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Breastfeeding and Transmission of HIV-1: Epidemiology and Global Magnitude

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Human Immunodeficiency Virus type 1 (HIV-1) and Breastfeeding

Abstract

Over the past two decades, major strides have been made in HIV-1 research and prevention. Among these advances, some of the most remarkable and sustained achievements have been in reducing the risk of transmission of HIV-1 from mothers to their infants. In resource-rich settings such as the USA and Europe, mother-to-child transmission (MTCT) of HIV-1 has successfully been reduced to less than 1–2% [1] with the goal of virtual elimination of new cases. This success in prevention of mother-to-child transmission (PMTCT) of HIV-1 has been achieved by widespread implementation of effective PMTCT antiretroviral therapy (ART) regimens, and obstetrical interventions as well as avoidance of breastfeeding through the use of infant formula.

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

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References

  1. Cooper ER, Charurat M, Mofenson LM et al (2002) Combination antiretroviral strategies for the treatment of pregnant HIV-1-infected women and prevention of perinatal HIV-1 transmission. J Acquir Immune Defic Syndr Hum Retrovirol 29:484–94

    CAS  Google Scholar 

  2. Global report: UNAIDS report on the global AIDS epidemic 2010. http://www.unaids.org/documents/20101123_GlobalReport_em.pdf. Accessed Dec 2010

  3. DeCock KM, Fowler MG, Mercier E et al (2000) Prevention of mother-to-child HIV-1 transmission in resource-poor countries: translating research into policy and practice. JAMA 283:1175–1182

    Article  CAS  Google Scholar 

  4. Townsend CL, Cortina-Borja M, Peckham CS et al (2008) Low rates of MTCT of HIV-1 following effective pregnancy interventions in the United Kingdom and Ireland, 2000–2006. AIDS 22:973–81

    Article  PubMed  Google Scholar 

  5. Zhou Z, Meyers K, Li X et al (2010) Prevention of mother-to-child transmission of HIV-1 using highly active antiretroviral therapy in rural Yunnan, China. J Acquir Immune Defic Syndr 53:S15–22

    Article  PubMed  Google Scholar 

  6. Mofenson LM (2010) Prevention in neglected subpopulations: prevention of mother-to-child transmission of HIV-1 infection. Clin Infect Dis 50:130–48

    Article  Google Scholar 

  7. Bulterys M, Wilfert CM (2009) HAART during pregnancy and during breast feeding among HIV-1-infected women in the developing world: has the time come? AIDS 23:2473–7

    Article  PubMed  Google Scholar 

  8. Kourtis AP, Duerr A (2003) Prevention of perinatal HIV-1 transmission: a review of novel strategies. Expert Opin Investig Drugs 12:1–10

    Article  Google Scholar 

  9. Kuhn L, Reitz C, Abrams EJ (2009) Breastfeeding and AIDS in the developing world. Curr Opin Pediatr 21:83–93

    Article  PubMed  Google Scholar 

  10. Newell ML (2006) Current issues in the prevention of mother to child transmission of HIV-1 infection. Trans R Soc Trop Med Hyg 100:1–5

    Article  PubMed  Google Scholar 

  11. Mmiro FA, Aizire J, Mwatha AK, Eshleman SH, Donnell D, Fowler MG et al (2009) Predictors of early and late mother-to-child transmission of HIV-1 in a breastfeeding population: HIV-1 network for prevention trials 012 experience, Kampala, Uganda. J Acquir Immune Defic Syndr 52:32–9

    Article  PubMed  Google Scholar 

  12. Nduati R, John G, Mbori-Ngacha D et al (2000) Effect of breastfeeding and formula feeding on transmission of HIV-1: a randomized clinical trial. JAMA 283:1167–1174

    Article  CAS  PubMed  Google Scholar 

  13. Jamieson DJ, Sibailly TS, Sadek R et al (2003) HIV-1 viral load and other risk factors for mother-to-child transmission of HIV-1 in a breast-feeding population in Côte d’Ivoire. J Acquir Immune Defic Syndr 34:430–436

