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  1. Article: Antiretroviral therapy in sub-Saharan Africa: myth or reality?

    Kebba, Anthony

    The Journal of antimicrobial chemotherapy

    2003  Volume 52, Issue 5, Page(s) 747–749

    MeSH term(s) Africa South of the Sahara ; Anti-HIV Agents/economics ; Anti-HIV Agents/therapeutic use ; Drug Therapy, Combination ; HIV Infections/drug therapy ; HIV Infections/epidemiology ; HIV Infections/prevention & control ; HIV-1 ; Health Resources ; Humans ; Uganda
    Chemical Substances Anti-HIV Agents
    Language English
    Publishing date 2003-11
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 191709-2
    ISSN 1460-2091 ; 0305-7453
    ISSN (online) 1460-2091
    ISSN 0305-7453
    DOI 10.1093/jac/dkg453
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: An anniversary without celebration?

    Imami, Nesrina / Kebba, Anthony / Gotch, Frances

    Nature immunology

    2006  Volume 7, Issue 9, Page(s) 893

    MeSH term(s) Acquired Immunodeficiency Syndrome/epidemiology ; Acquired Immunodeficiency Syndrome/therapy ; Humans ; Poverty ; Poverty Areas ; Zambia
    Language English
    Publishing date 2006-08-21
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 2016987-5
    ISSN 1529-2916 ; 1529-2908
    ISSN (online) 1529-2916
    ISSN 1529-2908
    DOI 10.1038/ni0906-893
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Distinct patterns of peripheral HIV-1-specific interferon- gamma responses in exposed HIV-1-seronegative individuals.

    Kebba, Anthony / Kaleebu, Pontiano / Rowland, Samantha / Ingram, Rebecca / Whitworth, Jimmy / Imami, Nesrina / Gotch, Frances

    The Journal of infectious diseases

    2004  Volume 189, Issue 9, Page(s) 1705–1713

    Abstract: It is unclear how human immunodeficiency virus (HIV) type 1-specific immune responses in exposed seronegative (ESN) individuals differ from those in HIV-1-infected subjects. By use of overlapping peptides spanning Gag, Tat, Nef, Vif, Vpr, and Vpu, ... ...

    Abstract It is unclear how human immunodeficiency virus (HIV) type 1-specific immune responses in exposed seronegative (ESN) individuals differ from those in HIV-1-infected subjects. By use of overlapping peptides spanning Gag, Tat, Nef, Vif, Vpr, and Vpu, peripheral blood mononuclear cells from ESN individuals, their seropositive (SP) partners, and unexposed seronegative control subjects were screened for interferon- gamma production. Responses were more frequent (95.7% vs. 20%), of a higher magnitude (9-fold), and of wider breadth (median number of peptides recognized, 18 vs. 2.5) in SP than in ESN individuals. Peptides recognized by ESN individuals were less frequently recognized by their SP partners. SP subjects infrequently recognized peptides from Vif, and such responses were subdominant; among ESN individuals, this HIV-1 protein was most frequently recognized. Immunodominant peptides recognized by SP subjects tended to be from relatively conserved regions, whereas peptides recognized by ESN individuals were associated with slow disease progression.
    MeSH term(s) Adult ; Amino Acid Sequence ; Female ; Gene Products, vif/immunology ; HIV Antigens/chemistry ; HIV Antigens/immunology ; HIV Seronegativity/immunology ; HIV Seropositivity/immunology ; HIV-1/immunology ; Humans ; Interferon-gamma/metabolism ; Leukocytes, Mononuclear/immunology ; Lymphocyte Activation ; Male ; Peptides/chemistry ; Peptides/immunology ; Spouses ; Viral Proteins/chemistry ; Viral Proteins/immunology ; vif Gene Products, Human Immunodeficiency Virus
    Chemical Substances Gene Products, vif ; HIV Antigens ; Peptides ; Viral Proteins ; vif Gene Products, Human Immunodeficiency Virus ; Interferon-gamma (82115-62-6)
    Language English
    Publishing date 2004-05-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 3019-3
    ISSN 1537-6613 ; 0022-1899
    ISSN (online) 1537-6613
    ISSN 0022-1899
    DOI 10.1086/383227
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Recent HIV-1 infection in a high-risk Ugandan cohort: implications for Phase IIB test-of-concept HIV vaccine trials.

    Kebba, Anthony / Imami, Nesrina / Bugembe-Lule, Daniel / Senkaali, David / Kaleebu, Pontiano / Grosskurth, Heiner / Gotch, Frances

    Pharmacogenomics

    2007  Volume 8, Issue 4, Page(s) 409–414

    Abstract: Assessment of vaccine efficacy on end points used in Phase IIB test-of-concept trials will require taking into consideration the effect of variables correlated with the end points and distribution of the variables within subgroups of the trial population. ...

