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Preferentially Expressed Antigen in Melanoma Is a Multifaceted Cancer Testis Antigen with Diverse Roles as a Biomarker and Therapeutic Target 黑色素瘤中的优先表达抗原是一个多方面的癌睾丸抗原,作为生物标志物和治疗靶点具有多种作用
Pub Date : 2023-08-29 DOI: 10.3390/ijtm3030024
Mukulika Bose
Preferentially expressed antigen in melanoma (PRAME) is a cancer testis antigen (CTA) that is selectively expressed in certain somatic tissues, predominantly in the testis, and is overexpressed in various cancers. PRAME family proteins are leucine-rich repeat proteins that are localized in the nucleus and cytoplasm, with multifaceted roles in immunity, during gametogenesis and in the overall reproduction process. It is a widely studied CTA and has been associated with the prognosis and therapeutic outcomes in patients with epithelial and non-epithelial tumors. PRAME has also been studied extensively as a therapeutic target. Moreover, it has been found to play a role in most of the well-known cancer hallmarks. Interestingly, the role of PRAME in tumorigenesis is paradoxical. Over the last decade, PRAME has garnered substantial interest as a target for immunotherapy. There are multiple clinical trials and pre-clinical studies targeting PRAME alone or in combination with other tumor antigens. This review article is an attempt to update our knowledge and understanding of the context-dependent oncogenic functions of PRAME in various carcinomas, and the current immunotherapeutic strategies, challenges, and perspectives on developing newer strategies to target PRAME for a better outcome.
黑色素瘤优先表达抗原(PRAME)是一种睾丸癌抗原(CTA),在某些躯体组织中选择性表达,主要在睾丸中,在各种癌症中过表达。PRAME家族蛋白是一种富含亮氨酸的重复蛋白,定位于细胞核和细胞质中,在免疫、配子发生和整个生殖过程中具有多方面的作用。它是一种广泛研究的CTA,与上皮性和非上皮性肿瘤患者的预后和治疗结果有关。PRAME作为一种治疗靶点也被广泛研究。此外,人们还发现它在大多数众所周知的癌症特征中起着重要作用。有趣的是,PRAME在肿瘤发生中的作用是矛盾的。在过去的十年中,PRAME作为免疫治疗的靶点获得了极大的兴趣。目前有多个针对PRAME单独或与其他肿瘤抗原联合的临床试验和临床前研究。这篇综述文章旨在更新我们对各种癌症中PRAME的环境依赖性致癌功能的认识和理解,以及目前针对PRAME的免疫治疗策略、挑战和开发新策略以获得更好结果的观点。
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引用次数: 0
Development of Highly Sensitive Anti-Mouse HER2 Monoclonal Antibodies for Flow Cytometry 流式细胞术高敏感抗小鼠HER2单克隆抗体的研制
Pub Date : 2023-08-10 DOI: 10.3390/ijtm3030022
Tsunenori Ouchida, Hiroyuki Suzuki, Tomohiro Tanaka, M. Kaneko, Y. Kato
Overexpression of human epidermal growth factor receptor 2 (HER2) in breast cancer is an important target of monoclonal antibody (mAb) therapy such as trastuzumab. Due to the development of trastuzumab–deruxtecan, an antibody-drug conjugate, the targetable HER2-positive breast cancer patients have been expanded. To evaluate the developing modalities using anti-HER2 mAbs, reliable preclinical mouse models are required. Therefore, sensitive mAbs against mouse HER2 (mHER2) should be established. This study developed anti-mHER2 mAbs using the Cell-Based Immunization and Screening (CBIS) method. The established anti-mHER2 mAbs, H2Mab-300 (rat IgG2b, kappa) and H2Mab-304 (rat IgG1, kappa), reacted with mHER2-overexpressed Chinese hamster ovary-K1 (CHO/mHER2) and endogenously mHER2-expressed cell line, NMuMG (a mouse mammary gland epithelial cell) via flow cytometry. Furthermore, these mAbs never recognized mHER2-knockout NMuMG cells. The kinetic analysis using flow cytometry indicated that the dissociation constant (KD) values of H2Mab-300 and H2Mab-304 for CHO/mHER2 were 1.2 × 10−9 M and 1.7 × 10−9 M, respectively. The KD values of H2Mab-300 and H2Mab-304 for NMuMG were 4.9 × 10−10 M and 9.0 × 10−10 M, respectively. These results indicated that H2Mab-300 and H2Mab-304 could apply to the detection of mHER2 using flow cytometry and may be useful to obtain the proof of concept in preclinical studies.
