HIV RNA level in early infection is predicted by viral load in the transmission source

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Abstract
Objective: HIV-1 viral load in early infection predicts the risk of subsequent disease progression but the factors responsible for the differences between individuals in viral load during this period have not been fully identified. We sought to determine the relationship between HIV-1 RNA levels in the source partner and recently infected recipient partners within transmission pairs. Methods: We recruited donor partners of persons who presented with acute or recent (r = 0.55, P = 0.006). Conclusion: The strong correlation between HIV-1 RNA levels within HIV transmission pairs indicates that virus characteristics are an important determinant of viral load in early HIV infection.

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