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High Mycoplasma genitalium Organism Burden Is Associated with Shedding of HIV-1 DNA from the Cervix
We assessed the relationship between infection with Mycoplasma genitalium, an emerging sexually transmitted pathogen, and cervical shedding of human immunodeficiency virus (HIV)-1 DNA among 303 HIV-1-positive Kenyan women. HIV-1 shedding was detected by qualitative polymerase chain reaction (PCR) in...
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Published in: | The Journal of infectious diseases 2008-03, Vol.197 (5), p.733-736 |
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container_title | The Journal of infectious diseases |
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creator | Manhart, Lisa E. Mostad, Sara B. Baeten, Jared M. Astete, Sabina G. Mandaliya, Kishorchandra Totten, Patricia A. |
description | We assessed the relationship between infection with Mycoplasma genitalium, an emerging sexually transmitted pathogen, and cervical shedding of human immunodeficiency virus (HIV)-1 DNA among 303 HIV-1-positive Kenyan women. HIV-1 shedding was detected by qualitative polymerase chain reaction (PCR) in 154 women (51%); M. genitalium was detected by qualitative PCR in 52 (17%), and organism burden was determined by quantitative PCR. Women with high M. genitalium organism burdens (more than the median of 3195 genomes/mL) were 3-fold more likely to shed HIV-1 DNA than were M. genitalium—negative women (adjusted OR, 2.9 [95% confidence interval, 1.1–7.6]), yet this did not appear to be mediated by traditional measures of cervical inflammation (elevated polymorphonuclear leukocyte count). |
doi_str_mv | 10.1086/526501 |
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HIV-1 shedding was detected by qualitative polymerase chain reaction (PCR) in 154 women (51%); M. genitalium was detected by qualitative PCR in 52 (17%), and organism burden was determined by quantitative PCR. Women with high M. genitalium organism burdens (more than the median of 3195 genomes/mL) were 3-fold more likely to shed HIV-1 DNA than were M. genitalium—negative women (adjusted OR, 2.9 [95% confidence interval, 1.1–7.6]), yet this did not appear to be mediated by traditional measures of cervical inflammation (elevated polymorphonuclear leukocyte count).</description><identifier>ISSN: 0022-1899</identifier><identifier>EISSN: 1537-6613</identifier><identifier>DOI: 10.1086/526501</identifier><identifier>PMID: 18266605</identifier><identifier>CODEN: JIDIAQ</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>Adolescent ; Adult ; AIDS ; Bacteriology ; Biological and medical sciences ; Cervix Uteri - virology ; DNA, Viral ; Female ; Fundamental and applied biological sciences. Psychology ; Genitalia ; HIV ; HIV 1 ; HIV Infections - complications ; HIV/AIDS ; Human immunodeficiency virus 1 ; Humans ; Infections ; Kenya ; Microbiology ; Middle Aged ; Miscellaneous ; Mycoplasma genitalium ; Mycoplasma genitalium - pathogenicity ; Mycoplasma Infections - complications ; Neutrophils ; Odds Ratio ; Polymerase chain reaction ; Sexually transmitted diseases ; Uterine cervicitis ; Virology ; Virus Shedding</subject><ispartof>The Journal of infectious diseases, 2008-03, Vol.197 (5), p.733-736</ispartof><rights>Copyright 2007 Infectious Diseases Society of America</rights><rights>2008 INIST-CNRS</rights><rights>2008 by the Infectious Diseases Society of America. All rights reserved. 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c453t-2bbfdc6736d9e764c8a3f49492be36ed0e700a5b3cdfb3d95db3050ca53b8c1e3</citedby><cites>FETCH-LOGICAL-c453t-2bbfdc6736d9e764c8a3f49492be36ed0e700a5b3cdfb3d95db3050ca53b8c1e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/30087013$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/30087013$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,58238,58471</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20189707$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18266605$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Manhart, Lisa E.