人表皮生长因子受体2 (HER2)在乳腺癌中的过表达是曲妥珠单抗等单克隆抗体(mAb)治疗的重要靶点。由于抗体-药物偶联物曲妥珠单抗-德鲁德康的发展,her2阳性乳腺癌患者的可靶向性已经扩大。为了评估使用抗her2单克隆抗体的发展模式,需要可靠的临床前小鼠模型。因此,应该建立针对小鼠HER2的敏感单克隆抗体(mHER2)。本研究利用基于细胞的免疫和筛选(CBIS)方法开发了抗mher2单克隆抗体。建立的抗mHER2单克隆抗体H2Mab-300(大鼠IgG2b, kappa)和H2Mab-304(大鼠IgG1, kappa)通过流式细胞术与mHER2过表达的中国仓鼠卵巢k1 (CHO/mHER2)和内源性mHER2表达细胞系NMuMG(小鼠乳腺上皮细胞)反应。此外,这些单克隆抗体无法识别mher2敲除的NMuMG细胞。流式细胞术动力学分析表明,H2Mab-300和H2Mab-304对CHO/mHER2的解离常数(KD)分别为1.2 × 10−9 M和1.7 × 10−9 M。H2Mab-300和H2Mab-304对NMuMG的KD值分别为4.9 × 10−10 M和9.0 × 10−10 M。这些结果表明H2Mab-300和H2Mab-304可以应用于流式细胞术检测mHER2,可能有助于在临床前研究中获得概念证明。
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引用次数: 0
Foods Containing Pantoea agglomerans LPS Reduce Eye-Nose Allergies—A Double-Blind, Placebo-Controlled, Randomized, Parallel-Group Comparative Pilot Study 含有pantoa凝集多糖LPS的食物减少眼鼻过敏——一项双盲、安慰剂对照、随机、平行组比较先导研究
Pub Date : 2023-07-25 DOI: 10.3390/ijtm3030021
C. Kohchi, Miyuki Uehiro, Masashi Yamashita, H. Inagawa, G. Soma
In this study, the effects of foods containing lipopolysaccharide (LPS) from Pantoea agglomerans (LPSp) on immunity were preliminarily investigated using a double-blind, placebo-controlled, randomized, parallel-group comparative study design. Thirty healthy subjects aged ≥ 20 years (four males and twenty-six females; mean age 49 ± 9.2 years) were randomly assigned to the LPS-containing food group (488 μg/day; LPS) or placebo group. Each food was consumed for 8 weeks, and a subjective survey of cold symptoms (Wisconsin Upper Respiratory Symptom Questionnaire) and allergic symptoms of the eyes and nose were conducted. Phagocytic capacity and lymphocyte counts were measured as indicators of immune function. There were no significant between-group differences with respect to any of the investigated items. On sub-group analysis of eye–nose allergy symptom score, confined only to subjects who reported eye–nose allergic symptoms in previous years, the LPS group showed a trend toward milder symptoms compared to the placebo group. In addition, when the symptom scores were compared only for subjects who developed eye–nose allergies during the study period, the LPS group showed significantly lower overall scores and eye symptom scores compared to the placebo group. These results suggest that the consumption of LPS-containing foods may alleviate or prevent eye–nose allergies. There were no statistically predominant changes in hematology and blood biochemistry tests, indicating that continued consumption of LPS-containing foods is safe. (UMIN000046154).
