Tenofovir alafenamide compared to tenofovir disoproxil fumarate, induces dysglycemia, and dyslipidemia in Wistar rats.

IF 3.4 2区 医学 Q3 IMMUNOLOGY AIDS Pub Date : 2024-08-01 DOI:10.1097/QAD.0000000000003987
Rajendraparsad Hurchund, Sinegugu E Sibiya, Bernard O Owaga, Peter M O Owira
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Abstract

Objectives: To determine the metabolic effects of tenofovir alafenamide (TAF) compared to tenofovir disoproxil fumarate (TDF) in vivo.

Design and methods: Male Wistar rats (Rattus novergicus, 250-300 g body weight) were divided into 3 groups (n = 8) and orally treated daily with 1.0 ml distilled water (group 1), TAF (0.42 mg/kg) (group 2), or TDF (5.0 mg/kg) (group 3), respectively, for 56 days. Glucose tolerance tests were done before the animals were sacrificed by halothane overdose, and blood was collected by cardiac puncture for the analysis of plasma lipids, electrolytes, and insulin. The kidney and pancreatic tissues were excised and homogenized to measure oxidative stress. Compartmentation of TAF and TDF was determined in NRK-52 and Peripheral Blood Mononuclear Cells (PBMC).

Results: There were no significant differences in weight gain among controls, TAF- or TDF-treated rats. TAF-treated rats had significantly increased fasting blood glucose (FBG), fasting plasma insulin (FPI), insulin resistance, impaired glucose tolerance, and dyslipidemia compared to control or TDF-treated rats, respectively. There was increased lipid peroxidation in the pancreas of TAF-treated compared to TDF-treated or control animals, respectively. TDF- treated rats presented with symptoms of Fanconi syndrome compared to TAF-treated or control animals, respectively. Kidney homogenates from TDF-treated animals had significantly reduced antioxidant enzyme activity compared to TAF-treated animals or controls, respectively. Intracellular concentrations of TAF were significantly higher than TDF in both NRK-52E cells and PBMC, respectively.

Conclusions: TAF treatment is weight-neutral and causes dysglycemia, and dyslipidemia but not Fanconi syndrome compared to TDF.

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与富马酸替诺福韦二吡呋酯相比,替诺福韦-阿拉非那胺会诱发 Wistar 大鼠血糖异常和血脂异常。
目的确定替诺福韦-阿拉非那胺(TAF)与富马酸替诺福韦二吡呋酯(TDF)在体内的代谢作用:雄性 Wistar 大鼠(Rattus novergicus,体重 250-300 克)分为 3 组(n = 8),每天分别口服 1.0 毫升蒸馏水(第 1 组)、TAF(0.42 毫克/千克)(第 2 组)或 TDF(5.0 毫克/千克)(第 3 组),共 56 天。动物在注射过量氟烷处死前进行葡萄糖耐量试验,并通过心脏穿刺采血分析血脂、电解质和胰岛素。切除肾脏和胰腺组织并匀浆,以测量氧化应激。在 NRK-52 和外周血单核细胞(PBMC)中测定 TAF 和 TDF 的分布:结果:对照组、TAF 或 TDF 处理的大鼠在体重增加方面没有明显差异。与对照组或 TDF 处理的大鼠相比,TAF 处理的大鼠空腹血糖(FBG)、空腹血浆胰岛素(FPI)、胰岛素抵抗、糖耐量受损和血脂异常分别明显增加。与 TDF 处理或对照组动物相比,TAF 处理的大鼠胰腺中脂质过氧化反应分别增加。与TAF处理或对照组动物相比,TDF处理的大鼠分别出现了范可尼综合征的症状。与TAF处理的动物或对照组相比,TDF处理的动物肾脏匀浆的抗氧化酶活性分别显著降低。在NRK-52E细胞和PBMC中,TAF的细胞内浓度分别明显高于TDF:结论:与TDF相比,TAF治疗对体重无影响,会导致血糖异常和血脂异常,但不会引起范可尼综合征。
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来源期刊
AIDS
AIDS 医学-病毒学
CiteScore
5.90
自引率
5.30%
发文量
478
审稿时长
3 months
期刊介绍: ​​​​​​​​​​​​​​​​​Publishing the very latest ground breaking research on HIV and AIDS. Read by all the top clinicians and researchers, AIDS has the highest impact of all AIDS-related journals. With 18 issues per year, AIDS guarantees the authoritative presentation of significant advances. The Editors, themselves noted international experts who know the demands of your work, are committed to making AIDS the most distinguished and innovative journal in the field. Submitted articles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and peer-review by the editors and those invited to do so from a reviewer pool.
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