Placental transfer of the HIV integrase inhibitor dolutegravir in anex vivohuman cotyledon perfusion model
Author(s) -
Stein Schalkwijk,
Rick Greupink,
Angela Colbers,
Alfons C. Wouterse,
Viviènne Verweij,
J. van Drongelen,
Marga Teulen,
Daphne van den Oetelaar,
David M. Burger,
Frans G. M. Rüssel
Publication year - 2015
Publication title -
journal of antimicrobial chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.124
H-Index - 194
eISSN - 1460-2091
pISSN - 0305-7453
DOI - 10.1093/jac/dkv358
Subject(s) - dolutegravir , ex vivo , fetal circulation , medicine , perfusion , fetus , pharmacology , placenta , in vivo , andrology , pregnancy , virology , human immunodeficiency virus (hiv) , viral load , biology , antiretroviral therapy , genetics , microbiology and biotechnology
Data on fetal exposure to antiretroviral agents during pregnancy are important to estimate their potential for prevention of mother-to-child transmission (PMTCT) and possible toxicity. For the recently developed HIV integrase inhibitor dolutegravir, clinical data on fetal disposition are not yet available. Dual perfusion of a single placental lobule (cotyledon) provides a useful ex vivo model to predict the in vivo maternal-to-fetal transfer of this drug. The aim of this study was to estimate the transfer of dolutegravir across the human term placenta, using a dual-perfusion cotyledon model.
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