This occurred when travelers recorded that more doses of

This occurred when travelers recorded that more doses of

the antimalarial treatment had been taken than had been prescribed by the investigator. It was not possible to go back to the traveler to obtain the reasons for this. Of 252 travelers consented into the study, 251 completed the pre-travel questionnaire (intention-to-treat). Of these, 185 completed the pre- and post-travel questionnaires and these make up the total analyzed sample. No differences of note were seen between the characteristics of those who completed both questionnaires and those who only completed the pre-travel questionnaire. The number of travelers taking each of the medications together with their age and sex selleck chemicals llc are shown in Table 1. The distribution of males and females between the groups was similar, but there were statistically significant differences in mean age, with travelers in the Mfl and At+Pro groups tending to Midostaurin concentration be older than in the Dxy group. The reasons for travel were identified as: business 28%, holiday 59%, visit friends/relatives 8%, and other 5%. The median time of travel was 14 days (inter-quartile range: 9–20 d). Thirty-six percent of the travelers had previously taken one or more of the antimalarials being studied. Adherence analyzed

as the number of tablets reported as taken (as a percentage of prescribed), both overall, which includes pre-, during, and post-travel, (primary end point) and for each period separately are shown in Table 2. Statistically significant differences (at the 5% level) in median percentage adherence were seen between the At+Pro and Dxy groups for overall and post-travel Dolutegravir nmr adherence, with travelers taking At+Pro having higher levels of adherence. Median percentage adherence in the Mfl group was numerically lower than for either At+Pro or Dxy overall, pre-, and during travel, and numerically lower than for At+Pro post-travel. Adherence analyzed as the proportion of travelers, who reported taking all their medication from the categorical adherence

scale, is shown in Table 3. A higher percentage of travelers in the At+Pro group compared with the Dxy group stated that they took all their medication overall, during, and post-travel, with statistical significance for overall and post-travel. Categorical adherence in the Mfl group was numerically similar or better than for At+Pro at all stages of travel. Calculating odds ratios, travelers taking At+Pro were 2.59 times more likely to take all post-travel medication compared with Dxy (95% CI 1.27–5.26, p = 0.008) and 2.6 times more likely to take ≥80% of post-travel medication (95% CI 1.29–5.25, p = 0.007). Characteristics such as age or sex did not appear to influence whether travelers reported taking at least 80% or less than 80% of prescribed medication. Factors considered highly important for their choice of antimalarial by travelers completing the pre-travel questionnaire and investigators are shown in Figure 1.

Our results indicate

that L fermentum NTD are distribute

Our results indicate

that L. fermentum NTD are distributed not only in the cytoplasm but also on Epacadostat datasheet the cell wall surface, and further studies showed that surface-attached NTD can be released into the culture broth and conventional buffers. Lactobacilli can be divided into two groups depending on whether or not they require deoxyribonucleosides for growth (Kaminski, 2002). Most lactobacilli that utilize the salvage pathway degrade exogenous nucleosides to the nucleobase and pentose sugar via a nucleoside phosphorylase. Others possess a special salvage system based on a nucleoside deoxyribosyltransferase and require a deoxynucleoside in combination with purine and pyrimidine bases for their DNA synthesis (Kilstrup

et al., 2005). N-deoxyribosyltransferases (EC 2.4.2.6), also called trans-N-deoxyribosylases, catalyze the transfer of a 2′-deoxyribosyl group from Wnt assay a donor deoxynucleoside to an acceptor nucleobase (Anand et al., 2004). This enzyme was initially described for lactobacilli and has also been found in certain species of Streptococcus (Chawdhri et al., 1991) and in some protozoans such as Crithidia luciliae (Steenkamp, 1991). Two types of N-deoxyribosyltransferase have been described in lactobacilli: type I is purine deoxyribosyltransferase (PTD), specific for the transfer of deoxyribose between two purines; type II is nucleoside 2′-deoxyribosyltransferase (NTD), which catalyzes the transfer of deoxyribose between either purines