    Article  PubMed  Google Scholar 

  14. Koulinska IN, Villamor E, Msamanga G et al (2006) Risk of HIV-1 transmission by breastfeeding among mothers infected with recombinant and non-recombinant HIV-1 genotypes. Virus Res 120:191–8

    Article  CAS  PubMed  Google Scholar 

  15. Rousseau CM, Nduati RW, Richardson BA et al (2003) Longitudinal analysis of human immunodeficiency virus type 1 RNA in breast milk and of its relationship to infant infection and maternal disease. J Infect Dis 187:741–7

    Article  PubMed  Google Scholar 

  16. Rousseau CM, Nduati RW, Richardson BA et al (2004) Association of levels of HIV-1 infected breast milk cells and risk of mother-to-child transmission. J Infect Dis 190:1880–8

    Article  PubMed  Google Scholar 

  17. The Breastfeeding and HIV International Transmission Study Group (2004) Late postnatal transmission of HIV-1 in breast-fed children: an individual patient data meta-analysis. J Infect Dis 189:2154–66

    Article  Google Scholar 

  18. Bulterys M, Chao A, Dushimimana A, Saah A (1995) HIV-1 seroconversion after 20 months of age in a cohort of breastfed children born to HIV-1-infected women in Rwanda. AIDS 9:93–94

    CAS  PubMed  Google Scholar 

  19. Dunn DT, Newell M-L, Ades AE, Peckham CS (1992) Risk of human immunodeficiency virus type 1 transmission through breastfeeding. Lancet 340:585–8

    Article  CAS  PubMed  Google Scholar 

  20. Van de Perre P, Simonon A, Msellati P, Hitimana DG, Vaira D, Bazubagira A et al (1991) Postnatal transmission of human immunodeficiency virus type 1 from mother to infant. A prospective cohort study in Kigali, Rwanda. N Engl J Med 325:593–8

    Article  PubMed  Google Scholar 

  21. Humphrey JH, Marinda E, Mutasa K, Moulton LH, Iliff PJ, Ntozini R et al (2010) Mother to child transmission of HIV-1 among Zimbabwean women who seroconverted postnatally: prospective cohort study. Br Med J 341:c6580

    Article  Google Scholar 

  22. Liang K, Gui X-E, Zhang YZ, Zhuang K, Meyers K, Ho DD (2009) A case series of 104 women infected by HIV-1 via blood transfusion postnatally: high rate of HIV-1 transmission to infants through breastfeeding. J Infect Dis 200:682–6

    Article  PubMed  Google Scholar 

  23. Lewis P, Nduati R, Kreiss JK et al (1998) Cell-free human immunodeficiency virus type 1 in breast milk. J Infect Dis 177:34–9

    Article  CAS  PubMed  Google Scholar 

  24. Gray RR, Salemi M, Lowe A et al (2011) Multiple independent lineages of HIV-1 persist in breast milk and plasma. AIDS 25:143–152

    Article  PubMed  Google Scholar 

  25. Eshleman SH, Becker-Pergola G, Deseyve M et al (2001) Impact of human immunodeficiency virus type1 (HIV-1) subtype on women receiving single-dose nevirapine prophylaxis to prevent HIV-1 vertical transmission (HIVNET 012 trial). J Infect Dis 184:914–917

    Article  CAS  PubMed  Google Scholar 

  26. Bjorndal A, Sonnerborg A, Tscherning C et al (1999) Phenotypic characteristics of human immunodeficiency virus type 1 subtype C isolates of Ethiopian AIDS patients. AIDS 15:647–53

    CAS  Google Scholar 

  27. Renjifo B, Gilbert P, Chaplin B et al (2004) Preferential in utero transmission of HIV-1 subtype C compared to subtype A or D. AIDS 18:1629–36

