Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1999-12-30
pubmed:abstractText
The current pandemic of sexually transmitted human immunodeficiency virus (HIV) infection--the causative agent of acquired immunodeficiency syndrome (AIDS), has created an urgent need for a new type of contraceptive: one that is both a spermicide and a microbicide. Because most women at risk for HIV infection are of reproductive age (15-44 years), effective use of dual-function contraceptives is important to prevent HIV transmission and unintended pregnancies. In the absence of an effective prophylactic anti-HIV therapy or vaccine, new emphasis has been placed on the development of intravaginal microbicidal agents capable of reducing the transmission of HIV. Topical microbicidal spermicides would ideally provide a female-controlled method of self-protection against HIV as well as preventing pregnancy. However, several microbicides that are undergoing preclinical and human clinical trials contain detergent-type ingredients. The detergent-type spermicide, nonoxynol-9, the only recommended microbicide for protection against sexual transmission of HIV has been shown to cause lesions in vaginal and cervical epithelia leaving women more vulnerable to HIV infection. Therefore, a major challenge in microbicide research has been to design mechanism-based microbicides that are highly effective against pregnancy and HIV transmission while lacking detergent-type effects on epithelial cells and normal vaginal flora. We present an overview of current microbicide research and report on the identification and preclinical development of novel non-detergent spermicidal nucleoside and non-nucleoside inhibitors aimed at decreasing pregnancy and preventing sexual transmission of HIV.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1355-4786
pubmed:author
pubmed:issnType
Print
pubmed:volume
5
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
506-14
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:10582788-Animals, pubmed-meshheading:10582788-Anti-HIV Agents, pubmed-meshheading:10582788-Condoms, pubmed-meshheading:10582788-Contraception, pubmed-meshheading:10582788-Drug Evaluation, pubmed-meshheading:10582788-Drug Evaluation, Preclinical, pubmed-meshheading:10582788-Female, pubmed-meshheading:10582788-HIV, pubmed-meshheading:10582788-HIV Infections, pubmed-meshheading:10582788-Haplorhini, pubmed-meshheading:10582788-Humans, pubmed-meshheading:10582788-Irritants, pubmed-meshheading:10582788-Male, pubmed-meshheading:10582788-Mucous Membrane, pubmed-meshheading:10582788-Risk-Taking, pubmed-meshheading:10582788-Sexual Behavior, pubmed-meshheading:10582788-Simian Acquired Immunodeficiency Syndrome, pubmed-meshheading:10582788-Spermatocidal Agents, pubmed-meshheading:10582788-Structure-Activity Relationship, pubmed-meshheading:10582788-Surface-Active Agents, pubmed-meshheading:10582788-Vagina
pubmed:articleTitle
Prophylactic contraceptives for HIV/AIDS.
pubmed:affiliation
Department of Virology, Hughes Institute, St Paul, Minnesota 55113, USA. faith_uckun@mercury.ih.org
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Review