Grace C. John-Stewart

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University of Washington
School of Medicine
Medicine
Associate ProfessorAppointed: 2002
University of Washington
Epidemiology
Associate ProfessorAppointed: 2007
Fred Hutchinson Cancer Research Center
AffiliateAppointed: 2005
Harborview Medical Center
Infectious Diseases Consult Service
Appointed: 1996

Mailing Address

University of Washington
325 Ninth Ave
Box 359909
Seattle, Washington 98104
United States

Contact Information

Phone: (206) 543-4278
Fax: (206) 543-4818
gjohn@u.washington.edu

Qualifications

Ph.D., University of Washington, 2000.
M.P.H., University of Washington, 1995.
M.D., University of Michigan, Medical School, 1987.
B.S., University of Michigan, 1983.

Expertise and Research Interests

Research interests include mother-to-child transmission of HIV-1, breast milk transmission of HIV-1, cervicovaginal shedding of HIV-1, HIV-1 subtypes, CTL responses among HIV-1 exposed uninfected infants, lactation effect on maternal HIV-1 disease progression, and strategies to improve perinatal HIV-1 prevention (via enhanced voluntary counseling and testing or enhanced compliance with regimens). Research location: Nairobi, Kenya.

Keywords

COS Keywords:

AIDS, Education, HIV, Immunology, Infectious Diseases Or Agents.

Additional Terms:

AIDS, Breastfeeding, Education, Epidemiology, HIV, HSV, Herpes, Immunology, Infectious Diseases, Mother-to-Child HIV Transmission, Partner Prevention, Pediatrics, Prevention, Viral Studies, Viruses.

Memberships

American Academy of Pediatrics
American College of Physicians
American Medical Association
International AIDS Society
Network of AIDS Researchers in Southern and East Africa (NARESA)

Previous Positions

2002-2007, Adjunct Associate Professor, University of Washington, Department of Epidemiology
1997-2002, Assistant Professor, University of Washington, Department of Medicine
1997-2002, Adjunct Assistant Professor, University of Washington, Department of Epidemiology
1996-1997, Acting Instructor, University of Washington, Department of Medicine
1993-1995, Visiting Research Scientist, University of Nairobi