    Article  CAS  PubMed  Google Scholar 

  28. Koulinska IN, Villamor E, Chaplin B et al (2006) Transmission of cell-free and cell-associated HIV-1 through breast-feeding. J Acquir Immune Defic Syndr 41:93–9

    Article  PubMed  Google Scholar 

  29. Yang C, Li M, Newman RD et al (2003) Genetic diversity of HIV-1 in western Kenya: subtype-specific differences in mother-to-child transmission. AIDS 11:1667–74

    Article  Google Scholar 

  30. Embree JE, Njenga S, Datta P et al (2000) Risk factors for postnatal mother-child transmission of HIV-1. AIDS 14:2535–41

    Article  CAS  PubMed  Google Scholar 

  31. Semba RD, Kumwenda N, Hoover DR et al (1999) Human immunodeficiency virus load in breast milk, mastitis, and mother-to-child transmission of human immunodeficiency virus type 1. J Infect Dis 180:93–8

    Article  CAS  PubMed  Google Scholar 

  32. Kumwenda N, Miotti PG, Taha TE et al (2002) Antenatal vitamin A supplementation increases birth weight and decreases anemia among infants born to human immunodeficiency virus-infected women in Malawi. Clin Infect Dis 35:618–24

    Article  CAS  PubMed  Google Scholar 

  33. Phiri W, Kasonka L, Collin S et al (2006) Factors influencing breast milk HIV-1 RNA viral load among Zambian women. AIDS Res Hum Retroviruses 22:607–14

    Article  CAS  PubMed  Google Scholar 

  34. Kupka R, Garland M, Msamanga G et al (2005) Selenium status, pregnancy outcomes, and mother-to-child transmission of HIV-1. J Acquir Immune Defic Syndr 29:201–10

    Google Scholar 

  35. Mehta S, Hunter DJ, Mugusi FM et al (2009) Perinatal outcomes, including mother-to-child transmission of HIV-1, and child mortality and their association with maternal vitamin D status in Tanzania. J Infect Dis 200: 1022–30

    Article  CAS  PubMed  Google Scholar 

  36. Semba RD, Miotti P, Chiphangwi J et al (1994) Maternal vitamin A deficiency and mother-to-child transmission of HIV-1. Lancet 343:1593–7

    Article  CAS  PubMed  Google Scholar 

  37. Coutsoudis A, Pillay K, Spooner E et al (1999) Randomized trial testing the effect of vitamin A supplementation on pregnancy outcomes and early mother-to-child transmission in Durban, South Africa. AIDS 13:1517–24

    Article  CAS  PubMed  Google Scholar 

  38. Fawzi W, Msamanga G, Hunter D et al (2002) Randomized trial of vitamin supplements in relation to transmission of HIV-1 through breastfeeding and early child mortality. AIDS 16:1935–44

    Article  CAS  PubMed  Google Scholar 

  39. Kuhn L (2010) Milk mysteries: why are women who exclusively breastfeed less likely to transmit HIV-1 during breastfeeding? Clin Infect Dis 50:770–2

    Article  PubMed  Google Scholar 

  40. Requena M, Bouhlal H, Nasreddine N et al (2008) Inhibition of HIV-1 transmission in trans from dendritic cells to CD4+ by natural antibodies to the CRD domain of DC-SIGN purified from breast milk and intravenous immunoglobulins. Immunology 123:508–18

    Article  CAS  PubMed  Google Scholar 

  41. Kafulafula G, Hoover DR, Taha TE et al (2010) Frequency of gastroenteritis and gastroenteritis-associated mortality with early weaning in HIV-1-uninfected children born to HIV-1-infected women in Malawi. J Acquir Immune Defic Syndr 53:6–13

    Article  PubMed  Google Scholar 

  42. Kuhn L, Sinkala M, Semrau K et al (2010) Elevations in mortality associated with weaning persist into the second year of life among uninfected children born to HIV-1 infected mothers. Clin Infect Dis 50:437–44

