Gynoid Fat Distribution and Adipocyte Trapping May Explain Virological Failure With Intramuscular Long-Acting Cabotegravir and Rilpivirine

被引:4
作者
de Malliard, Isabelle [1 ,7 ]
Houist, Anne-Laure [1 ]
Peytavin, Gilles [2 ,3 ]
L'Yavanc, Thomas [4 ]
Bouvier, Magali [5 ]
Cappy, Pierre [5 ]
Lelievre, Jean-Daniel [1 ,6 ]
Feredj, Elsa [1 ]
Vindrios, William [1 ]
Gallien, Sebastien [1 ]
Melica, Giovanna [1 ]
机构
[1] Henri Mondor Hosp, Assistance Publ Hop Paris, Dept Clin Immunol & Infect Dis, Creteil, France
[2] Univ Paris, Infect Antimicrobials Modelling Evolut, Inserm, Paris, France
[3] Hop Bichat Claude Bernard, Assistance Publ Hop Paris, Lab Pharmacol Toxicol, Paris, France
[4] Hop Jean Jaures, Posthospitalizat & Rehabil Unit, Paris, France
[5] Henri Mondor Hosp, Dept Virol, Creteil, France
[6] Univ Paris Est Creteil, Vaccine Res Inst, Inserm Equipe 16 U955, Creteil, France
[7] Henri Mondor Hosp, Assistance Publ Hop Paris, Dept Clin Immunol & Infect Dis, 51 Ave Marechal Lattre Tassigny, F-94010 Creteil, France
关键词
adipocyte trapping; gynecoid fat distribution; HIV infection; intramuscular long-acting antiretroviral drugs; virological failure; HIV;
D O I
10.1093/ofid/ofad217
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Intramuscular long-acting antiretroviral drugs can improve adherence to lifelong antiretroviral treatment. Nevertheless, adipose tissue thickness and distribution play a critical role with injectable drugs. We describe a virological failure with cabotegravir and rilpivirine in a Black African woman with human immunodeficiency virus type 1 with gynoid fat distribution (ie, adipose tissue prevailing in the pelvis and hip area) and body mass index <30 kg/m(2).
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