Publications

  • Walson JL, Otieno PA, Mbuchi M, Richardson BA, Lohman-Payne B, Macharia SW, Overbaugh J, Berkley J, Sanders EJ, Chung MH, John-Stewart GC (Aug 2008) Albendazole treatment of HIV-1 and helminth co-infection: a randomized, double-blind, placebo-controlled trial., AIDS (London, England), 22 (13), 1601-9 Abstract
  • Lehman DA, Chung MH, John-Stewart GC, Richardson BA, Kiarie J, Kinuthia J, Overbaugh J (Jul 2008) HIV-1 persists in breast milk cells despite antiretroviral treatment to prevent mother-to-child transmission., AIDS (London, England), 22 (12), 1475-85 Abstract
  • Farquhar C, VanCott T, Bosire R, Bermudez C, Mbori-Ngacha D, Lohman-Payne B, Nduati R, Otieno P, John-Stewart G (Jul 2008) Salivary human immunodeficiency virus (HIV)-1-specific immunoglobulin A in HIV-1-exposed infants in Kenya., Clinical and experimental immunology, 153 (1), 37-43 Abstract
  • John FN, Farquhar C, Kiarie JN, Kabura MN, John-Stewart GC (Jun 2008) Cost effectiveness of couple counselling to enhance infant HIV-1 prevention., International journal of STD & AIDS, 19 (6), 406-9 Abstract
  • Mackelprang RD, John-Stewart G, Carrington M, Richardson B, Rowland-Jones S, Gao X, Mbori-Ngacha D, Mabuka J, Lohman-Payne B, Farquhar C (Apr 2008) Maternal HLA homozygosity and mother-child HLA concordance increase the risk of vertical transmission of HIV-1., The Journal of infectious diseases, 197 (8), 1156-61 Abstract
  • Slyker J, Lohman-Payne B, Rowland-Jones S, Otieno P, Maleche-Obimbo E, Richardson B, Dong T, Mbori-Ngacha D, Emery V, John-Stewart G (2008) The detection of cytomegalovirus DNA in maternal plasma is associated with mortality in HIV-1 infected women and their infants, AIDS, In Press
  • John-Stewart GC, Mbori-Ngacha D, Lohman B, Farquhar C, Emery S, Otieno P, Obimbo E, Richardson B, Dong T, Nduati R, Overbaugh J, Rowland-Jones S (2008) HIV-1 specific CTLs and breastmilk HIV-transmission, J Infect Dis, In Press
  • Farquhar C, Wamalwa D, Selig S, John-Stewart G, Mabuka J, Majiwa M, Sutton W, Haigwood H, Wariua G, Lohman-Payne B (2008) Immune responses to measles and tetanus vaccines among Kenyan HIV-1 infected children pre and pos-highly active antiretroviral therapy and revaccination, Ped Infect Dis
  • Farquhar C, Mbori-Ngacha D, Overbaugh J, Wamalwa D, Harris J, Bosire R, John-Stewart G (2008) Illness during Pregnancy and Bacterial Vaginosis are Associated with In Utero HIV-1 Transmission, AIDS, In Press
  • Chung MH, Kiarie JN, Richardson BA, Lehman DA, Overbaugh J, Kinuthia J, Njiri F, John-Stewart GC (2008) Highly active antiretroviral therapy versus zidovudine/nevirapine effects on early breast milk HIV type-1 Rna: a phase II randomized clinical trial., Antiviral therapy, 13 (6), 799-807 Abstract
  • John-Stewart G. (2008) Infant Feeding and HIV-1, Current Opinion in HIV and AIDS, 3 (2), 173-179
  • Walson JL, John-Stewart G (2008) Treatment of helminth co-infection in HIV-1 infected individuals in resource-limited settings, Cochrane Database of Systematic Reviews (Online) (1), CD006419 Abstract
  • Richardson BA, Nduati R, Mbori-Ngacha D, Overbaugh J, John-Stewart GC (Jan 2008) Acute HIV infection among Kenyan infants, Clinical Infectious Diseases : an official publication of the Infectious Diseases Society of America, 46 (2), 289-95 Abstract
  • Chung MH, Kiarie JN, Richardson BA, Lehman DA, Overbaugh J, Njiri F, John-Stewart GC (Dec 2007) Independent effects of nevirapine prophylaxis and HIV-1 RNA suppression in breast milk on early perinatal HIV-1 transmission., Journal of acquired immune deficiency syndromes (1999), 46 (4), 472-8 Abstract
  • Walson JL, Brown ER, Otieno PA, Mbori-Ngacha DA, Wariua G, Obimbo EM, Bosire RK, Farquhar C, Wamalwa D, John-Stewart GC (Oct 2007) Morbidity among HIV-1-infected mothers in Kenya: prevalence and correlates of illness during 2-year postpartum follow-up, Journal of Acquired Immune Deficiency Syndromes, 46 (2), 208-15 Abstract
