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Oral Presentations - Pathology and Laboratory Medicine - University ...

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Graduate StudentTuhina Imam 1 , Hugo Soudeyns 4 , Norm<strong>and</strong> Lapointe 4 , Marissa Jitratkosol 1 ,Beheroze Sattha 1 , Johanne Samson 4 , Tessa Chaworth-Musters 3 , John Forbes 2,3 ,Deborah Money 1,2 <strong>and</strong> Hélène Côté* 1,21Univ of British Columbia, Vancouver, Canada, 2 Women`s Health Research Institute,Vancouver, Canada, 3 Children`s <strong>and</strong> Women`s Health Centre of BC, Vancouver, BC, Canada,4Centre de Recherche du CHU Ste-Justine, Montreal, QC, CanadaAbstract # 36Tuhina Imamperipheral blood telomere length in infants <strong>and</strong> theirHIV-infected mothers treated with antiretroviraltherapy during pregnancyBackround/ObjectivesZidovudine (ZDV) is routinely used in antiretroviral therapy (ART) during HIV pregnancy, to prevent verticaltransmission. ZDV inhibits telomerase, the enzyme responsible for telomere elongation. We hypothesized that bloodaverage telomere length (ATL) would be shorter in ART-exposed mothers <strong>and</strong> their infants compared to those whowere untreated.MethodsThis retrospective cohort spanning 1990-2000 included HIV-infected pregnant women who were untreated, ortreated with mono-, dual- or triple-therapy during their pregnancy. Maternal <strong>and</strong> infant dried blood spots (DBS) werecollected at the last visit before delivery <strong>and</strong> at 0-6 weeks, respectively. DBS relative ATL was measured by qPCR.ATL were compared between treated <strong>and</strong> untreated mothers <strong>and</strong> infants using ANCOVA. Covariates included:maternal age, gestational age, smoking <strong>and</strong> recreational drug use. In linear regression analyses, additional possiblepredictors considered included, ART pre-pregnancy, duration of ART in pregnancy, maternal CD4 <strong>and</strong> pVL (plasmaviral load) at last pre-delivery visit (when available) <strong>and</strong> age of infant at time of sample (infant ATL only).ResultsInfant ATL measured at a median [IQR] 1 [1-4] days of age were longer than maternal ATL (p

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