or pyrimidines (Holguin & Cardinaud, 1975; Miyamoto et al., 2007). Several dozen reports on lactobacilli N-deoxyribosyltransferase have been Glycogen branching enzyme published since the initial study by Macnutt (Macnutt, 1950). The three-dimensional structure of these enzymes has been solved, and their kinetic mechanisms as well as their catalytic and substrate binding sites have been well characterized (Armstrong et al., 1996; Anand et al., 2004). The transfer reactions, catalyzed by either PTD or NTD, proceed following a ping-pong bi-bi mechanism by formation of a covalent deoxyribosyl enzyme intermediate (Danzin & Cardinau, 1974; Danzin & Cardinaud, 1976). As NTD has broader substrate specificity than PTD, it has attracted more attention. NTD also has a hydrolase function such that, in the absence of an acceptor base, the nucleoside is converted to its base and deoxyribose (Smar et al., 1991). Most antiviral or anticancer drugs are analogues of naturally occurring nucleosides. The use of purified enzyme or intact bacterial cells containing NTD enables a one-pot transglycosylation reaction at high yields, providing an interesting alternative to traditional multistep chemical methods (Fernandez-Lucas et al., 2010). Stereospecific reactions and high tolerance for various modifications in the bases also make NTD ideally suited to serve as biocatalyst for the production of nucleosides and nucleoside analogues (Okuyama et al.

In conclusion, in this study, we used a simple genetic complement

In conclusion, in this study, we used a simple genetic complementation Wnt cancer system that restores the growth and uptake of sialic acid to a ΔnanT strain of E. coli to discover that a previously uncharacterized transporter gene, STM1128, from STm encodes a functional sialic acid transporter and that this in vivo complementation system can be used

to provide quick and simple qualitative data as to the mechanism and energetics of different transporters, which could easily be scaled to screen for novel sialic acid transporters from genomic and metagenomic libraries. We would like to thank the BBSRC for funding. “
“The chemokine receptor CXCR4 and the μ-opioid receptor (MOR) are G-protein-coupled receptors that are essential for normal

function of the nervous and immune systems. Several studies have suggested that MOR is a key regulator of CXCR4 in the brain; however, the molecular basis of the opioid–chemokine interaction is not fully understood, and it may involve different mechanisms in neuronal and glial cells. Our previous studies demonstrated that MOR stimulation specifically upregulates the protein ferritin heavy chain – an inhibitor of CXCR4 – in neurons, and suggested that additional mechanisms could be operative in glia. In this study, we investigated CXCR4 function in brains and astroglial cultures deprived find more of MOR. Reduced Interleukin-2 receptor coupling of CXCR4 to G-proteins was found in brain slices and tissue homogenates of MOR−/− mice as compared with wild-type controls. CXCR4-induced signaling was also reduced in glial cultures from MOR−/− mice, as shown by analysis of CXCR4 downstream targets (Akt and ERK1/2). Pharmacological studies with δ-opioid

receptor (DOR)-specific ligands suggested that DOR–CXCR4 interactions are implicated in the inhibition of CXCR4 in MOR-deficient cells both in vitro and in vivo. Moreover, increased CXCR4/DOR co-immunoprecipitation was found in brain tissue and cultured glia from MOR−/− mice. Importantly, CXCR4 function was restored by pretreatment with a DOR antagonist. Overall, these findings indicate that DOR plays a crucial role in the regulation of CXCR4 in glia, probably via silent receptor heterodimers. The data also suggest that the opiate system interferes with normal CXCR4 function in different ways, depending on receptor subtypes. “
“We posit a bottom-up sleep-regulatory paradigm in which state changes are initiated within small networks as a consequence of local cell activity. Bottom-up regulatory mechanisms are prevalent throughout nature, occurring in vastly different systems and levels of organization. Synchronization of state without top-down regulation is a fundamental property of large collections of small semi-autonomous entities.

In conclusion, in this study, we used a simple genetic complement

In conclusion, in this study, we used a simple genetic complementation Roxadustat system that restores the growth and uptake of sialic acid to a ΔnanT strain of E. coli to discover that a previously uncharacterized transporter gene, STM1128, from STm encodes a functional sialic acid transporter and that this in vivo complementation system can be used

to provide quick and simple qualitative data as to the mechanism and energetics of different transporters, which could easily be scaled to screen for novel sialic acid transporters from genomic and metagenomic libraries. We would like to thank the BBSRC for funding. “
“The chemokine receptor CXCR4 and the μ-opioid receptor (MOR) are G-protein-coupled receptors that are essential for normal