本研究采用双盲、安慰剂对照、随机、平行组比较设计,初步探讨了含Pantoea agglomerans (LPSp)脂多糖(LPS)食品对免疫功能的影响。年龄≥20岁的健康受试者30例(男性4例,女性26例;平均年龄49±9.2岁,随机分为含脂多糖食物组(488 μg/d;LPS)或安慰剂组。每种食物进食8周后,进行感冒症状(Wisconsin上呼吸道症状问卷)和眼鼻过敏症状的主观调查。吞噬能力和淋巴细胞计数作为免疫功能的指标。就任何被调查的项目而言,组间没有显著差异。在眼鼻过敏症状评分的亚组分析中,仅局限于前几年报告过眼鼻过敏症状的受试者,与安慰剂组相比,LPS组表现出症状较轻的趋势。此外,当只比较研究期间出现眼鼻过敏的受试者的症状得分时,LPS组的总体得分和眼部症状得分明显低于安慰剂组。这些结果表明,食用含有脂多糖的食物可以减轻或预防眼鼻过敏。血液学和血液生化测试没有统计学上的显著变化,表明继续食用含有脂多糖的食品是安全的。(UMIN000046154)。
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引用次数: 0
Prostate Cancer, Treatment and Response of the Hematological System in Mexican Population 墨西哥人口中前列腺癌的治疗和血液系统反应
Pub Date : 2023-07-04 DOI: 10.3390/ijtm3030020
Shaila Cejudo-Arteaga, Marco Antonio Ramírez-Reyes, M. A. Badillo-Santoyo, E. Martínez-Cordero, Felipe Farías-Serratos, M. Maldonado-Vega
Androgen deprivation therapy (ADT) is the basis for the control of prostate cancer. High levels of prostate-specific antigen (PSA) and high Gleason grade correlate, define the aggressiveness of the cancer in order to establish its treatment and prognosis. This work evaluated the response of 910 patients diagnosed with prostate cancer, separated into three groups according to their response to treatment by ADT: (1) sensitive (TSPC); (2) palliative and did not accept treatment, and (3) group with recurrence or treatment resistance (TRPC). All patients with prostate cancer treated with ADT, and regardless of whether or not they had undergone surgery or taken to radiotherapy, presented with anemia. The hematological response due to the leukocyte/lymphocyte index (L/L) is increased at the end of treatment, possibly due to inflammatory processes generated by cancer, and baseline overweight and obesity. Patients with biochemical relapse exhibit a higher platelet count, suggesting that these cells could participate in the recurrence process and in metastasis (78%) in these patients. The coagulation index (INR) could be an indicator of the platelet response to be considered during the treatment and monitoring of patients.
雄激素剥夺治疗(ADT)是控制前列腺癌的基础。高水平的前列腺特异性抗原(PSA)与高格里森分级相关,确定了癌症的侵袭性,从而确定了其治疗和预后。本研究评估了910例诊断为前列腺癌的患者的反应,根据他们对ADT治疗的反应分为三组:(1)敏感组(TSPC);(2)姑息且未接受治疗,(3)复发或治疗抵抗组(TRPC)。所有接受ADT治疗的前列腺癌患者,无论是否接受手术或放疗,均出现贫血。在治疗结束时,由于白细胞/淋巴细胞指数(L/L)引起的血液学反应增加,可能是由于癌症产生的炎症过程,以及基线超重和肥胖。生化复发患者血小板计数较高,提示这些细胞可能参与复发过程和转移(78%)。凝血指数(INR)可作为血小板反应的指标,在患者的治疗和监测中予以考虑。
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引用次数: 0
Treatment of Refractory Checkpoint-Inhibitor-Induced Hepatitis with Tacrolimus: A Case and Review of the Literature 他克莫司治疗难治性检查点抑制剂性肝炎1例及文献复习
Pub Date : 2023-06-30 DOI: 10.3390/ijtm3030019
R. De Wilde, Michael Saerens, A. Hoorens, A. Geerts, C. Jacobs
Immune-related hepatitis (irH) is a fairly frequent complication of immune checkpoint inhibitors (ICIs). Its management is generally based on withholding ICIs and on the rapid initiation of corticosteroids, which is successful in 63 to 96% of cases. Mycofenolate mofetil (MMF) is accepted as a second-line immunosuppressant in the case of the failure of corticosteroids. In rare cases, though, irH is also resistant to MMF and may lead to liver failure. There are no standard third-line treatments and current guidelines are based on a limited number of case reports. We present a case of a metastatic melanoma patient with an immune-related hepatitis refractory to corticosteroids and MMF, that was successfully reversed with tacrolimus. Unfortunately, this was complicated with a serious infection and progressive disease, which illustrates the complexity of treatment of steroid-refractory immunotherapy-related adverse events. Furthermore, we provided a literature review regarding the management of steroid-refractory hepatitis and proposed a strategy to circumvent the current uncertainties in the management of steroid-refractory irH.