</creatorcontrib><creatorcontrib>Mostad, Sara B.</creatorcontrib><creatorcontrib>Baeten, Jared M.</creatorcontrib><creatorcontrib>Astete, Sabina G.</creatorcontrib><creatorcontrib>Mandaliya, Kishorchandra</creatorcontrib><creatorcontrib>Totten, Patricia A.</creatorcontrib><title>High Mycoplasma genitalium Organism Burden Is Associated with Shedding of HIV-1 DNA from the Cervix</title><title>The Journal of infectious diseases</title><addtitle>The Journal of Infectious Diseases</addtitle><description>We assessed the relationship between infection with Mycoplasma genitalium, an emerging sexually transmitted pathogen, and cervical shedding of human immunodeficiency virus (HIV)-1 DNA among 303 HIV-1-positive Kenyan women. HIV-1 shedding was detected by qualitative polymerase chain reaction (PCR) in 154 women (51%); M. genitalium was detected by qualitative PCR in 52 (17%), and organism burden was determined by quantitative PCR. Women with high M. genitalium organism burdens (more than the median of 3195 genomes/mL) were 3-fold more likely to shed HIV-1 DNA than were M. genitalium—negative women (adjusted OR, 2.9 [95% confidence interval, 1.1–7.6]), yet this did not appear to be mediated by traditional measures of cervical inflammation (elevated polymorphonuclear leukocyte count).</description><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS</subject><subject>Bacteriology</subject><subject>Biological and medical sciences</subject><subject>Cervix Uteri - virology</subject><subject>DNA, Viral</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Genitalia</subject><subject>HIV</subject><subject>HIV 1</subject><subject>HIV Infections - complications</subject><subject>HIV/AIDS</subject><subject>Human immunodeficiency virus 1</subject><subject>Humans</subject><subject>Infections</subject><subject>Kenya</subject><subject>Microbiology</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Mycoplasma genitalium</subject><subject>Mycoplasma genitalium - pathogenicity</subject><subject>Mycoplasma Infections - complications</subject><subject>Neutrophils</subject><subject>Odds Ratio</subject><subject>Polymerase chain reaction</subject><subject>Sexually transmitted diseases</subject><subject>Uterine cervicitis</subject><subject>Virology</subject><subject>Virus Shedding</subject><issn>0022-1899</issn><issn>1537-6613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNqFkU1v1DAQhi0EotsC_wDkC70FxnFsxxek7fKxKwpF4lNcLMd2EpckXuyktP-eoF1t4cRpDs-jd0bzIvSIwDMCJX_Ocs6A3EELwqjIOCf0LloA5HlGSimP0HFKlwBQUC7uoyNS5pxzYAtk1r5p8bsbE7adTr3GjRv8qDs_9fgiNnrwqcdnU7RuwJuElykF4_XoLP7lxxZ_bJ21fmhwqPF68yUj-OX7Ja5j6PHYOrxy8cpfP0D3at0l93A_T9Dn168-rdbZ-cWbzWp5npmC0THLq6q2hgvKrXSCF6bUtC5kIfPKUe4sOAGgWUWNrStqJbMVBQZGM1qVhjh6gl7scrdT1Ttr3DBG3alt9L2ONypor_4lg29VE65UAXL-VD4HnO4DYvg5uTSq3ifjuk4PLkxJcUkIzTn9r0gkF7Ig_FY0MaQUXX24hoD6U5zaFTeLT_6-_VbbNzULT_eCTkZ3ddSD8eng5TD3LEDM3uOdd5nGEA-cApRi3jPzbMd9Gt31gev4Q82vF0ytv31XH8q3Z6X8yhShvwGJw7hB</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Manhart, Lisa E.</creator><creator>Mostad, Sara B.</creator><creator>Baeten, Jared M.</creator><creator>Astete, Sabina G.</creator><creator>Mandaliya, Kishorchandra</creator><creator>Totten, Patricia A.