function of the nervous and immune systems. Several studies have suggested that MOR is a key regulator of CXCR4 in the brain; however, the molecular basis of the opioid–chemokine interaction is not fully understood, and it may involve different mechanisms in neuronal and glial cells. Our previous studies demonstrated that MOR stimulation specifically upregulates the protein ferritin heavy chain – an inhibitor of CXCR4 – in neurons, and suggested that additional mechanisms could be operative in glia. In this study, we investigated CXCR4 function in brains and astroglial cultures deprived see more of MOR. Reduced Cyclin-dependent kinase 3 coupling of CXCR4 to G-proteins was found in brain slices and tissue homogenates of MOR−/− mice as compared with wild-type controls. CXCR4-induced signaling was also reduced in glial cultures from MOR−/− mice, as shown by analysis of CXCR4 downstream targets (Akt and ERK1/2). Pharmacological studies with δ-opioid

receptor (DOR)-specific ligands suggested that DOR–CXCR4 interactions are implicated in the inhibition of CXCR4 in MOR-deficient cells both in vitro and in vivo. Moreover, increased CXCR4/DOR co-immunoprecipitation was found in brain tissue and cultured glia from MOR−/− mice. Importantly, CXCR4 function was restored by pretreatment with a DOR antagonist. Overall, these findings indicate that DOR plays a crucial role in the regulation of CXCR4 in glia, probably via silent receptor heterodimers. The data also suggest that the opiate system interferes with normal CXCR4 function in different ways, depending on receptor subtypes. “
“We posit a bottom-up sleep-regulatory paradigm in which state changes are initiated within small networks as a consequence of local cell activity. Bottom-up regulatory mechanisms are prevalent throughout nature, occurring in vastly different systems and levels of organization. Synchronization of state without top-down regulation is a fundamental property of large collections of small semi-autonomous entities.

Haloarchaeal genomes encode the complete set of enzymes

o

Haloarchaeal genomes encode the complete set of enzymes

of the TCA cycle (Falb et al., 2008). Furthermore, activity of all enzymes of the cycle was detected in Hbt. salinarum (Aitken & Brown, 1969). Field studies on a hypersaline cyanobacterial mat have shown metabolic interactions between haloarchaea and the primary producer Coleofasciculus (Microcoleus) chthonoplastes. This cyanobacterium excretes acids of the citrate cycle into the medium, and aerobic halophilic NVP-BEZ235 in vivo Archaea further utilizes these as the major carbon and energy source (Zvyagintseva et al., 1995). The existence of a functional glyoxylate cycle has been demonstrated in Haloferax volcanii (Serrano et al., 1998) and in Natronococcus occultus (Kevbrina & Plakunov,

1992). Inquiries effectuated on the 13 complete halophilic genomes present in the HaloWeb data base (DasSarma et al., 2010) did not find any simultaneous positive matches for the glyoxylate cycle key enzymes: isocitrate lyase and malate synthase (with the exception of previous mentioned species Hfx. volcanii). A blastp (Altschul et al., 1997) search made on NCBI using the amino acid sequences of the Hfx. volcanii isocitrate lyase and malate synthase showed that Opaganib ic50 these enzymes are present also in Haladaptatus paucihalophilus strain DX253. Recently, a novel pathway for the synthesis of malate from acetyl-CoA was discovered

in Hfx. volcanii and in Har. marismortui, in which acetyl-CoA is oxidized to glyoxylate via methylaspartate as key intermediate (Khomyakova et al., 2011). Although most halophilic Archaea preferentially use amino acids as carbon and energy source, there are carbohydrate-utilizing species such as Haloarcula marismortui, Halococcus saccharolyticus, and Hfx. mediterranei. These species have the capacity to metabolize pentoses (arabinose, xylulose), hexoses (glucose, fructose), sucrose, and lactose (Rawal et al., 1988; Altekar & Rangaswamy, almost 1992; Johnsen et al., 2001). Comparative analysis of ten haloarchaeal genomes showed that Halorhabdus utahensis and Haloterrigena turkmenica encode over forty glycosyl hydrolases each and may break down complex carbohydrates. Hrb. utahensis has specialized in growth on carbohydrates and has few amino acid degradation pathways. It uses the nonoxidative pentose phosphate cycle and a transhydrogenase instead of the oxidative pathway, giving it a great deal of flexibility in the metabolism of pentoses (Anderson et al., 2011). Hrb. utahensis degrades xylan and can grow on xylose (Wainø & Ingvorsen, 2003). Many species of Halobacteriaceae also produce exoenzymes such as proteases, lipases, DNAses, and amylases to degrade organic polymeric substances extracellularly, making small organic molecules available as carbon and energy source.