    Article  PubMed  Google Scholar 

  43. Onyango-Makumbi C, Bagenda D, Mwatha A et al (2010) Early weaning of HIV-1 exposed uninfected infants and risk of serious gastroenteritis: findings from two perinatal HIV-1 prevention trials in Kampala, Uganda. J Acquir Immune Defic Syndr 53:20–7

    Article  Google Scholar 

  44. Thea DM, Aldrovandi G, Kankasa C et al (2006) Post-weaning breast milk HIV-1 viral load, blood prolactin levels and breast milk volume. AIDS 20:1539–47

    Article  CAS  PubMed  Google Scholar 

  45. World Health Organization (2010) Antiretroviral drugs for treating pregnant women and preventing HIV-1 infection in infants: towards universal access. Recommendations for a public health approach (2010 version). http://www.who.int/HIV-1/pub/mtct/antiretroviral2010/en/index.html. Accessed Mar 2011

  46. Winchester R, Pitt J, Charurat M et al (2004) Mother- to- child transmission of HIV-1 strong association with certain maternal HLA-B alleles independent of viral load implicates innate immune mechanism. J Acquir immune Defic Syndr 36:639–70

    Article  Google Scholar 

  47. Mackelprang RD, John-Stewart G, Carrington M et al (2008) Maternal HLA homozygosity and mother-child HLA concordance increase the risk of vertical transmission of HIV-1. J Infect Dis 197:1156–1161

    Article  PubMed  Google Scholar 

  48. Belyakov IM, Berzofsky JA (2004) Immunobiology of mucosal HIV-1 infection and the basis for development of a new generation of mucosal AIDS vaccines. Immunity 20:247–53

    Article  CAS  PubMed  Google Scholar 

  49. Iliff PJ, Piwoz EG, Tavengwa NV et al (2005) Early exclusive breastfeeding reduces the risk of postnatal HIV-1 transmission and increases HIV-1-free survival. AIDS 19:699–708

    Article  PubMed  Google Scholar 

  50. Kourtis AP, Bulterys M, Nesheim S et al (2001) Understanding the timing of HIV-1 transmission from mother to infant. JAMA 285:709–12

    Article  CAS  PubMed  Google Scholar 

  51. Kourtis AP, Lee FK, Jamieson DJ et al (2006) Mother-to-child transmission of HIV-1: timing and implications for prevention. Lancet Infect Dis 6:726–32

    Article  PubMed  Google Scholar 

  52. Bryson YY, Luzuriaga K, Sullivan JL et al (1992) Proposed definitions for in utero versus intrapartum transmission of HIV-1. N Engl J Med 327:1246–7

    Article  CAS  PubMed  Google Scholar 

  53. John GC, Nduati R, Mbori-Ngacha DA et al (2001) Correlates of mother-to-child human immunodeficiency virus type 1 (HIV-1) transmission: association with maternal plasma HIV-1 RNA load, genital HIV-1 DNA shedding, and breast infections. J Infect Dis 183:206–212

    Article  CAS  PubMed  Google Scholar 

  54. Lohman-Payne B, Slyker J, Rowland-Jones SL (2010) Immune-based approaches to the prevention of mother-to-child transmission of HIV-1: active and passive immunization. Clin Perinat 37:787–805

    Article  Google Scholar 

  55. Toniolo A, Serra C, Conaldi PG, Basolo F, Falcone V, Dolei A (1995) Productive HIV-1 infection of normal human mammary epithelial cells. AIDS 9:859–866

    Article  CAS  PubMed  Google Scholar 

  56. Dorosko SM, Connor RI. Primary human mammary epithelial cells endocytose HIV-1 and facilitate viral infection of CD4+ T lymphocytes. J Virol 84:10533–10542

    Google Scholar 

  57. Lyimo MA, Howell AL, Balandya E, Eszterhas SK, Connor RI (2009) Innate factors in human breast milk inhibit cell-free HIV-1 but not cell-associated HIV-1 infection of CD4+ cells. J Acquir Immune Defic Syndr 51:117–24