免疫相关性肝炎(irH)是免疫检查点抑制剂(ICIs)相当常见的并发症。其管理一般是基于停止注射胰岛素和迅速开始使用皮质类固醇,这在63%至96%的病例中是成功的。霉酚酸酯(MMF)被认为是在皮质类固醇失败的情况下的二线免疫抑制剂。然而,在极少数情况下,irH也对MMF具有耐药性,并可能导致肝衰竭。没有标准的三线治疗方法,目前的指导方针是基于数量有限的病例报告。我们报告一例转移性黑色素瘤患者伴免疫相关性肝炎,对皮质类固醇和MMF难治性,他克莫司成功逆转。不幸的是,这伴有严重感染和疾病进展,这说明了治疗类固醇难治性免疫治疗相关不良事件的复杂性。此外,我们提供了一篇关于类固醇难治性肝炎管理的文献综述,并提出了一种策略来规避目前类固醇难治性irH管理的不确定性。
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引用次数: 0
Insights into COVID-19 and Its Potential Implications for Kidney Dysfunction 洞察COVID-19及其对肾功能障碍的潜在影响
Pub Date : 2023-06-20 DOI: 10.3390/ijtm3020018
A. Abdel-Moneim, Eman H. Bakry, M. Zaky
Coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has had a significant impact on the world’s demographics, resulting in over 6 million deaths globally. COVID-19 has been associated with a variety of disease manifestations in various organ systems, including kidney disease, in addition to pulmonary manifestations. Infection with SARS-CoV-2 can not only cause new kidney damage but also make treatment and care more difficult, as well as increase mortality in people who already have kidney problems. COVID-19 is indeed associated with a variety of renal pathologies, such as acute tubular necrosis, proteinuria, hematuria, and thrombosis complications. Cytokine storms, hypoxemia, direct viral invasion via angiotensin-converting enzyme 2 and cathepsin L, electrolyte imbalance, and fever are among the pathophysiological mechanisms underlying these clinical symptoms. Over the last two years, many COVID-19 vaccines have been discovered. However, there have been a few case reports of AKI, AKD, proteinuria, edema, gross hematuria, and other renal side effects that necessitated hospitalization after receiving COVID-19 vaccinations. Thus, the current review aimed to evaluate COVID-19-induced kidney dysfunction in terms of clinical features, pathogenesis, long-term outcomes, and vaccine harms based on the most up-to-date findings.
由严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2)引起的2019年冠状病毒病(COVID-19)对世界人口产生了重大影响,导致全球600多万人死亡。COVID-19与各种器官系统的多种疾病表现有关,除了肺部表现外,还包括肾脏疾病。感染SARS-CoV-2不仅会导致新的肾脏损害,还会使治疗和护理变得更加困难,并增加已经患有肾脏问题的人的死亡率。COVID-19确实与多种肾脏病理相关,如急性肾小管坏死、蛋白尿、血尿和血栓并发症。细胞因子风暴、低氧血症、病毒通过血管紧张素转换酶2和组织蛋白酶L的直接入侵、电解质失衡和发烧是这些临床症状的病理生理机制。在过去两年中,已经发现了许多COVID-19疫苗。然而,在接受COVID-19疫苗接种后,有少数病例报告出现AKI、AKD、蛋白尿、水肿、血尿和其他肾脏副作用,需要住院治疗。因此,本综述旨在根据最新发现,从临床特征、发病机制、长期结局和疫苗危害等方面评估covid -19诱导的肾功能障碍。
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引用次数: 0
Using the Theory of Planned Behavior and Past Behavior to Explain the Intention to Receive a Seasonal Influenza Vaccine among Family Caregivers of People with Dementia 用计划行为理论和过去行为解释痴呆症患者家庭照顾者接种季节性流感疫苗的意愿
Pub Date : 2023-05-19 DOI: 10.3390/ijtm3020017
Francesco Bruno, Paolo Abondio, Valentina Laganà, R. Colao, S. Curcio, F. Frangipane, G. Puccio, R. D. Di Lorenzo, A. Bruni, R. Maletta
Older adults with dementia present an increased risk of mortality due to seasonal influenza. Despite concerning evidence, the influenza vaccination program has been unsuccessful, with low rates of uptake in Italian people ≥65 years. In addition, being vaccinated does not eliminate the risk of contracting a virus, especially by coming into close contact with other possibly unvaccinated people, such as family caregivers in the home environment. Therefore, the refusal of family caregivers to get vaccinated for seasonal influenza could have dire consequences for their relatives with dementia. The aims of this study were to investigate the predictive role of the Theory of Planned Behavior model (TPB) and past vaccination behavior on the intention to receive a seasonal influenza vaccine among family caregivers of people with dementia. Data were collected from seventy-one respondents during July–September 2021 using a cross-sectional web-based survey design. Results of hierarchical binary logistic regression showed that TPB (i.e., attitudes towards vaccination, subjective norms, and perceived behavioral control) explained 51.6% of the variance in intention to receive a seasonal influenza vaccine; past vaccination behavior increased this to 58.8%. In conclusion, past vaccination behavior and the theory of planned behavior variables effectively predict influenza vaccine willingness of family caregivers of people with dementia and should be targeted in vaccination campaigns.