Of the 1,691 surveyed, 969 (57%) obtained travel medicine advice

Of the 1,691 surveyed, 969 (57%) obtained travel medicine advice from various sources and 543 (32%) visited a health care provider to prepare for their trip. Travelers returning to their birth country were less likely to visit a health care provider to prepare for their trip (110/527, PI3K Inhibitor Library 19%) compared to other travelers (433/1,113, 34%) (PR 0.6, 95% CI: 0.5–0.7). On the basis of their reported itineraries, 415 (25%) of the surveyed travelers were classified as having higher risk for JE virus exposure and 1,276 (75%) were classified as lower JE risk. Travelers with higher JE risk itineraries (mean age 41 years) were younger than travelers

with lower JE risk itineraries (mean age 46 years; difference 5.1 years, 95% CI: 1.1–9.1). Higher and lower JE risk travelers were similar with regard to education level, household income, and planned destination countries. However, to prepare for their current trip, higher risk travelers were more likely to have visited a health care provider (185/415, 45%) than lower risk travelers (360/1,276, 28%) (PR 1.6, 95% CI: 1.2–2.1). Of the 415 travelers with higher JE risk itineraries, Cobimetinib nmr 330 (84%, 95% CI: 79–88%) planned to spend ≥1 month in a JE-endemic country, including 115 (37%, 95% CI 26–47%) planning to spend ≥6 months in Asia. The remaining 85 (16%, 95% CI: 12–21%) higher JE risk travelers planned

to spend <1 month in Asia but at least half of their time in rural areas; of these, 55 (62%, 95% CI: 49–77%) planned to spend more than half of their time doing outdoor activities in rural areas. Among the higher JE risk travelers, those returning to their birth country were again less likely to visit a health care provider to prepare for their trip (21% vs 56%; PR 0.4, 95% CI: 0.3–0.5). find more Forty-seven (11%, 95% CI: 7–15%) of the higher JE

risk travelers reported that they received ≥1 doses of JE vaccine for this trip or a previous trip, while 368 (89%, 95% CI: 85–93%) indicated that they had never received JE vaccine. Higher risk travelers who received JE vaccine (mean age 34 years) were significantly younger than those who did not receive JE vaccine (mean age 41 years; difference 6.0 years, 95% CI: 0.1–12.9 years). Of the 368 travelers who were classified as higher JE risk but who had not received JE vaccine, 219 (60%) were unaware of or had not been advised to receive vaccine, and 104 (28%) did not think they needed JE vaccine for their trip. Overall, 164 (45%) of the 368 unvaccinated higher risk travelers visited a health care provider to prepare for the trip, but 113 (69%) still indicated that they had never heard of JE vaccine or their health care provider did not advise the JE vaccine (Table 3). Vaccine costs (7/164, 4%), inadequate time prior to travel (3/164, 2%), and concerns about possible adverse events (1/164, <1%) were uncommon reasons reported for not receiving the vaccine.

5) Remarkably, the more sensitive liquid-based assay revealed tw

5). Remarkably, the more sensitive liquid-based assay revealed two significant effects. First, as indicated by the change

in the slope of the graphs in Fig. 6, the Δpnp mutant had a longer doubling time in H2O2-containing media, but not in control media. In addition, interfering with degradosome assembly caused a reduced culture density as cultures entered stationary phase. Both of these differences were statistically significant. For reasons not well understood, interfering with degradosome assembly in the Δpnp mutant mirrored the phenotype of the Δpnp mutant strain and suppressed the early stationary phenotype when only degradosome assembly was disrupted (Fig. 5). We also tested growth of these same strains at 4 °C (Fig. 6). Not surprisingly, and in agreement with previously published data (Rosenzweig et al., 2005, 2007), the Δpnp mutant was unable to grow at 4 °C (Fig. 6b) despite Tyrosine Kinase Inhibitor Library relatively normal growth at 28 °C (Fig. 6a). When RNE1-465 was expressed,

there was no effect on the cold-sensitive GSK126 phenotype (Fig. 6). These data strongly suggest that the psychrotropic yersiniae’s ability to grow in the cold depends on PNPase in a degradosome-independent manner. To further evaluate the role that degradosome assembly might be playing in yersiniae stress responses, we challenged the strains with several antibiotics that target protein translation, membrane integrity, and cell wall integrity and found that neither the presence of PNPase nor the ability of the Lepirudin yersiniae degradosome to assemble altered antibiotic susceptibility profiles (data not shown). As we observed that over-expression of RNE1-465 led to a significant reduction in biomass during oxidative stress, but that there was no similar reduction in biomass when expressed in the Δpnp background (Fig. 7), we hypothesized that perhaps PNPase affected expression of the plasmid-encoded RNE1-465. Following a 1.5-h induction