  • Bosire R, Guthrie BL, Lohman-Payne B, Mabuka J, Majiwa M, Wariua G, Mbori-Ngacha D, Richardson B, John-Stewart G, Farquhar C (Sep 2007) Longitudinal comparison of chemokines in breastmilk early postpartum among HIV-1-infected and uninfected Kenyan women, Breastfeeding Medicine : the official journal of the Academy of Breastfeeding Medicine, 2 (3), 129-38 Abstract
  • John-Stewart GC (Jul 2007) Breast-feeding and HIV-1 transmission: how risky for how long?, The Journal of Infectious Diseases, 196 (1), 1-3 Abstract
  • Wamalwa DC, Farquhar C, Obimbo EM, Selig S, Mbori-Ngacha DA, Richardson BA, Overbaugh J, Emery S, Wariua G, Gichuhi C, Bosire R, John-Stewart G (Jul 2007) Early response to highly active antiretroviral therapy in HIV-1-infected Kenyan children, Journal of Acquired Immune Deficiency Syndromes, 45 (3), 311-7 Abstract
  • Richardson BA, Otieno PA, Mbori-Ngacha D, Overbaugh J, Farquhar C, John-Stewart GC (Mar 2007) Hormonal contraception and HIV-1 disease progression among postpartum Kenyan women, AIDS (London, England), 21 (6), 749-53 Abstract
  • Rainwater SM, Wu X, Nduati R, Nedellec R, Mosier D, John-Stewart G, Mbori-Ngacha D, Overbaugh J (Mar 2007) Cloning and characterization of functional subtype A HIV-1 envelope variants transmitted through breastfeeding, Current HIV Research, 5 (2), 189-97 Abstract
  • Bosire R, John-Stewart GC, Mabuka JM, Wariua G, Gichuhi C, Wamalwa D, Ruzinski J, Goodman R, Lohman B, Mbori-Ngacha DA, Overbaugh J, Farquhar C (Feb 2007) Breast milk alpha-defensins are associated with HIV type 1 RNA and CC chemokines in breast milk but not vertical HIV type 1 transmission, AIDS Research and Human Retroviruses, 23 (2), 198-203 Abstract
  • Drake AL, John-Stewart GC, Wald A, Mbori-Ngacha DA, Bosire R, Wamalwa DC, Lohman-Payne BL, Ashley-Morrow R, Corey L, Farquhar C (Feb 2007) Herpes simplex virus type 2 and risk of intrapartum human immunodeficiency virus transmission, Obstetrics and Gynecology, 109 (2 Pt 1), 403-9 Abstract
  • John-Stewart G, Jonnagoladda S, Richardson B. (2007) Exclusive breastfeeding and HIV-1 transmission, Future HIV Therapy, 1, 157-160
  • Rainwater SMJ, Wu X, Nduati R, John-Stewart G, Mbori-Ngacha D, Overbaugh J. (2007) HIV variants transmitted through breastfeeding tend to be resistant to neutralization by maternal antibodies, Current HIV Research, 5 (2), 189-197
  • Walson JL, John-Stewart G (2007) Treatment of Helminth Co-Infection in Individuals with HIV-1: a Systematic Review of the Literature, PLoS Neglected Tropical Diseases, 1 (3), e102 Abstract
  • John-Stewart GC (Jan 2007) When is replacement feeding safe for infants of HIV-infected women?, PLoS Medicine, 4 (1), e30 Abstract
  • Otieno PA, Brown ER, Mbori-Ngacha DA, Nduati RW, Farquhar C, Obimbo EM, Bosire RK, Emery S, Overbaugh J, Richardson BA, John-Stewart GC (Jan 2007) HIV-1 disease progression in breast-feeding and formula-feeding mothers: a prospective 2-year comparison of T cell subsets, HIV-1 RNA levels, and mortality, The Journal of Infectious Diseases, 195 (2), 220-9 Abstract
  • Balkus J, Bosire R, John-Stewart G, Mbori-Ngacha D, Schiff MA, Wamalwa D, Gichuhi C, Obimbo E, Wariua G, Farquhar C (Jan 2007) High uptake of postpartum hormonal contraception among HIV-1-seropositive women in Kenya, Sexually Transmitted Diseases, 34 (1), 25-9 Abstract
  • Kiarie JN, Farquhar C, Richardson BA, Kabura MN, John FN, Nduati RW, John-Stewart GC (Aug 2006) Domestic violence and prevention of mother-to-child transmission of HIV-1, AIDS (London, England), 20 (13), 1763-9 Abstract
  • Farquhar C, John-Stewart GC, John FN, Kabura MN, Kiarie JN (Jun 2006) Pediatric HIV type 1 vaccine trial acceptability among mothers in Kenya, AIDS Research and Human Retroviruses, 22 (6), 491-5 Abstract
