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Characterisation of mucosal tissue in the foreskin after voluntary medical male circumcision

Background: Medical Male Circumcision (MMC) reduces the risk of HIV-1 acquisition by up to 60% as shown in a number of randomized controlled trials in Uganda, Kenya and South Africa. MMC has also been shown to reduce the prevalence of other sexually transmitted infections (STIs) like Herpes Simplex...

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Main Author: Harryparsad, Rushil
Other Authors: Gray, Clive M
Format: Thesis
Language:English
Published: Division of Immunology 2016
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access_status_str Open Access
author Harryparsad, Rushil
author2 Gray, Clive M
author_browse Gray, Clive M
Harryparsad, Rushil
author_facet Gray, Clive M
Harryparsad, Rushil
author_sort Harryparsad, Rushil
collection Thesis
description Background: Medical Male Circumcision (MMC) reduces the risk of HIV-1 acquisition by up to 60% as shown in a number of randomized controlled trials in Uganda, Kenya and South Africa. MMC has also been shown to reduce the prevalence of other sexually transmitted infections (STIs) like Herpes Simplex Virus (HSV) -2 and Human Papillomavirus (HPV) by 25% and 35% respectively. Asymptomatic STIs may elevate the risk of HIV-1 acquisition by recruiting HIV-1 target cells to the foreskin. The higher permeability of the inner foreskin may play a role in HIV-1 acquisition as well as the number of target cells present in the foreskin. The more inflamed inner foreskin may be increasing the risk of a productive HIV-1 infection. The aims of this dissertation was to a) examine the levels of keratinisation in the inner and outer foreskins after MMC; b) investigate the number of Langerhans, Ki67+ and CD4+ T cells in the inner and outer foreskin and c) identify the impact of asymptomatic STIs on the numbers and proliferative capacity of foreskin-resident Langerhans and CD4+ T cells.
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:39:05.700Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2016
publishDateRange 2016
publishDateSort 2016
publisher Division of Immunology
publisherStr Division of Immunology
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/20563 Characterisation of mucosal tissue in the foreskin after voluntary medical male circumcision Harryparsad, Rushil Gray, Clive M Olivier, Abraham Jacobus Clinical Sciences and Immunology Background: Medical Male Circumcision (MMC) reduces the risk of HIV-1 acquisition by up to 60% as shown in a number of randomized controlled trials in Uganda, Kenya and South Africa. MMC has also been shown to reduce the prevalence of other sexually transmitted infections (STIs) like Herpes Simplex Virus (HSV) -2 and Human Papillomavirus (HPV) by 25% and 35% respectively. Asymptomatic STIs may elevate the risk of HIV-1 acquisition by recruiting HIV-1 target cells to the foreskin. The higher permeability of the inner foreskin may play a role in HIV-1 acquisition as well as the number of target cells present in the foreskin. The more inflamed inner foreskin may be increasing the risk of a productive HIV-1 infection. The aims of this dissertation was to a) examine the levels of keratinisation in the inner and outer foreskins after MMC; b) investigate the number of Langerhans, Ki67+ and CD4+ T cells in the inner and outer foreskin and c) identify the impact of asymptomatic STIs on the numbers and proliferative capacity of foreskin-resident Langerhans and CD4+ T cells. 2016-07-21T11:04:46Z 2016-07-21T11:04:46Z 2016 Master Thesis Masters MSc (Med) http://hdl.handle.net/11427/20563 eng application/pdf Division of Immunology Faculty of Health Sciences University of Cape Town
spellingShingle Clinical Sciences and Immunology
Harryparsad, Rushil
Characterisation of mucosal tissue in the foreskin after voluntary medical male circumcision
thesis_degree_str Master's
title Characterisation of mucosal tissue in the foreskin after voluntary medical male circumcision
title_full Characterisation of mucosal tissue in the foreskin after voluntary medical male circumcision
title_fullStr Characterisation of mucosal tissue in the foreskin after voluntary medical male circumcision
title_full_unstemmed Characterisation of mucosal tissue in the foreskin after voluntary medical male circumcision
title_short Characterisation of mucosal tissue in the foreskin after voluntary medical male circumcision
title_sort characterisation of mucosal tissue in the foreskin after voluntary medical male circumcision
topic Clinical Sciences and Immunology
url http://hdl.handle.net/11427/20563
work_keys_str_mv AT harryparsadrushil characterisationofmucosaltissueintheforeskinaftervoluntarymedicalmalecircumcision