.P. Lahaie, B.D. Walker, T.M. Allen
Escape in B57-TW10 reduces HIV-1 replication and associates with an early defect in viral DNA generation. Mutation at T242N mutation can be restored partially by compensatory changes in the CyPA binding loop. Complex phenotypes of T242N-containing mutants in the presence of CSA or As2O3 indicate that the escape and compensatory mutations impact capsid function and may alter sensitivity to host restriction. These results highlight an attractive region of p24 for vaccine design.
WePE0002 EVOLUTION AND COMPARTMENTALIZATION OF HIV-1 IN A DUAL INFECTION WITH SUBTYPES B AND G: FULL-LENGTH SEQUENCES FROM PLASMA, PERIPHERAL BLOOD MONONUCLEAR CELLS AND HIV-1 PRIMARY ISOLATES
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0002
M. Muñoz-Nieto1, L. Pérez-Álvarez1, G. Casado1, M. Thomson1, A. Ocampo2, E. Delgado1, C. Miralles2, E. Vázquez de Parga1, M. Sierra1, R. Carmona1, Y. Vega1, G. Contreras1, L. Medrano1, R. Nájera1
Intercompartment dynamic of HIV-1 populations involved opposite phenotypic and genotypic variants throughout follow up of one B+G dual infection, with generation of different recombinants, suggesting that virus populations in PBMC may reflect the persistence of variants initially transmitted and that may emerge under different selective pressures.
WePE0003 RECOMBINATION AND FITNESS; COULD IT EXPLAIN THE EMERGENCE AND PREDOMINANCE OF HUMAN IMMUNODEFICIENCY VIRUS TYPE 1 (HIV-1) CIRCULATING RECOMBINANT FORM (CRF02_AG) IN WEST AND WEST CENTRAL AFRICA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0003
H.F. Njai1, K.K. Arien2, Y. Gali2, C. Clybergh2, W. Jennes3, N. Vidal4, C. Butel4, E. Mpoudi-Ngolle5, M. Peeters4, G. Vanham2
We observed a higher ex vivo replicative capacity of CRF02_AG isolates, independent of the disease stage and biophenotype but dependent on cellular environment. This fitness advantage may contribute to a dominant spread of CRF02_AG over A and G subtypes in West and West Central Africa.
WePE0004 BETWEEN A ROCK AND A HARD PLACE: MODELLING THE INTERPLAY BETWEEN EFFECTIVE SIV GAG-SPECIFIC CD8+ T CELLS AND THE KINETICS OF VIRAL ESCAPE IN MACAQUES
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0004
M.Z. Smith1, L. Loh1, C.S. Fernandez1, C.J. Batten1, B. Pratt1, I. Stratov1, R. De Rose1, J. Lin1, D.H. O'Connor2, M.P. Davenport3, A.G. Brooks1, S.J. Kent1
SIV-specific CD8+ T cell responses force viral escape in different ways. We hypothesise that the rate of escape reflects the efficiency of particular T cell responses in eliminating wild-type virus. This suggests that the relative effectiveness of various SIV-specific CD8+ T cell responses is KP9>AF9>KW9. This is the first in vivo definition of the comparative effectiveness of different T cell responses for SIV. Inducing the most efficient T cell responses in designing HIV vaccines could substantially improve their efficacy.
WePE0005 VARIANTS OF DIFFERING REPLICATION CAPACITY (FITNESS) CO-EXIST IN THE QUASISPECIES POPULATIONS OF VIRUSES RESISTANT TO A SMALL MOLECULE CCR5 INHIBITOR
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0005
K.G. Anastasopoulou1, A.J. Marozsan1, A. Matet1, A.D. Snyder1, E.J. Arts2, S.E. Kuhmann1, J.P. Moore1
Clonal variants with either increased or decreased fitness can co-exist in populations of viruses resistant to a small molecule CCR5 inhibitor when the selecting compound is absent. In the presence of the inhibitor, all the variants are more fit than the parental, inhibitor-sensitive virus.
WePE0006 DETERMINATION OF EX-VIVO FITNESS OF DIFFERENT HIV-1 SUBTYPES AND INTERSUBTYPE BF RECOMBINANTS CIRCULATING IN ARGENTINA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0006
A.E. Rubio1, A. Abraha2, R.M. Troyer2, G. Turk1, E.J. Arts2, H. Salomón1
These findings suggest that although subtype F has a higher fitness than subtype B, the recombination event between these subtypes did not increase the replicative capacity of the BF recombinant in PBMCs. These results further emphasize low fitness of the subtype C, which is now beginning to circulate in Argentina.