    Article  PubMed  Google Scholar 

  58. Bulek K, Swaidani S, Aronica M, Li X (2010) Epithelium: the interplay between innate and Th2 immunity. Immunol Cell Biol 88:257–68

    Article  CAS  PubMed  Google Scholar 

  59. Kalish LA, Pitt J, Lewis J et al (1997) Defining the time of fetal or perinatal acquisition of HIV-1 infection on the basis of age at first positive culture. J Infect Dis 175:712–5

    Article  CAS  PubMed  Google Scholar 

  60. Lunney KM, Iliff P, Mutasa K et al (2010) Associations between breast milk viral load, mastitis, exclusive breast-feeding, and postnatal transmission of HIV-1. Clin Infect Dis 50:762–769

    PubMed  Google Scholar 

  61. Willumsen JF, Filteau SM, Coutsoudis A et al (2003) Breastmilk RNA viral load in HIV-1-infected South African women: effects of subclinical mastitis and infant feeding. AIDS 17:407–414

    Article  PubMed  Google Scholar 

  62. Hartmann SU, Berlin CM, Howett MK (2006) Alternative modified infant-feeding practices to prevent postnatal transmission of human immunodeficiency virus type 1 through breast milk: past, present, and future. J Hum Lact 22:75–88

    Article  PubMed  Google Scholar 

  63. Lehman DA, Farquhar C (2007) Biological mechanisms of vertical human immunodeficiency virus (HIV-1) transmission. Rev Med Virol 17:381–403

    Article  PubMed  Google Scholar 

  64. Giuliano M, Guidotti G, Andreotti M et al (2007) Triple antiretroviral prophylaxis administered during pregnancy and after delivery significantly reduces breast milk viral load: a study within the Drug Resource Enhancement Against AIDS and Malnutrition Program. J Acquir Immune Defic Syndr 44:286–291

    Article  CAS  PubMed  Google Scholar 

  65. Shapiro RL, Ndung’u T, Lockman S, Shapiro RL et al (2005) Highly active antiretroviral therapy started during pregnancy or postpartum suppresses HIV-1 RNA, but not DNA, in breast milk. J Infect Dis 192:713–719

    Article  CAS  PubMed  Google Scholar 

  66. Farquhar C, VanCott TC, Mbori-Ngacha DA et al (2002) Salivary secretory leukocyte protease inhibitor is associated with reduced transmission of human immunodeficiency virus type 1 through breast milk. J Infect Dis 186:1173–1176

    Article  CAS  PubMed  Google Scholar 

  67. Baron S, Poast J, Richardson CJ et al (2000) Oral transmission of HIV-1 by infected seminal fluid and milk: a novel mechanism. J Infect Dis 181:498–504

    Article  CAS  PubMed  Google Scholar 

  68. Shugars DC (1999) Endogenous mucosal antiviral factors of the oral cavity. J Infect Dis 179:S431–5

    Article  CAS  PubMed  Google Scholar 

  69. Villamor E, Koulinska IN, Furtado J et al (2007) Long-chain n-6 polyunsaturated fatty acids in breast milk decrease the risk of HIV-1 transmission through breastfeeding. Am J Clin Nutr 86:682–9

    CAS  PubMed  Google Scholar 

  70. Becquart P, Hocini H, Levy M, Sepou A, Kazatchkine MD, Belec L (2000) Secretory anti-human immunodeficiency virus (HIV-1) antibodies in colostrum and breast milk are not a major determinant of the protection of early postnatal transmission of HIV-1. J Infect Dis 181:532–539

    Article  CAS  PubMed  Google Scholar 

  71. Walter J, Kuhn L, Aldrovandi GM (2008) Advances in basic science understanding of mother-to-child HIV-1 transmission. Curr Opin HIV AIDS 3:146–150

    Article  PubMed  Google Scholar 

  72. Becquet R, Bland R, Leroy V et al (2009) Duration, pattern of breastfeeding and postnatal transmission of HIV-1: pooled analyses of individual data from West and South African cohorts. PLoS One 4:e7397