  • Wu X, Parast AB, Richardson BA, Nduati R, John-Stewart G, Mbori-Ngacha D, Rainwater SM, Overbaugh J (Jan 2006) Neutralization escape variants of human immunodeficiency virus type 1 are transmitted from mother to infant, Journal of Virology, 80 (2), 835-44 Abstract
  • Farquhar C, Nduati R, Haigwood N, Sutton W, Mbori-Ngacha D, Richardson B, John-Stewart G (Dec 2005) High maternal HIV-1 viral load during pregnancy is associated with reduced placental transfer of measles IgG antibody, Journal of Acquired Immune Deficiency Syndromes, 40 (4), 494-7 Abstract
  • Farquhar C, Mbori-Ngacha DA, Redman MW, Bosire RK, Lohman BL, Piantadosi AL, Goodman RB, Ruzinski JT, Emery SR, Crudder CH, Overbaugh JM, John-Stewart GC (Oct 2005) CC and CXC chemokines in breastmilk are associated with mother-to-child HIV-1 transmission, Current HIV Research, 3 (4), 361-9 Abstract
  • Chung MH, Kiarie JN, Richardson BA, Lehman DA, Overbaugh J, John-Stewart GC (Sep 2005) Breast milk HIV-1 suppression and decreased transmission: a randomized trial comparing HIVNET 012 nevirapine versus short-course zidovudine, AIDS (London, England), 19 (13), 1415-22 Abstract
  • Slyker JA, Lohman BL, Mbori-Ngacha DA, Reilly M, Wee EG, Dong T, McMichael AJ, Rowland-Jones SL, Hanke T, John-Stewart G (Sep 2005) Modified vaccinia Ankara expressing HIVA antigen stimulates HIV-1-specific CD8 T cells in ELISpot assays of HIV-1 exposed infants, Vaccine, 23 (38), 4711-9 Abstract
  • Gichuhi C, Obimbo E, Mbori-Ngacha D, Mwatha A, Otieno P, Farquhar C, Wariua G, Wamalwa D, Bosire R, John-Stewart G (Sep 2005) Predictors of mortality in HIV-1 exposed uninfected post-neonatal infants at the Kenyatta National Hospital, Nairobi, East African Medical Journal, 82 (9), 447-51 Abstract
  • John-Stewart GC, Nduati RW, Rousseau CM, Mbori-Ngacha DA, Richardson BA, Rainwater S, Panteleeff DD, Overbaugh J (Aug 2005) Subtype C Is associated with increased vaginal shedding of HIV-1, The Journal of Infectious Diseases, 192 (3), 492-6 Abstract
  • Lohman BL, Slyker JA, Richardson BA, Farquhar C, Mabuka JM, Crudder C, Dong T, Obimbo E, Mbori-Ngacha D, Overbaugh J, Rowland-Jones S, John-Stewart G (Jul 2005) Longitudinal assessment of human immunodeficiency virus type 1 (HIV-1)-specific gamma interferon responses during the first year of life in HIV-1-infected infants, Journal of Virology, 79 (13), 8121-30 Abstract
  • Farquhar C, Kiarie JN, Richardson BA, Kabura MN, John FN, Nduati RW, Mbori-Ngacha DA, John-Stewart GC (Dec 2004) Antenatal couple counseling increases uptake of interventions to prevent HIV-1 transmission, Journal of Acquired Immune Deficiency Syndromes, 37 (5), 1620-6 Abstract
  • Rousseau CM, Nduati RW, Richardson BA, John-Stewart GC, Mbori-Ngacha DA, Kreiss JK, Overbaugh J (Nov 2004) Association of levels of HIV-1-infected breast milk cells and risk of mother-to-child transmission, The Journal of Infectious Diseases, 190 (10), 1880-8 Abstract
  • Farquhar C, Rowland-Jones S, Mbori-Ngacha D, Redman M, Lohman B, Slyker J, Otieno P, Obimbo E, Rostron T, Ochieng J, Oyugi J, Bosire R, John-Stewart G (Jul 2004) Human leukocyte antigen (HLA) B*18 and protection against mother-to-child HIV type 1 transmission, AIDS Research and Human Retroviruses, 20 (7), 692-7 Abstract
  • Obimbo EM, Mbori-Ngacha DA, Ochieng JO, Richardson BA, Otieno PA, Bosire R, Farquhar C, Overbaugh J, John-Stewart GC (Jun 2004) Predictors of early mortality in a cohort of human immunodeficiency virus type 1-infected african children, The Pediatric Infectious Disease Journal, 23 (6), 536-43 Abstract
  • John-Stewart G, Mbori-Ngacha D, Ekpini R, Janoff EN, Nkengasong J, Read JS, Van de Perre P, Newell ML (Feb 2004) Breast-feeding and Transmission of HIV-1, Journal of Acquired Immune Deficiency Syndromes, 35 (2), 196-202 Abstract
