{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T23:45:15Z","timestamp":1781739915434,"version":"3.54.5"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2021,8,28]],"date-time":"2021-08-28T00:00:00Z","timestamp":1630108800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01 AI20938"],"award-info":[{"award-number":["R01 AI20938"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["U01 AI138897"],"award-info":[{"award-number":["U01 AI138897"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["U01 AI134591"],"award-info":[{"award-number":["U01 AI134591"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006492","name":"Division of Intramural Research, National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006492","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["K24 AI144952"],"award-info":[{"award-number":["K24 AI144952"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005160","name":"American Society of Transplantation","doi-asserted-by":"publisher","award":["gSAN-201C0WW"],"award-info":[{"award-number":["gSAN-201C0WW"]}],"id":[{"id":"10.13039\/100005160","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Johns Hopkins School of Medicine"},{"DOI":"10.13039\/100017035","name":"Johns Hopkins University Center for AIDS Research","doi-asserted-by":"crossref","award":["P30 AI094189"],"award-info":[{"award-number":["P30 AI094189"]}],"id":[{"id":"10.13039\/100017035","id-type":"DOI","asserted-by":"crossref"}]},{"name":"The Living Legacy Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,10]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Organ transplantation from donors with human immunodeficiency virus (HIV) to recipients with HIV (HIV D+\/R+) presents risks of donor-derived infections. Understanding clinical, immunologic, and virologic characteristics of HIV-positive donors is critical for safety.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We performed a prospective study of donors with HIV-positive and HIV false-positive (FP) test results within the HIV Organ Policy Equity (HOPE) Act in Action studies of HIV D+\/R+ transplantation (ClinicalTrials.gov NCT02602262, NCT03500315, and NCT03734393). We compared clinical characteristics in HIV-positive versus FP donors. We measured CD4 T cells, HIV viral load (VL), drug resistance mutations (DRMs), coreceptor tropism, and serum antiretroviral therapy (ART) detection, using mass spectrometry in HIV-positive donors.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Between March 2016 and March 2020, 92 donors (58 HIV positive, 34 FP), representing 98.9% of all US HOPE donors during this period, donated 177 organs (131 kidneys and 46 livers). Each year the number of donors increased. The prevalence of hepatitis B (16% vs 0%), syphilis (16% vs 0%), and cytomegalovirus (CMV; 91% vs 58%) was higher in HIV-positive versus FP donors; the prevalences of hepatitis C viremia were similar (2% vs 6%). Most HIV-positive donors (71%) had a known HIV diagnosis, of whom 90% were prescribed ART and 68% had a VL &lt;400 copies\/mL. The median CD4 T-cell count (interquartile range) was 194\/\u00b5L (77\u2013331\/\u00b5L), and the median CD4 T-cell percentage was 27.0% (16.8%\u201336.1%). Major HIV DRMs were detected in 42%, including nonnucleoside reverse-transcriptase inhibitors (33%), integrase strand transfer inhibitors (4%), and multiclass (13%). Serum ART was detected in 46% and matched ART by history.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The use of HIV-positive donor organs is increasing. HIV DRMs are common, yet resistance that would compromise integrase strand transfer inhibitor\u2013based regimens is rare, which is reassuring regarding safety.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/cid\/ciab743","type":"journal-article","created":{"date-parts":[[2021,8,28]],"date-time":"2021-08-28T13:10:57Z","timestamp":1630156257000},"page":"2010-2019","source":"Crossref","is-referenced-by-count":23,"title":["National Landscape of Human Immunodeficiency Virus\u2013Positive Deceased Organ Donors in the United States"],"prefix":"10.1093","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2943-5895","authenticated-orcid":false,"given":"William A","family":"Werbel","sequence":"first","affiliation":[{"name":"Department of Medicine, Johns Hopkins University School of Medicine , Baltimore, Maryland , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane M","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Medicine, Johns 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