Publications by authors named "J Alagaratnam"

Increasingly, people attending HIV services are requesting long-acting injectable (LAI) antiretroviral treatment (ART). However, without HIV RNA resistance-associated mutation results, individuals are considered unsuitable for LAI ART. We present our experience of sequencing proviral HIV DNA in 30 individuals to inform suitability for LAI ART, of whom 23 were considered suitable.

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Article Synopsis
  • The study investigates the effects of antiretroviral therapy (ART) interruption on neuro-axonal injury, specifically measuring levels of neurofilament light protein (NfL) in individuals during primary HIV-1 infection.
  • Findings show that NfL decreased after 48 weeks of ART, indicating reduced neuronal injury, and remained stable despite viral rebound after ART interruption.
  • Additionally, baseline NfL levels correlated with higher plasma HIV-1 RNA and older age but showed no significant relationship with inflammation markers like IL-6 or total HIV-1 DNA.
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Persistent inflammation is described in people with HIV (PWH) on antiretroviral treatment (ART). Early ART initiation is associated with reduced inflammation. We aimed to evaluate neuroinflammation, using translocator protein (TSPO) [C]PBR28 PET neuroimaging in PWH who initiated ART during acute HIV (aPWH) versus chronic HIV infection (cPWH) versus a control population.

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Background: The European AIDS Clinical Society (EACS) guidelines were revised in 2023 for the 19th time, and all aspects of HIV care were updated.

Key Points Of The Guidelines Update: Version 12.0 of the guidelines recommend the same six first-line treatment options for antiretroviral treatment (ART)-naïve adults as versions 11.

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People living with HIV are at increased risk for depression, though the underlying mechanisms for this are unclear. In the general population, depression is associated with peripheral and central inflammation. Given this, and since HIV infection elicits inflammation, we hypothesised that peripheral and central inflammatory biomarkers would at least partly mediate the association between HIV and depressive symptoms.

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