  • Kiarie JN, Richardson BA, Mbori-Ngacha D, Nduati RW, John-Stewart GC (Jan 2004) Infant feeding practices of women in a perinatal HIV-1 prevention study in Nairobi, Kenya, Journal of Acquired Immune Deficiency Syndromes, 35 (1), 75-81 Abstract
  • Lohman BL, Slyker J, Mbori-Ngacha D, Bosire R, Farquhar C, Obimbo E, Otieno P, Nduati R, Rowland-Jones S, John-Stewart G (Dec 2003) Prevalence and magnitude of human immunodeficiency virus (HIV) type 1-specific lymphocyte responses in breast milk from HIV-1-seropositive women, The Journal of Infectious Diseases, 188 (11), 1666-74 Abstract
  • Farquhar C, John-Stewart G (Dec 2003) The role of infant immune responses and genetic factors in preventing HIV-1 acquisition and disease progression, Clinical and Experimental Immunology, 134 (3), 367-77 Abstract
  • Mbori-Ngacha D, Richardson BA, Overbaugh J, Panteleeff DD, Nduati R, Steele M, John-Stewart G (Jul 2003) Short-term effect of zidovudine on plasma and genital human immunodeficiency virus type 1 and viral turnover in these compartments, Journal of Virology, 77 (13), 7702-5 Abstract
  • Richardson BA, Mbori-Ngacha D, Lavreys L, John-Stewart GC, Nduati R, Panteleeff DD, Emery S, Kreiss JK, Overbaugh J (Jun 2003) Comparison of human immunodeficiency virus type 1 viral loads in Kenyan women, men, and infants during primary and early infection, Journal of Virology, 77 (12), 7120-3 Abstract
  • Rousseau CM, Nduati RW, Richardson BA, Steele MS, John-Stewart GC, Mbori-Ngacha DA, Kreiss JK, Overbaugh J (Mar 2003) Longitudinal analysis of human immunodeficiency virus type 1 RNA in breast milk and of its relationship to infant infection and maternal disease, The Journal of Infectious Diseases, 187 (5), 741-7 Abstract
  • Richardson BA, John-Stewart GC, Hughes JP, Nduati R, Mbori-Ngacha D, Overbaugh J, Kreiss JK (Mar 2003) Breast-milk infectivity in human immunodeficiency virus type 1-infected mothers, The Journal of Infectious Diseases, 187 (5), 736-40 Abstract
  • Kiarie JN, Kreiss JK, Richardson BA, John-Stewart GC (Jan 2003) Compliance with antiretroviral regimens to prevent perinatal HIV-1 transmission in Kenya, AIDS (London, England), 17 (1), 65-71 Abstract
  • Farquhar C, VanCott TC, Mbori-Ngacha DA, Horani L, Bosire RK, Kreiss JK, Richardson BA, John-Stewart GC (Oct 2002) Salivary secretory leukocyte protease inhibitor is associated with reduced transmission of human immunodeficiency virus type 1 through breast milk, The Journal of Infectious Diseases, 186 (8), 1173-6 Abstract
  • Lewis P, Nduati R, Kreiss J K, John G C, Richardson B A, Mbori-Ngacha D, Ndinya-Achola J, Overbaugh J, Cell-free human immunodeficiency virus type 1 in breast milk., Journal of Infectious Diseases, 177(1), 34-9, Jan 1998 Abstract
  • John G C, Nduati R W, Mbori-Ngacha D, Overbaugh J, Welch M, Richardson B A, Ndinya-Achola J, Bwayo J, Krieger J, Onyango F, Kreiss J K, Genital shedding of human immunodeficiency virus type 1 DNA during pregnancy: association with immunosuppression, abnormal cervical or vaginal discharge, and severe vitamin A deficiency., Journal of Infectious Diseases, 175(1), 57-62, January 1997 Abstract
  • John G C, Kreiss J, Mother-to-child transmission of human immunodeficiency virus type 1., Epidemiologic Reviews, 18(2), 149-57, 1996 Abstract
  • Nduati R W, John G C, Richardson B A, Overbaugh J, Welch M, Ndinya-Achola J, Moses S, Holmes K, Onyango F, Kreiss J K, Human immunodeficiency virus type 1-infected cells in breast milk: association with immunosuppression and vitamin A deficiency., Journal of Infectious Diseases, 172(6), 1461-8, December 1995 Abstract
  • Nduati R W, John G C, Kreiss J, Postnatal transmission of HIV-1 through pooled breast milk [letter] [published erratum appears in Lancet 1994 Dec 17;344(8938):1712], Lancet, 344(8934), 1432, 19 Nov 1994 Abstract

Profile Details

Last Updated: 11/3/2008

COS Expertise ID #135095
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