WePE0007 MOLECULAR AND FUNCTIONAL CHARACTERIZATION OF PRIMARY ALLELES OF THE HIV-1 VPR PROTEIN DURING THE NATURAL COURSE OF INFECTION
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0007
G. Jacquot1, E. Le Rouzic1, V. Daneluzzi1, J.-J. Lefrere2, L. Morand-Joubert3, S. Benichou4
The characterization of the vpr alleles from a large number of HIV-1-infected patients is in progress to evaluate the potential impact of the Vpr protein as a virulence factor during the natural course of infection.
WePE0008 MULTI-SITE TISSUE AUTOPSY SAMPLES FROM PATIENTS WITH DEMENTIA AND AIDS RELATED LYMPHOMA SHOW DISTINCT PATTERNS OF HIV EVOLUTION IN VIVO
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0008
D. Galligan1, S.L. Lamers2, L. Zhao3, S. Yu4, L. Shagrun5, T. De Oliveira6, M. Salemi7, M.S. McGrath8
The study shows a conservation of ARL HIV between metastatic sites suggesting a critical role for either an ARL specific form of HIV or an expanded macrophage population spreading a homogenous form of HIV DNA. The study provides the basis for a new method to examine the metastatic process via the evolution of a well characterized virus.
WePE0009 EVOLUTION AND SELECTION IN HIV-1 POL
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0009
R. Pilon1, A. Burchell2, S. Read3, L. Calzavara2, P. Sandstrom1, Polaris HIV Study Team
The evolution of HIV-1 pol nucleotide sequences was largely confined to synonymous sites, suggesting that pol has been maintained at a relatively stable fitness peak over the past 20 years, even with the widespread introduction of ART within this population. Although individual codons within the RT and PR genes are under positive selection in the Polaris cohort, most were also being selected prior to ART becoming available. This suggests that the evolution of HIV-1 pol has been influenced by selective pressures other than the widespread use of ART.
WePE0010 PHYLOGENETIC CHARACTERIZATION OF GAG AND ENV SUBGENOMIC REGIONS FROM HIV-1 ISOLATES IDENTIFIED IN MASHHAD, IRAN
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0010
H.R. Naderi1, M. Tagliamonte2, M.L. Tornesello2, M. Ciccozzi3, G. Rezza3, R. Farid4, F.M. Buonaguro2, L. Buonaguro2
The phylogenetic analysis of 12 HIV-1 Iranian samples, identified in Mashhad, suggests an A subtype-driven epidemics deriving from the African and not from the Middle-East Countries A-subtype. The clustering pattern and the nucleotide divergence values suggest a recent introduction of the HIV-1 infection in this community. Moreover, the phylogenetic correlation with sequences from Teheran suggest a common origin of the HIV-1 epidemics in the two cities. These first data on HIV-1 subtypes in Iran could represent the starting point for a wider molecular survey to trace the HIV-1 epidemics in the Iranian and Middle-East region.
WePE0011 COMPARATIVE DATA SUMMARY OF THE EFOORA RAPID HIV DIAGNOSTIC TEST
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0011
D. Grosky1, R. Rubenstein2
That the Efoora HIV Rapid Test is used in all settings and in all instances where currently the Aboott Laboratories enzyme immunoassay is used.
WePE0012 CHARACTERIZATION OF CTL IMMUNE RESPONSES TO GAG AND NEF PROTEIN OF HIV-1 SUBTYPE C IN INFECTED INDIAN INDIVIDUALS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0012
M. Vajpayee1, S. Mendiratta1, U. Malhotra2, K. Mojumdar1
Correlations observed for Gag and Nef specific T cell responses with plasma viral load would have implications for future vaccine design and trial. All the identified immunodominant regions also correlated with HIV Immunology database (Los Alamos) indicating the importance of Gag and Nef-specific responses in multi-clade vaccine approach.
