Frontiers in Immunology (Dec 2022)

Women for science and science for women: Gaps, challenges and opportunities towards optimizing pre-exposure prophylaxis for HIV-1 prevention

  • Quarraisha Abdool Karim,
  • Quarraisha Abdool Karim,
  • Derseree Archary,
  • Derseree Archary,
  • Françoise Barré-Sinoussi,
  • Kristina Broliden,
  • Cecilia Cabrera,
  • Francesca Chiodi,
  • Sarah J. Fidler,
  • Tanuja N. Gengiah,
  • Carolina Herrera,
  • Ayesha B. M. Kharsany,
  • Ayesha B. M. Kharsany,
  • Lenine J. P. Liebenberg,
  • Lenine J. P. Liebenberg,
  • Sharana Mahomed,
  • Elisabeth Menu,
  • Elisabeth Menu,
  • Christiane Moog,
  • Gabriella Scarlatti,
  • Nabila Seddiki,
  • Aida Sivro,
  • Aida Sivro,
  • Aida Sivro,
  • Mariangela Cavarelli

DOI
https://doi.org/10.3389/fimmu.2022.1055042
Journal volume & issue
Vol. 13

Abstract

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Preventing new HIV infections remains a global challenge. Young women continue to bear a disproportionate burden of infection. Oral pre-exposure prophylaxis (PrEP), offers a novel women-initiated prevention technology and PrEP trials completed to date underscore the importance of their inclusion early in trials evaluating new HIV PrEP technologies. Data from completed topical and systemic PrEP trials highlight the role of gender specific physiological and social factors that impact PrEP uptake, adherence and efficacy. Here we review the past and current developments of HIV-1 prevention options for women with special focus on PrEP considering the diverse factors that can impact PrEP efficacy. Furthermore, we highlight the importance of inclusion of female scientists, clinicians, and community advocates in scientific efforts to further improve HIV prevention strategies.

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