    Abstract Assessment of vaccine efficacy on end points used in Phase IIB test-of-concept trials will require taking into consideration the effect of variables correlated with the end points and distribution of the variables within subgroups of the trial population. Here we report that evaluation of sexual activity in vaccinees and longitudinal collection of plasma viral load data from putative transmitters prior to transmission will contribute to the plausible assessment of efficacy against acquisition of infection. Data also suggest that efficacy on post-infection end points may depend on whether transmission pairs are matched or mismatched for HLA class I alleles.
    MeSH term(s) AIDS Vaccines/therapeutic use ; Adult ; Cohort Studies ; Female ; Follow-Up Studies ; HIV Infections/blood ; HIV Infections/drug therapy ; HIV Infections/prevention & control ; HIV-1 ; Humans ; Male ; Risk Factors ; Uganda/epidemiology ; Viral Load/methods
    Chemical Substances AIDS Vaccines
    Language English
    Publishing date 2007-03-27
    Publishing country England
    Document type Clinical Trial, Phase II ; Comparative Study ; Journal Article
    ZDB-ID 2019513-8
    ISSN 1744-8042 ; 1462-2416
    ISSN (online) 1744-8042
    ISSN 1462-2416
    DOI 10.2217/14622416.8.4.409
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Therapeutic responses to AZT + 3TC + EFV in advanced antiretroviral naive HIV type 1-infected Ugandan patients.

    Kebba, Anthony / Atwine, Diana / Mwebaze, Raymond / Kityo, Cissy / Nakityo, Rose / Peter, Mulenyi

    AIDS research and human retroviruses

    2002  Volume 18, Issue 16, Page(s) 1181–1187

    Abstract: Convenient, non-food-dependent dosing, low tablet volume, and relatively low cost have made nonnucleoside reverse transcriptase inhibitors a first choice for both clinicians and patients in Uganda. Concerns exist as to their efficacy in patients with ... ...

    Abstract Convenient, non-food-dependent dosing, low tablet volume, and relatively low cost have made nonnucleoside reverse transcriptase inhibitors a first choice for both clinicians and patients in Uganda. Concerns exist as to their efficacy in patients with viral loads (VL) above 100,000 copies/ml, a feature common to about 75% of HIV-1-infected patients presenting at the Joint Clinical Research Center (JCRC) in Uganda. Furthermore, there are few data on the response to such therapy of non-B subtypes, A and D, predominant in Uganda. Presented here is a retrospective analysis of therapeutic responses in 11 antiretroviral (ARV) naïve HIV-1-infected Ugandan patients who had been initiated on zidovudine (AZT), lamivudine (3TC), and efavirenz (EFV). Laboratory assessments subsequent to initiation of ARV therapy, done at 11.6 +/- 3.9 weeks and 30.6 +/- 5.9 weeks, showed 88.9 and 71.4% patients achieved undetectable viral load, respectively. Virological suppression to below detection occurred in 85.7% of patients at 11.6 weeks despite baseline VL >or= 100,000 copies/ml. At 31 weeks there was a median increment of +183 cells/mm(3) in CD4(+) T lymphocytes. These findings reflect significant efficacy in the use of AZT + 3TC + EFV in advanced ARV naive non-B subtype HIV-1-infected patients. The therapeutic responses were comparable to those previously described in the western world.
    MeSH term(s) Adult ; Benzoxazines ; CD4 Lymphocyte Count ; Drug Therapy, Combination ; Female ; HIV Infections/drug therapy ; HIV-1/isolation & purification ; Humans ; Lamivudine/administration & dosage ; Lamivudine/therapeutic use ; Male ; Middle Aged ; Oxazines/administration & dosage ; Oxazines/therapeutic use ; Patient Compliance ; Reverse Transcriptase Inhibitors/administration & dosage ; Reverse Transcriptase Inhibitors/therapeutic use ; Uganda ; Viral Load ; Zidovudine/administration & dosage ; Zidovudine/therapeutic use
    Chemical Substances Benzoxazines ; Oxazines ; Reverse Transcriptase Inhibitors ; Lamivudine (2T8Q726O95) ; Zidovudine (4B9XT59T7S) ; efavirenz (JE6H2O27P8)
    Language English
    Publishing date 2002-11-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639130-8
    ISSN 1931-8405 ; 0889-2229
    ISSN (online) 1931-8405
    ISSN 0889-2229
    DOI 10.1089/08892220260387922
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Expression of the common heat-shock protein receptor CD91 is increased on monocytes of exposed yet HIV-1-seronegative subjects.