WePE0013 CHARACTERIZATION OF HIV-1 GAG SPECIFIC T CELL IMMUNE RESPONSES AND CORRELATION WITH PLASMA VIREMIA IN INFECTED INDIAN INDIVIDUALS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0013
M. Vajpayee1, S. Kaushik1, K. Mojumdar1, N. Wig2
The results reflect the inability of HIV-1-specific T cell responses to control viral replication during chronic infection in absence of IL-2 help that leads to the probable dysfunction of IFN-γ secreting CD4+ and CD8+ T cells. The identification of these responses at single peptide level across HIV-1 subtype C infected Indian population and correlation with the data from Caucasian population may provide useful insight for the design of new immunotherapies and vaccines for effective control of HIV-1 infection.
WePE0014 LOW CMV-SPECIFIC CD4+ T CELL RESPONSES IN HIV PATIENTS RECEIVING EFFECTIVE ANTIRETROVIRAL THERAPY ARE ASSOCIATED WITH LOW NUMBERS OF PLASMACYTOID DENDRITIC CELLS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0014
S. Fernandez1, S. Stone1, P. Price1, M. French2
HIV patients who have increased CD4+ T cell counts on long-term effective ART have low numbers of pDC, which are associated with low CMV-specific CD4+ T cell IFN-γ responses. These findings suggest that inefficient priming and stimulation of antigen-specific T cell populations may be one mechanism by which the reconstitution of antigen-specific T cell responses is hindered in HIV patients receiving ART.
WePE0015 CD31 NEGATIVE NAÏVE CD4+ T CELLS ARE DEPLETED IN HIV-1 INFECTION AND ARE PERMISSIVE TO INFECTION WITH BOTH R5 AND X4 USING HIV-1
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0015
F. Wightman1, A. Solomon1, P. Cameron1, S. Lewin2
Naïve CD4+ T cells expressing platelet endothelial cell adhesion molecule-1 (PECAM-1/CD31) have been shown to be recent thymic emigrants. Naïve CD4+ T cells that lose CD31 have proliferated in the periphery in the absence of T cell receptor stimulation and are the subset of naïve cells most frequently infected by HIV-1 in vivo. We hypothesised that in the setting of CD4+ T cell depletion secondary to HIV-1 infection, the pool of CD31 negative naïve CD4+ T cells would be expanded and serve as targets for HIV infection.
WePE0016 HIV-1 INFECTION DOWNREGULATES CELLULAR TELOMERASE ACTIVITY AT NUCLEAR COMPARTMENT OF LYMPHOBLASTOID T CELLS
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0016
R. Reynoso, L. Minces, L. Cassino, H. Salomón, J. Quarleri
HIV-1 infection is able to downregulate telomerase activity in the nuclear compartment of lymphoblastoid cells. This effect has not emerged by impact on its components -hTERT and hTR- at transcriptional level neither affected the telomere length but exhibited abnormal enzymatic cellular re-distribution. This hypothesis might shed new light on HIV-1 pathogenesis.
WePE0017 CHARACTERISATION OF NEAR FULL-LENGTH GENOMES OF SUBSUBTYPE A3 AND A3/CRF02_AG RECOMBINANT FORMS IN GHANA
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0017
E. Delgado1, W. Ampofo2, K. Torpey3, E. Ugly-Kwame2, M. Sierra1, M. Muñoz1, Y.D. Mukadi3, C. Nyarko4, E. Vázquez de Parga1, Y. Vega1, R. Asare5, R. Amenyah3, R. Carmona1, G. Casado1, M. Thomson1, R. Nájera1
Seven near full-length genomes from HIV-1 samples from Ghana have been characterised. These genomes involve subsubtype A3, either alone or as part or intersubtype recombinants with CRF02_AG. The same recombinant pattern shared by three samples could define a new CRF. The unique recombinant patterns found in the other two viruses are derived from dual infections in an area where CRF02_AG, the predominant genetic form, co circulates with A3. Phylogenetic analyses of A3 suggest that A3 viruses might represent an A1 variant which circulates in West African countries, and it is more frequently found as intersubtype A3/CRF02_AG recombinants than as pure A3 viruses.
WePE0018 HIV-1 SUBTYPE A IS THE DOMINANT CLADE IN GREECE IN HIV-1 NEWLY DIAGNOSED PATIENTS DURING 2004
Int Conf AIDS. 2006 Aug 13-18;16:Abstract No. WePE0018
D. Paraskevis1, E. Magiorkinis1, G. Magiorkinis1, V. Sypsa1, V. Paparizos2, C. Botsi2, N. Stavrianeas2, M. Lazanas3, M. Chini3, N. Mangafas3, P. Gargalianos4, M. Lelekis4, G. Chilome