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J Low Genit Tract Dis. 2013 Jul;17(3):354-60. doi: 10.1097/LGT.0b013e3182712286.

Is there an association between HIV-1 genital shedding and cervical intraepithelial neoplasia 2/3 among women on antiretroviral therapy?

Author information

1
Department of Obstetrics, Gynecology and Reproductive Services, University of California, San Francisco, San Franciso, CA 94105, USA.

Abstract

OBJECTIVE:

Given the high prevalence of cervical intraepithelial neoplasia (CIN) grade 2/3 among HIV-infected women, we sought to examine the relationship between CIN 2/3 and HIV-1 genital shedding among women on highly active antiretroviral therapy (HAART).

MATERIALS AND METHODS:

Paired plasma and cervical wick specimens for HIV-1 RNA measurements were obtained from 44 HIV-infected women with biopsy-confirmed CIN 2/3 (cases) and 44 age-matched HIV-infected women with normal cervical findings on colposcopy (controls). All subjects tested negative for sexually transmitted infections and had been stable on HAART for at least 3 months. HIV-1 viral load was measured in both blood and cervical specimens using commercial real-time polymerase chain reaction assays.

RESULTS:

Cervical intraepithelial neoplasia 2/3 was not significantly associated with the detection or magnitude of plasma or cervical HIV-1 RNA shedding. HIV was detected in the plasma in 10 cases (23%) and 10 controls (25%) (odds ratio = 1.0; 95% confidence interval = 0.33-3.1). Cervical HIV-1 was detected in 6 cases (13.6%) and 9 controls (20.4%) (odds ratio = 0.61; 95% confidence interval = 0.20-1.90). Mean HIV-1 concentration in cervical secretions among women with CIN 2/3 who shed was 2.93 log10 copies versus 2.72 among controls (p = .65).

CONCLUSIONS:

Among women on HAART, we found no relationship between CIN 2/3 and HIV-1 genital shedding.

PMID:
23486070
PMCID:
PMC3690152
DOI:
10.1097/LGT.0b013e3182712286
[Indexed for MEDLINE]
Free PMC Article

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