    Article  PubMed  Google Scholar 

  73. Coutsoudis A, Pillay K, Spooner E, Kuhn L, Coovadia HM (1999) Influence of infant-feeding patterns on early mother-to-child transmission of HIV-1 in Durban, South Africa: a prospective cohort study. South African Vitamin A Study Group. Lancet 354:471–476

    Article  CAS  PubMed  Google Scholar 

  74. Kuhn L, Sinkala M, Kankasa C et al (2007) High uptake of exclusive breastfeeding and reduced early post-natal HIV-1 transmission. PLoS One 2:e1363

    Article  PubMed  Google Scholar 

  75. Kourtis AP, Jamieson DJ, de Vincenzi I et al (2007) Prevention of human immunodeficiency virus-1 transmission to the infant through breastfeeding: new developments. Am J Obstet Gynecol 197:S113–S122

    Article  PubMed  Google Scholar 

  76. Gantt S, Shetty AK, Seidel KD et al (2007) Laboratory indicators of mastitis are not associated with elevated HIV-1 DNA loads or predictive of HIV-1 RNA loads in breast milk. J Infect Dis 196:570–576

    Article  PubMed  Google Scholar 

  77. Neville MO, Allen JC, Archer P et al (1991) Studies in human lactation: milk volume and nutrient composition during weaning and lactogenesis. Am J Clin Nutr 54:81–92

    CAS  PubMed  Google Scholar 

  78. Lehman DA, Chung MH, John-Stewart GC et al (2008) HIV-1 persists in breast milk cells despite antiretroviral treatment to prevent mother-to-child transmission. AIDS 22:1475–1485

    Article  CAS  PubMed  Google Scholar 

  79. Connor EM, Sperling RS, Gelber R et al (1994) Reduction of maternal-infant transmission of human immunodeficiency virus type 1 with zidovudine treatment. Pediatric AIDS Clinical Trials Group Protocol 076 Study Group. N Engl J Med 331:1173–80

    Article  CAS  PubMed  Google Scholar 

  80. Shaffer N, Chuachoowong R, Mock PA et al (1999) Short-course zidovudine for perinatal HIV-1 transmission in Bangkok, Thailand: a randomised controlled trial. Bangkok Collaborative Perinatal HIV-1 Transmission Study Group. Lancet 353:773–80

    Article  CAS  PubMed  Google Scholar 

  81. Dabis F, Msellati P, Meda N et al (1999) 6-Month efficacy, tolerance, and acceptability of a short regimen of oral zidovudine to reduce vertical transmission of HIV-1 in breastfed children in Côte d’Ivoire and Burkina Faso: a double-blind placebo-controlled multicentre trial. DITRAME Study Group. Diminution de la Transmission Mère-Enfant. Lancet 353:786–92

    Article  CAS  PubMed  Google Scholar 

  82. Wiktor SZ, Ekpini E, Karon JM et al (1999) Short-course oral zidovudine for prevention of mother-to-child transmission of HIV-1 in Abidjan, Côte d’Ivoire: a randomized trial. Lancet 353:781–785

    Article  CAS  PubMed  Google Scholar 

  83. Leroy V, Karon J, Alioum A et al (2002) Twenty-four month efficacy of a maternal short-course zidovudine regimen to prevent mother-to-child transmission of HIV-1 in West Africa. AIDS 16:631–641

    Article  CAS  PubMed  Google Scholar 

  84. Guay LA, Musoke P, Fleming T et al (1999) Intrapartum and neonatal single dose nevirapine compared with zidovudine for prevention of mother-to-child transmission of HIV-1 in Kampala, Uganda: HIV-1NET 012 randomized trial. Lancet 354:795–802

    CAS  PubMed  Google Scholar 

  85. Jackson JB, Musoke P, Fleming T et al (2003) Intrapartum and neonatal single-dose nevirapine compared with zidovudine for prevention of mother-to-child transmission of HIV-1 in Kampala, Uganda: 18-month follow-up of the HIVNET 012 randomised trial. Lancet 362:859–868

