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  Vol. 286 No. 8, August 22, 2001 TABLE OF CONTENTS
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HIV Transmission Blocked

Mike Mitka

JAMA. 2001;286:909.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A starchy substance that drains cholesterol from cell membranes can completely block HIV transmission, reported researchers at Johns Hopkins Medical Institutions in the July 20 AIDS Research and Human Retroviruses.

The researchers, knowing that cholesterol is instrumental in HIV's ability to infiltrate cells, wondered what would happen if the lipid were removed from cells. They used cyclodextrins, chains of sugar polymers that form rings, to eliminate cholesterol, then exposed the cells to virus particles and cells infected with HIV.

They found that cholesterol was important for HIV's entrance into a cell. When exposed to the virus, cells from which cholesterol had been removed resisted infection. Evidently, removing cholesterol reduces the number of chemokine receptors that HIV must latch onto to gain cell entry.

These findings suggest that cyclodextrin-containing creams might be used to coat the inside of the vagina or rectum to reduce HIV transmission. Topical creams could . . . [Full Text of this Article]



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