患有痴呆症的老年人因季节性流感而死亡的风险增加。尽管证据令人担忧,但流感疫苗接种计划并不成功,意大利65岁以上人群的接种率很低。此外,接种疫苗并不能消除感染病毒的风险,特别是通过与其他可能未接种疫苗的人密切接触,例如在家庭环境中与家庭护理人员接触。因此,家庭照顾者拒绝接种季节性流感疫苗可能会给患有痴呆症的亲属带来可怕的后果。本研究的目的是探讨计划行为理论模型(TPB)和过去的疫苗接种行为对痴呆症患者家庭照顾者接种季节性流感疫苗意愿的预测作用。在2021年7月至9月期间,使用基于网络的横断面调查设计从71名受访者中收集了数据。分层二元logistic回归结果显示,TPB(即对疫苗接种的态度、主观规范和感知行为控制)解释了51.6%的接种季节性流感疫苗意向方差;过去的疫苗接种行为将这一比例提高到58.8%。综上所述,过去的疫苗接种行为和计划行为变量理论可以有效预测痴呆症患者家庭照顾者的流感疫苗接种意愿,应在疫苗接种活动中有针对性。
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引用次数: 0
A Concise Review of Prodigious Salinomycin and Its Derivatives Effective in Treatment of Breast Cancer: (2012–2022) 巨量盐霉素及其衍生物治疗乳腺癌的简评:(2012-2022)
Pub Date : 2023-05-05 DOI: 10.3390/ijtm3020016
Viren Soni, Dr Akhil Nagar, Ruchita Bardiya, Jacob Mara, Lukas Von Suskil, Sabrina Rose, Chetan Sonawane
Cancer stem cells (CSCs) are the cells in a primary tumor that have the opportunity to self-renew as well as differentiate into certain cell types, thus forming a mixed tumor. CSCs have been shown to be involved in every aspect of cancer development, including tumor initiation, proliferation, and metastatic activity; they are also involved in chemotherapeutic drug resistance and the recurrence of certain cancers. Based on these capabilities, CSCs have been explored as the next target for the treatment and management of cancer. Salinomycin (SAL), a polyether ionophore antibiotic being used in the poultry industry, was identified as a powerful anti-cancer compound that possesses broad-spectrum activities, especially against CSCs. Here we point out the noteworthy work reported on SAL’s mechanism of action, anticancer activities, toxicity, and clinic applications. In addition, SAL derivatives synthesized by different research groups and their biological activity will also be highlighted.
肿瘤干细胞(Cancer stem cells, CSCs)是原发肿瘤中有机会自我更新并分化成某些细胞类型,从而形成混合肿瘤的细胞。CSCs已被证明参与癌症发展的各个方面,包括肿瘤起始、增殖和转移活性;它们还与化疗耐药和某些癌症的复发有关。基于这些能力,CSCs已被探索作为癌症治疗和管理的下一个目标。盐碱霉素(Salinomycin, SAL)是一种用于家禽业的聚醚离子载体抗生素,被认为是一种具有广谱活性的强效抗癌化合物,特别是针对csc。现就SAL的作用机制、抗癌活性、毒性及临床应用等方面的研究进展作一综述。此外,还将重点介绍不同研究组合成的SAL衍生物及其生物活性。
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引用次数: 0
Analogies between COVID-19 and Preeclampsia: Focus on Therapies COVID-19和子痫前期的相似性:关注治疗
Pub Date : 2023-04-06 DOI: 10.3390/ijtm3020015
V. Giardini, C. Gambacorti-Passerini, M. Casati, Andrea Carrer, P. Vergani
Preeclampsia is an obstetric pathology with striking similarities to COVID-19. The renin-angiotensin system plays a key role in the pathogenesis of both diseases. This report reviews the pharmacological strategies that have been suggested for the prevention and treatment of preeclampsia and that are potentially useful also in the treatment of COVID-19. Of note, both pathologies have in common an Angiotensin II-mediated endothelial dysfunction secondary to an angiogenic imbalance, with effects on vasculature, coagulation, and inflammation. These considerations are drawn from cases of the initial SARS-CoV-2 primary infection and may not apply to more recent SARS-CoV-2 variants or infections after COVID vaccination. The treatment options discussed included albumin infusion, aspirin, corticosteroids, the monoclonal antibody eculizumab, hydroxychloroquine, low molecular weight heparin, magnesium, melatonin, metformin, nitric oxide, proton pump inhibitors, statins, therapeutic apheresis, and vitamin D.