of RNE1-465 in both strains and Western blot analysis, we concluded that the truncated RNE1-465 was expressed similarly in both strains and that PNPase was not modulating RNE1-465 expression levels. More specifically, the Y. pseudotuberculosis + empty vector pBAD24 (WT) and Y. pseudotuberculosis Δpnp + empty vector pBAD24 (pnp) controls did not express RNE1-465 when either induced with 0.02% arabinose or not (lanes 1, 2, 5, and 6). However, the Y. pseudotuberculosis + pBAD-RNE1-465 (RNE) and the Y. pseudotuberculosis Δpnp + pBAD-RNE1-465 (pnp/RNE) both expressed the ~ 52 KDa RNE1-465 when induced with 0.02% arabinose (lanes 3 and 7). Yersinia pseudotuberculosis is a very close relative of the etiological agent of plague, Y. pestis, which diverged from Y. pseudotuberculosis between 15 000–20 000 years ago (Achtman et al., 1999). In fact, their RNase E, PNPase, RhlB and enolase proteins are 97–100% identical. Unlike Y.

Normal mixtures with different numbers of peaks (ie clusters) r

Normal mixtures with different numbers of peaks (i.e. clusters) represent different models of given spike data and the most suitable model (i.e. values of parameters) should be selected by a certain method, such as Akaike’s information criteria (Akaike, 1974), Bayes information criteria (Schwarz, 1978) or MML. These are different ways of penalizing complex models, i.e. models with more clusters. The virtue of MML is that it determines a precise C59 wnt cost penalty term by taking the normalized size αk of each cluster into account. In this study, we employed MML to improve the performance of the EM

method. We constructed artificial data sets to test the clustering ability of various model selection methods. As the features of spike waveforms were suggested to obey a t-distribution (Shoham et al., 2003), one data set consisted of artificial data points drawn from 40 Student’s t-distributions of the degree of freedom v = 10 in a 12-dimensional space; the data

set therefore contained 40 clusters. The center of each cluster was generated by a normal Gaussian distribution of mean 0 and Kinase Inhibitor Library cell line the variance was given as an identity matrix. The variance matrix of each cluster was generated by a Wishart distribution, with the degree of freedom at 24 and a mean of A times the identity matrix, where A takes one of the values determined equidistantly between 0.1 and 0.2. This matrix is a noisy variation of the diagonal matrix, where each diagonal element takes a value between 0.1 and 0.2. The volume of each cluster is proportional to the value of the diagonal element. Figure 4A displays the number of clusters estimated by NEM, NVB, REM or RVB as a function of the number of data points sampled from data generated by a mixture

of 40 t-distributions. Florfenicol NEM and NVB underestimated or overestimated the number of clusters when the data size was small or large, respectively. The methods tend to group sparse data points together in a small data set, whereas they tend to separate data points originating from a single cluster in a large data set. Thus, these methods rarely selected the correct model. REM could select the correct model if the data size was in an appropriate range. However, this method also yielded underestimation or overestimation when the data size was small or large, respectively. In contrast, RVB could estimate the correct, or a nearly correct, number of clusters in a wide range of the data size tested. The performance of the different methods was further compared on another artificial data set generated by a normal mixture model. Similarly, RVB exhibited an excellent performance for this data set (Fig. 4B). We then compared the performance of all of the 24 combinations of methods for spike detection, feature extraction and spike clustering by using extracellular/intracellular recording data (Harris et al., 2000; Henze et al., 2000). Generally, the neurons recorded with an intracellular electrode exhibited broadened spike waveforms.