    Kebba, Anthony / Stebbing, Justin / Rowland, Samantha / Ingram, Rebecca / Agaba, John / Patterson, Steve / Kaleebu, Pontiano / Imami, Nesrina / Gotch, Frances

    Journal of leukocyte biology

    2005  Volume 78, Issue 1, Page(s) 37–42

    Abstract: The significantly higher surface expression of the surface heat-shock protein receptor CD91 on monocytes of human immunodeficiency virus type-1 (HIV-1)-infected, long-term nonprogressors suggests that HIV-1 antigen uptake and cross-presentation mediated ... ...

    Abstract The significantly higher surface expression of the surface heat-shock protein receptor CD91 on monocytes of human immunodeficiency virus type-1 (HIV-1)-infected, long-term nonprogressors suggests that HIV-1 antigen uptake and cross-presentation mediated by CD91 may contribute to host anti-HIV-1 defenses and play a role in protection against HIV-1 infection. To investigate this further, we performed phenotypic analysis to compare CD91 surface expression on CD14(+) monocytes derived from a cohort of HIV-1-exposed seronegative (ESN) subjects, their seropositive (SP) partners, and healthy HIV-1-unexposed seronegative (USN) subjects. The median fluorescent intensity (MFI) of CD91 on CD14(+) monocytes was significantly higher in ESN compared with SP (P = 0.028) or USN (P = 0.007), as well as in SP compared with USN subjects (P = 0.018). CD91 MFI was not normalized in SP subjects on highly active antiretroviral therapy (HAART) despite sustainable, undetectable plasma viraemia. Data in three SP subjects experiencing viral rebounds following interruption of HAART showed low CD91 MFI comparable with levels in USN subjects. There was a significant positive correlation between CD91 MFI and CD8(+) T cell counts in HAART-naïve SP subjects (r = 0.7, P = 0.015). Increased surface expression of CD91 on CD14(+) monocytes is associated with the apparent HIV-1 resistance that is observed in ESN subjects.
    MeSH term(s) Adult ; Antigens, CD/biosynthesis ; Antigens, CD/immunology ; Antiretroviral Therapy, Highly Active ; CD8-Positive T-Lymphocytes/immunology ; Cohort Studies ; Female ; HIV Antigens/immunology ; HIV Antigens/metabolism ; HIV Infections/blood ; HIV Infections/drug therapy ; HIV Infections/immunology ; HIV Seronegativity/immunology ; HIV Seropositivity/immunology ; HIV-1/immunology ; Humans ; Immunity, Innate/immunology ; Lipopolysaccharide Receptors/immunology ; Low Density Lipoprotein Receptor-Related Protein-1 ; Male ; Middle Aged ; Monocytes/immunology ; Monocytes/metabolism ; Up-Regulation/immunology
    Chemical Substances Antigens, CD ; HIV Antigens ; LRP1 protein, human ; Lipopolysaccharide Receptors ; Low Density Lipoprotein Receptor-Related Protein-1
    Language English
    Publishing date 2005-03-30
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 605722-6
    ISSN 1938-3673 ; 0741-5400
    ISSN (online) 1938-3673
    ISSN 0741-5400
    DOI 10.1189/jlb.0105049
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: HIV type 1 antigen-responsive CD4+ T-lymphocytes in exposed yet HIV Type 1 seronegative Ugandans.

    Kebba, Anthony / Kaleebu, Pontiano / Serwanga, Jennifer / Rowland, Samantha / Yirrell, David / Downing, Robert / Gilmour, Jill / Imami, Nesrina / Gotch, Frances / Whitworth, Jimmy

    AIDS research and human retroviruses

    2004  Volume 20, Issue 1, Page(s) 67–75

    Abstract: CD4(+) T cell help is important for the functionality of CD8(+) cytotoxic T-lymphocytes (CTLs) in limiting viral replication and may contribute to mediation of apparent resistance to HIV-1 infection in exposed seronegative (ESN) individuals. Using five ... ...

