HAART治疗对HIV/AIDS患者氧化应激水平的影响

Florence Oremeyi Elujoba, Samuel Oche Odeh, K. Amadi, Micheal Kehinde Elujoba, H. Tijjani, Oto-obong Idah, Nwibo Nkechi Lilian
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摘要

背景:人类免疫缺陷病毒(HIV)感染与活性氧(ROS)的产生和不同程度的继发性细胞损伤有关。目前,高效抗逆转录病毒疗法(HAART)是hiv感染患者的最佳治疗方案。目的:本研究旨在评估接受HAART治疗的艾滋病毒/艾滋病患者的氧化应激水平。方法:按照纳入标准,在乔斯大学教学医院APIN中心共招募120例患者。对招募患者的血液样本进行超氧化物歧化酶(SOD)、还原型谷胱甘肽(GSH)和丙二醛(MDA)的检测。结果:对照组患者超氧化物歧化酶(SOD)活性升高,对照组患者还原性谷胱甘肽(GSH)浓度与HAART和HAART Naïve患者比较差异无统计学意义(p0.05)。更重要的是,与HAART治疗组和对照组相比,HAART Naïve组丙二醛(MDA)显著升高(p>0.05)。HAART、HAART Naïve组丙氨酸转氨酶、肌酐与对照组比较,差异均无统计学意义(p>0.05)。结论:研究提示HIV/AIDS阳性患者血清SOD、GSH水平降低,MDA水平升高。这可能进一步导致氧化应激并发症,因此HAART-naïve鼓励患者使用HAART来防止氧化应激可能引起的进一步并发症。
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Assessment of Oxidative Stress Level in HIV/AIDS Patients on HAART Treatments
Background: Human Immunodeficiency Virus (HIV) infection is associated with the production of reactive oxygen species (ROS) and secondarily cellular damage of varied severity. Highly active antiretroviral therapy (HAART) are currently the therapy of optimal considerations for HIV-infected patients. Aims: The present study was designed to assess the oxidative stress levels in people living with HIV/AIDS on HAART. Methods: A total of one hundred and twenty (120) patients attending the Jos University Teaching Hospital APIN Centre were recruited for the study following the inclusion criteria. Superoxide dismutase (SOD), reduced glutathione (GSH) and malondialdehyde (MDA) were evaluated in blood samples of recruited patients. Results: Superoxide dismutase (SOD) activities increased in control patients with no significant difference (p<0.05) compared with HAART. However, significant increases (p>0.05) were observed in reduced glutathione (GSH) concentration of control patients compared with HAART and HAART Naïve patients. More so, significant increase (p>0.05) was observed in malondialdehyde (MDA) of HAART Naïve patients compared with HAART treatment and control. No significant differences (p>0.05) was observed in alanine aminotransferase and creatinine in HAART, HAART Naïve compared with the control patients. Conclusion: The study indicated that HIV/AIDS positive patients express reduced levels of SOD, and GSH with an increase level of MDA. This could further lead to oxidative stress complications and thus HAART-naïve patients are encouraged to used HAART to prevent further complication that could arise from oxidative stress.
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