    Article  CAS  PubMed  Google Scholar 

  86. Marseille E, Kahn JG, Mmiro F et al (1999) Cost effectiveness of single-dose nevirapine regimen for mothers and babies to decrease vertical HIV-1 transmission in sub-Saharan Africa. Lancet 354:803–9

    CAS  PubMed  Google Scholar 

  87. The Petra Study Team (2002) Efficacy of three short-course regimens of zidovudine and lamivudine in preventing early and late transmission of HIV-1 from mother to child in Tanzania, South Africa and Uganda [Petra Study]: a randomized, double blind, placebo-controlled trial. Lancet 359:1178–1186

    Article  Google Scholar 

  88. Vyankandondera J, Lutchers S, Hassink E et al (2003) Reducing risk of HIV-1 transmission from mother to infant through breastfeeding using antiretroviral prophylaxis in infants (SIMBA). In: 2nd IAS conference on HIV-1 pathogenesis, treatment and prevention, Paris, France, 2003; Abstract LB07

    Google Scholar 

  89. Kilewo C, Karlsson K, Massawe A et al (2008) Prevention of mother-to-child transmission of HIV-1 through breast-feeding by treating infants prophylactically with lamivudine in Dar es Salaam, Tanzania: The Mitra Study. J Acquir Immune Defic Syndr 48:315–323

    Article  CAS  PubMed  Google Scholar 

  90. Six Week Extended-Dose Nevirapine (SWEN) Study Team (2008) Extended-dose nevirapine to 6 weeks of age for infants to prevent HIV-1 transmission via breastfeeding in Ethiopia, India, and Uganda: an analysis of three randomised controlled trials. Lancet 372:300–13

    Article  Google Scholar 

  91. Kumwenda NI, Hoover DR, Mofenson LM et al (2008) Extended antiretroviral prophylaxis to reduce breast-milk HIV-1 transmission. N Engl J Med 359:119–29

    Article  CAS  PubMed  Google Scholar 

  92. Coovadia H, Brown E, Maldonado B et al (2011) HPTN 046: efficacy of extended daily infant nevirapine through age 6 months compared to 6 weeks for prevention of postnatal mother-to-child transmission (MTCT) of HIV-1 through breastfeeding (BF). In: 18th conference on retroviruses and opportunistic infections program abstract book, Boston, 2011; Abstract 123LB

    Google Scholar 

  93. Chasela CS, Hudgens MG, Jamieson DJ et al (2010) Maternal or infant antiretroviral drugs to reduce HIV-1 transmission. N Engl J Med 362:2271–81

    Article  CAS  PubMed  Google Scholar 

  94. Kilewo C, Karlsson K, Ngarina M et al (2009) Prevention of mother to child transmission of HIV-1 through breastfeeding by treating mothers with triple antiretroviral therapy in Dar es Salaam, Tanzania: the MITRA-PLUS study. J Acquir Immune Defic Syndr 52:406–16

    Article  PubMed  Google Scholar 

  95. Thomas T, Masaba R, Borkowf CG et al (2011) Triple antiretroviral prophylaxis to prevent mother-to-child HIV-1 transmission through breastfeeding–The Kisumu Breastfeeding Study, Kenya: a clinical trial. PLoS Med e1001015

    Google Scholar 

  96. Peltier CA, Ndayisaba GF, Lepage P et al (2009) Breastfeeding with maternal antiretroviral therapy or formula feeding to prevent HIV postnatal mother-to-child transmission in Rwanda. AIDS 23:2415–23

    Article  PubMed  Google Scholar 

  97. The Kesho Bora Study Group (2011) Triple antiretrovirals compared with zidovudine and single-dose nevirapine prophylaxis during pregnancy and breastfeeding for prevention of mother-to-child transmission of HIV-1 (Kesho Bora study): a randomised controlled trial. Lancet 3099(10):70288-7

