Mitochondrial toxicity in HIV-infected patients both off and on antiretroviral treatment: a continuum or distinct underlying mechanisms?

被引:38
作者
Maagaard, Anne [1 ,2 ,3 ]
Kvale, Dag [1 ,3 ]
机构
[1] Oslo Univ Hosp, Ulleval Dept Infect Dis, N-0407 Oslo, Norway
[2] Oslo Univ Hosp, Ulleval Dept Microbiol, N-0407 Oslo, Norway
[3] Univ Oslo, Fac Med, Oslo, Norway
关键词
HIV-1; mitochondria; DNA polymerase gamma; nucleoside reverse transcriptase inhibitors; persistent immune activation; REVERSE-TRANSCRIPTASE INHIBITORS; BLOOD MONONUCLEAR-CELLS; SUBCUTANEOUS ADIPOSE-TISSUE; DNA-POLYMERASE-GAMMA; ANTIVIRAL NUCLEOSIDE ANALOGS; LACTIC-ACIDOSIS; RISK-FACTORS; PERIPHERAL LIPOATROPHY; IMMUNE ACTIVATION; T-CELLS;
D O I
10.1093/jac/dkp316
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Mitochondrial toxicity contributes to serious adverse effects observed in HIV-infected individuals treated with nucleoside reverse transcriptase inhibitors (NRTIs). However, similar mitochondrial abnormalities have recently been found even in treatment-naive patients, suggesting that chronic HIV per se could contribute to the toxicity observed in NRTI-exposed individuals. This review gives a current status of the field, with particular focus on recent observations suggesting that distinct mechanisms might cause such toxicity in both NRTI-exposed individuals and those naive to antiretroviral treatment.
引用
收藏
页码:901 / 909
页数:9
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