, 2006), are indicated Vibrio shilonii is a monoflagellated mari

, 2006), are indicated. Vibrio shilonii is a monoflagellated marine bacterium that has been postulated to be the causative agent of bleaching of the coral O. patagonica

(Kushmaro et al., 1997; Banin et al., 2000; Kushmaro et al., 2001; Rosenberg et al., 2009). It has also been shown that this species resides during the winter season in the marine worm Hermodice carunculata (Sussman et al., 2003). Therefore, motility becomes an important issue in understanding how this Gram-negative bacterium moves about in the various environments that it encounters in the coral reef. In this work, the swimming behavior of V. shilonii was analyzed under various agar NVP-LDE225 in vitro concentrations in the presence or absence of the sodium channel blocker amiloride. Our results show that the formation of lateral flagella appears to increase with a higher density of soft agar in plates. At agar concentrations of 0.5%, we observed that cells start to elongate, reaching an average length of twice the size of the planktonic cells. Possibly, as the polar

flagellum slows down, swarmer cell differentiation occurs as has been shown previously in V. parahaemolyticus (Belas et al., 1986; McCarter et al., 1988). At a higher agar concentration (0.7%), V. shilonii cells lose their flagella, and most of the cells become round. This morphological transformation does not mean that the cells become sick or unviable, given that the growth of cells obtained from this condition was observed in either solid or liquid growth media. These results indicate that V. shilonii AZD1208 has a constitutive polar flagellum for swimming and inducible lateral flagella whose presence is associated with morphological changes. Furthermore, the drastic morphological change observed at 0.7% agar could be related to an uncharacterized stress response that this bacterium may undergo when it is exposed to this condition, which may be related to its life style.

Several bacterial species differentiate upon contact with a surface such as V. parahaemolyticus, Aeromonas caviae and A. hydrophila. Many of these are water-borne bacteria involved in different animal and human infections. In these species, Verteporfin concentration the polar flagellum is important for motility in liquid media. Upon host attachment, lateral flagella are induced, contributing to microcolony formation, also allowing bacteria to adhere more firmly and facilitate biofilm formation (Belas & Colwell, 1982; Kirov et al., 2002). It will be interesting to determine whether the lateral flagella identified in this work contribute to the adherence of V. shilonii cells and whether this behavior is related to its ability to invade a host in its marine environment. According to our observations, the filament of the polar flagellum has a diameter of c. 30 nm and what we believe are lateral flagella are c. 15 nm in diameter (Fig. 2).

Patients are seen every 3–6 months or as clinically indicated YR

Patients are seen every 3–6 months or as clinically indicated. YRG CARE has developed a voluntary counselling and testing

(VCT) programme for partners of HIV-infected individuals receiving care [27]. At the time of HIV VCT, each patient gave informed consent. All patients tested for HIV underwent pre- and post-test counselling. Data were collected under the approval of YRG CARE’s free-standing Institutional Review Board (IRB). This case–control study nested within a larger cohort of 2135 discordant couples included patients presenting consecutively with the HIV-infected partner p38 MAPK inhibitor (index patient) seeking care at YRGCARE between June 2006 and March 2008. Analyses were restricted to couples in whom one partner was infected with HIV and one partner was HIV negative (discordant) at enrolment and for whom there was at least 12 months of follow-up. The outcome variable was the couple’s HIV status (concordant

or discordant). Patients were encouraged to attend all clinic visits with their spouses. HIV-infected patients were interviewed separately GDC-0199 clinical trial without their spouses at the time of enrolment to care. A total of 2135 discordant couples enrolled in care during this time period amongst whom, 84.7% of the men and 58.6% of the women later initiated highly active antiretroviral therapy (HAART). Among these discordant couples at enrolment, 70 couples (3.3%) later seroconverted (concordant). Succinyl-CoA The current analyses were undertaken using a nested case–control model in which 167 discordant couples (controls) were matched to the 70 concordant couples

(cases) based on the median years of follow-up in care (1.7 years) of the 70 concordant couples. Both cases and controls had the same period of follow-up in clinical care based on matching; controls were sampled at the end of the follow-up period based on cumulative incidence sampling. Additional confounding variables between cases and controls were controlled in the multivariate logistic regression model. The following analyses were undertaken only among these 167 discordant controls and 70 concordant cases. After conducting baseline analyses at the time of enrolment to care, 12-month follow-up data are presented separately for cases in which HIV transmission was documented between enrolment and 6 months (N=52) and cases in which HIV transmission was documented between 6 and 12 months after enrolment (N=13). Two cases were in relationships in which the seronegative partner seroconverted after 730 days and thus these two cases are not included in this 12-month follow-up analysis. Both groups of cases (i.e. patients in which HIV transmission was documented between enrolment and 6 months and patients in which HIV transmission was documented between 6 and 12 months after enrolment) are compared with control patients who remained in discordant relationships (N=167).