    Google Scholar 

  98. The Kesho Bora Study Group (2010) Eighteen-month follow-up of HIV-1 infected mothers and their children enrolled in the Kesho Bora study observational cohorts. J Acquir Immune Defic Syndr 54:553–41

    Google Scholar 

  99. Shapiro RL, Hughes MD, Ogwu A et al (2010) Antiretroviral regimens in pregnancy and breastfeeding in Botswana. N Engl J Med 362:2282–94

    Article  CAS  PubMed  Google Scholar 

  100. Creek TL, Kim A, Lu L, Bowen A et al (2010) Hospitalization and mortality among primarily nonbreastfed children during a large outbreak of diarrhea and malnutrition in Botswana, 2006. J Acquir Immune Defic Syndr 53:14–9

    Article  PubMed  Google Scholar 

  101. Homsy J, Moore D, Barasa A et al (2010) Breastfeeding, mother-to-child HIV-1 transmission, and mortality among infants born to HIV-1-Infected women on highly active antiretroviral therapy in rural Uganda. J Acquir Immune Defic Syndr 53:28–35

    Article  PubMed  Google Scholar 

  102. Thomas T, Masaba R, van Eijk A et al (2007) Rates of diarrhea associated with early weaning among infants in Kisumu, Kenya [Abstract 774]. In: 14th conference on retroviruses and opportunistic infections, Los Angeles, CA, 2007

    Google Scholar 

  103. HIV-1 and infant feeding technical consultation held on behalf of the Inter-Agency Task Team (IATT) on prevention of HIV-1 infections in pregnant women, mothers and their infants. Consensus statement, Geneva, 25–27 October 2006

    Google Scholar 

  104. World Health Organization (2010) Guidelines on HIV-1 and infant feeding. Principles and recommendations for infant feeding in the context of HIV-1 and a summary of evidence. pp 1–49. http://whqlibdoc.who.int/publications/2010/9789241599535_eng.pdf. Accessed 16 Feb 2011

  105. Stringer EM, Ekouevi DK, Coetzee D et al (2010) Coverage of nevirapine-based services to prevent mother-to-child HIV transmission in 4 African countries. JAMA 304:293–302

    Article  CAS  PubMed  Google Scholar 

  106. Kourtis AP, Bulterys M (2010) Mother-to-child transmission of HIV-1: pathogenesis, mechanisms and pathways. Clin Perinatol 37:721–38

    Article  PubMed  Google Scholar 

  107. Eslahpazir J, Jenabian MA, Bouhlal H et al (2008) Infection of macrophages and dendritic cells with primary R5-tropic HIV-1 type 1 inhibited by natural polyreactive anti-CCR5 antibodies purified from cervicovaginal secretions. Clin Vaccine Immunol 15:872–84

    Article  CAS  PubMed  Google Scholar 

  108. Ward S (2001) Natural anti-HIV-1 antibodies. Trends Immunol 22:544

    PubMed  Google Scholar 

  109. de Perre V, Simonon A, Hitimana DG et al (1993) Infective and anti-infective properties of breast milk from HIV-1 infected women. Lancet 341:914–918

    Article  PubMed  Google Scholar 

  110. Farquhar C, Rowland-Jones S, Mbori-Ngacha D et al (2004) Human leukocyte antigen (HLA) B*18 and protection against mother-to-child HIV-1 type 1 transmission. AIDS Res Hum Retrovir 20:692–697

    Article  CAS  PubMed  Google Scholar 

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Fowler, M.G., Kourtis, A.P., Aizire, J., Onyango-Makumbi, C., Bulterys, M. (2012). Breastfeeding and Transmission of HIV-1: Epidemiology and Global Magnitude. In: Kourtis, A., Bulterys, M. (eds) Human Immunodeficiency Virus type 1 (HIV-1) and Breastfeeding. Advances in Experimental Medicine and Biology, vol 743. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-2251-8_1

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