</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7TM</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20080301</creationdate><title>High Mycoplasma genitalium Organism Burden Is Associated with Shedding of HIV-1 DNA from the Cervix</title><author>Manhart, Lisa E. ; Mostad, Sara B. ; Baeten, Jared M. ; Astete, Sabina G. ; Mandaliya, Kishorchandra ; Totten, Patricia A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c453t-2bbfdc6736d9e764c8a3f49492be36ed0e700a5b3cdfb3d95db3050ca53b8c1e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>AIDS</topic><topic>Bacteriology</topic><topic>Biological and medical sciences</topic><topic>Cervix Uteri - virology</topic><topic>DNA, Viral</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Genitalia</topic><topic>HIV</topic><topic>HIV 1</topic><topic>HIV Infections - complications</topic><topic>HIV/AIDS</topic><topic>Human immunodeficiency virus 1</topic><topic>Humans</topic><topic>Infections</topic><topic>Kenya</topic><topic>Microbiology</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Mycoplasma genitalium</topic><topic>Mycoplasma genitalium - pathogenicity</topic><topic>Mycoplasma Infections - complications</topic><topic>Neutrophils</topic><topic>Odds Ratio</topic><topic>Polymerase chain reaction</topic><topic>Sexually transmitted diseases</topic><topic>Uterine cervicitis</topic><topic>Virology</topic><topic>Virus Shedding</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Manhart, Lisa E.</creatorcontrib><creatorcontrib>Mostad, Sara B.</creatorcontrib><creatorcontrib>Baeten, Jared M.</creatorcontrib><creatorcontrib>Astete, Sabina G.</creatorcontrib><creatorcontrib>Mandaliya, Kishorchandra</creatorcontrib><creatorcontrib>Totten, Patricia A.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Manhart, Lisa E.</au><au>Mostad, Sara B.</au><au>Baeten, Jared M.</au><au>Astete, Sabina G.</au><au>Mandaliya, Kishorchandra</au><au>Totten, Patricia A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High Mycoplasma genitalium Organism Burden Is Associated with Shedding of HIV-1 DNA from the Cervix</atitle><jtitle>The Journal of infectious diseases</jtitle><addtitle>The Journal of Infectious Diseases</addtitle><date>2008-03-01</date><risdate>2008</risdate><volume>197</volume><issue>5</issue><spage>733</spage><epage>736</epage><pages>733-736</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><coden>JIDIAQ</coden><abstract>We assessed the relationship between infection with Mycoplasma genitalium, an emerging sexually transmitted pathogen, and cervical shedding of human immunodeficiency virus (HIV)-1 DNA among 303 HIV-1-positive Kenyan women. HIV-1 shedding was detected by qualitative polymerase chain reaction (PCR) in 154 women (51%); M. genitalium was detected by qualitative PCR in 52 (17%), and organism burden was determined by quantitative PCR. Women with high M. genitalium organism burdens (more than the median of 3195 genomes/mL) were 3-fold more likely to shed HIV-1 DNA than were M. genitalium—negative women (adjusted OR, 2.9 [95% confidence interval, 1.1–7.6]), yet this did not appear to be mediated by traditional measures of cervical inflammation (elevated polymorphonuclear leukocyte count).</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>18266605</pmid><doi>10.1086/526501</doi><tpages>4</tpages></addata></record> |
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subjects | Adolescent Adult AIDS Bacteriology Biological and medical sciences Cervix Uteri - virology DNA, Viral Female Fundamental and applied biological sciences. Psychology Genitalia HIV HIV 1 HIV Infections - complications HIV/AIDS Human immunodeficiency virus 1 Humans Infections Kenya Microbiology Middle Aged Miscellaneous Mycoplasma genitalium Mycoplasma genitalium - pathogenicity Mycoplasma Infections - complications Neutrophils Odds Ratio Polymerase chain reaction Sexually transmitted diseases Uterine cervicitis Virology Virus Shedding |
title | High Mycoplasma genitalium Organism Burden Is Associated with Shedding of HIV-1 DNA from the Cervix |
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