子痫前期是一种产科病理,与COVID-19有着惊人的相似之处。肾素-血管紧张素系统在这两种疾病的发病机制中起关键作用。本报告回顾了预防和治疗先兆子痫的药理学策略,这些策略也可能对治疗COVID-19有用。值得注意的是,这两种病理都有共同的血管紧张素ii介导的继发于血管生成失衡的内皮功能障碍,对血管系统、凝血和炎症有影响。这些考虑来自最初的SARS-CoV-2原发感染病例,可能不适用于最近的SARS-CoV-2变体或COVID疫苗接种后的感染。讨论的治疗方案包括白蛋白输注、阿司匹林、皮质类固醇、单克隆抗体eculizumab、羟氯喹、低分子肝素、镁、褪黑素、二甲双胍、一氧化氮、质子泵抑制剂、他汀类药物、治疗性采血和维生素D。
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引用次数: 0
Malaria and HIV Co-Infection among Pregnant Women in Africa: Prevalence, Effect on Immunity and Clinical Management: Review 非洲孕妇中疟疾和艾滋病毒合并感染:患病率、对免疫的影响和临床管理综述
Pub Date : 2023-04-06 DOI: 10.3390/ijtm3020014
B. Obase, J. Bigoga, D. Nsagha
Malaria and HIV are geographically in the tropics and subtropics of the world, including sub-Saharan Africa. Understanding the overlapping effect of both infections, especially among pregnant women, is crucial in managing pregnant women during antenatal care visits, and postpartum babies. It was realized that the prevalence of malaria among HIV-positive pregnant women ranges between 31–61%, while for non-HIV infected pregnant women the prevalence still stands between 10 and 36%. Co-infection is between 0.52 and 56.3%. Even though the rate of mother-to-child transmission of HIV has dropped, MTCT of malaria still remains a problem. MTCT is associated with low birth-weight, anemia, and even immune dysregulation. The adoption of the Option B+ plan has proven to be effective in the fight against the MTCT of HIV. However, malaria in pregnancy still remains a problem. Concurrent administration of both antimalarial drugs and Cotrimozaxole to pregnant women is not recommended, because of the toxic effect of the interaction of both drugs. Nevertheless, studies looking at the effect of the current ART regimens on mothers and their children need to be carried out. Studies looking at exposed children over a longer period of time, to determine their susceptibility to malaria infection and also to monitor their immune response to malaria over time, are needed.
疟疾和艾滋病毒在地理上位于世界的热带和亚热带,包括撒哈拉以南非洲。了解这两种感染的重叠效应,特别是在孕妇中,对于在产前保健期间管理孕妇和产后婴儿至关重要。人们认识到,艾滋病毒阳性孕妇的疟疾流行率在31-61%之间,而未感染艾滋病毒的孕妇的疟疾流行率仍在10% - 36%之间。合并感染在0.52 ~ 56.3%之间。尽管艾滋病毒的母婴传播率已经下降,但疟疾的母婴传播仍然是一个问题。MTCT与低出生体重,贫血,甚至免疫失调有关。事实证明,采用B+方案在防治艾滋病毒母婴传播方面是有效的。然而,妊娠期疟疾仍然是一个问题。由于两种药物相互作用的毒性作用,不建议孕妇同时使用抗疟药物和复方莫扎唑。然而,需要开展研究,观察当前抗逆转录病毒治疗方案对母亲及其子女的影响。需要对长期接触疟疾的儿童进行研究,以确定他们对疟疾感染的易感性,并长期监测他们对疟疾的免疫反应。
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引用次数: 1
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Journal of International Translational Medicine
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