    Abstract CD4(+) T cell help is important for the functionality of CD8(+) cytotoxic T-lymphocytes (CTLs) in limiting viral replication and may contribute to mediation of apparent resistance to HIV-1 infection in exposed seronegative (ESN) individuals. Using five HIV-1 antigens in an intracellular cytokine assay, the presence of specific antigen-responsive interferon- gamma-positive (IFN-gamma(+)) CD69(+) CD4(+) T-lymphocytes was evaluated in ESNs, their seropositive partners, and unexposed seronegative controls. Ten ESNs (five females, five uncircumcised males) were identified from 10 HIV-1 serodiscordant couples with a history of frequent unprotected sexual intercourse. All ESNs and controls were negative on two EIAs and for HIV-1 proviral DNA. The frequency of ESNs with antigen-responsive IFN-gamma(+) CD69(+) CD4(+) T-lymphocytes ranged from three to five of eight for the different HIV-1 antigens. Six of eight ESNs tested had a positive response to at least one of the five antigens. Responses were on average 3.5 times higher among seropositives compared to ESNs and absent in the five unexposed controls. A negative correlation was noted between responses in ESNs and the plasma viral load of their seropositive spouse. Clade-specific and cross-clade reactivity were noted in both ESNs and seropositive partners tested. The findings confirm that ESNs are in a state of HIV-1-specific immune activation and suggest that HIV-1-specific IFN-gamma(+) CD69(+) CD4(+) T-lymphocytes in addition to HIV-1-specific CD8(+) CTLs already described by others are potential immunological correlates of protection from persistent HIV-1 infection.
    MeSH term(s) Adult ; Antigens, CD/metabolism ; Antigens, Differentiation, T-Lymphocyte/metabolism ; CD4-Positive T-Lymphocytes/immunology ; Female ; HIV Antigens/immunology ; HIV Seronegativity/immunology ; HIV Seropositivity/immunology ; HIV-1/immunology ; Humans ; Interferon-gamma/biosynthesis ; Lectins, C-Type ; Male ; Spouses ; Uganda ; Viral Load
    Chemical Substances Antigens, CD ; Antigens, Differentiation, T-Lymphocyte ; CD69 antigen ; HIV Antigens ; Lectins, C-Type ; Interferon-gamma (82115-62-6)
    Language English
    Publishing date 2004-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639130-8
    ISSN 1931-8405 ; 0889-2229
    ISSN (online) 1931-8405
    ISSN 0889-2229
    DOI 10.1089/088922204322749512
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Decreased serum opsonic activity against Streptococcus pneumoniae in human immunodeficiency virus-infected Ugandan adults.

    Takahashi, Hidehiko / Oishi, Kazunori / Yoshimine, Hiroyuki / Kumatori, Atsushi / Moji, Kazuhiko / Watanabe, Kiwao / Nalwoga, Hawa / Tugume, Sitefano Buguruka / Kebba, Anthony / Mugerwa, Roy / Mugyenyi, Peter / Nagatake, Tsuyoshi

    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

    2003  Volume 37, Issue 11, Page(s) 1534–1540

    Abstract: Type-specific immunoglobulin G (IgG) to pneumococcal capsular polysaccharide (CPS) and opsonic activity against Streptococcus pneumoniae were evaluated in serum samples from 36 Ugandan adults with community-acquired pneumonia and 58 asymptomatic Ugandan ... ...

    Abstract Type-specific immunoglobulin G (IgG) to pneumococcal capsular polysaccharide (CPS) and opsonic activity against Streptococcus pneumoniae were evaluated in serum samples from 36 Ugandan adults with community-acquired pneumonia and 58 asymptomatic Ugandan adults with or without human immunodeficiency virus type 1 (HIV-1) infection. The levels of serum IgG to CPS were significantly higher in HIV-1-infected subjects than in HIV-uninfected subjects. Serum samples from HIV-1-infected subjects that had lower IgG titers demonstrated higher opsonic activity against type 3 (titers of 7) and type 9 (titers of 7-11) pneumococcal strains. Plasma HIV-1 load also correlated inversely with serum opsonic activity against these strains, and peripheral blood CD4+ lymphocyte numbers also tended to correlate with serum opsonic activity in asymptomatic HIV-1-infected adults. Our findings suggest that the opsonic activity of type-specific IgG is impaired in the serum of HIV-1-infected African adults, which may expose them to a serious risk of invasive pneumococcal infections.
    MeSH term(s) Adult ; HIV ; HIV Infections/immunology ; HIV Infections/microbiology ; Humans ; Immunoglobulin G/immunology ; Opsonin Proteins/blood ; Opsonin Proteins/metabolism ; Pneumococcal Infections/complications ; Pneumococcal Infections/immunology ; Streptococcus pneumoniae/immunology ; Streptococcus pneumoniae/physiology
    Chemical Substances Immunoglobulin G ; Opsonin Proteins
    Language English
    Publishing date 2003-12-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1099781-7
    ISSN 1537-6591 ; 1058-4838
    ISSN (online) 1537-6591
    ISSN 1058-4838
    DOI 10.1086/379511
    Database MEDical Literature Analysis and Retrieval System OnLINE

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