In vivo effect of two first-line ART regimens on inflammatory mediators in male HIV patients

BACKGROUND: Persistent immune activation and inflammation are lying behind HIV-infection even in the setting of ART mediated viral suppression. The purpose of this study is to define the in vivo effect of two first-line ART regimens on certain inflammatory mediators in male HIV patients.

METHODS: Male, naive, HIV-infected volunteers were assigned either to tenofovir-DF/emtricitabine/efavirenz (Group_T) or abacavir/lamivudine/efavirenz (Group_A). Platelet Activating Factor (PAF) levels and metabolic enzymes together with HIV-implicated cytokines (IL-1beta, IL-6, IL-8, IL-10, IL-12p70, TNFa) and VEGF were determined for a 12-month period. Differences within each group were determined by non-parametric Friedman and Wilcoxon test, while the differences between the groups were checked by ANOVA repeated measures.

RESULTS: Both ART regimens present pronounced effect on inflammatory mediators, resulting in decreased PAF levels and Lipoprotein-associated phospholipase A2 (Lp-PLA2) activity for tenofovir-containing regimen and same as baseline PAF levels with a peak though at the 3rd month as well as elevated Lp-PLA2 activity for abacavir-containing regimen.

CONCLUSIONS: Studies regarding the effect of first-line ART regimens on inflammation may be beneficial in preventing chronic morbidities during HIV-treatment. From this point of view, the present study suggests an anti-inflammatory effect of tenofovir-containing ART, while the temporary increase of PAF levels in abacavir-containing ART may be the link between the reported cardiovascular risk and abacavir administration.

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Lipids in health and disease - 13(2014) vom: 29. Mai, Seite 90

Sprache:

Englisch

Beteiligte Personen:

Papakonstantinou, Vasiliki D [VerfasserIn]
Chini, Maria [VerfasserIn]
Mangafas, Nikos [VerfasserIn]
Stamatakis, George M [VerfasserIn]
Tsogas, Nickolaos [VerfasserIn]
Tsoupras, Alexandros B [VerfasserIn]
Psarra, Katherina [VerfasserIn]
Fragopoulou, Elizabeth [VerfasserIn]
Antonopoulou, Smaragdi [VerfasserIn]
Gargalianos, Panagiotis [VerfasserIn]
Demopoulos, Constantinos A [VerfasserIn]
Lazanas, Marios-C [VerfasserIn]

Links:

Volltext

Themen:

130068-27-8
2T8Q726O95
99YXE507IL
Adenine
Alkynes
Anti-HIV Agents
Benzoxazines
Cyclopropanes
Efavirenz
Interleukin-10
Interleukin-6
Interleukin-8
JAC85A2161
JE6H2O27P8
Journal Article
Lamivudine
Organophosphonates
Platelet Activating Factor
Research Support, Non-U.S. Gov't
Tenofovir
Tumor Necrosis Factor-alpha

Anmerkungen:

Date Completed 26.11.2014

Date Revised 04.11.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1186/1476-511X-13-90

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM238758230