The Reproductive Transition: Effects on Viral Replication, Immune Activation, and Metabolism in Women with HIV infection.

The Reproductive Transition: Effects on Viral Replication, Immune Activation, and Metabolism in Women with HIV infection.
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DOI:
10.1007/s11904-021-00594-7
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发表时间:
2022-03
影响因子:
4.6
通讯作者:
Tien PC
Tien PC
中科院分区:
医学2区
文献类型:
--
作者:
Abelman R;Tien PC

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描述绝经过渡 (MT) 及其对 HIV 感染女性 (WLWH) 的 HIV 复制、免疫激活和代谢参数的影响的研究进展。卵巢储备功能下降导致的生理变化是 MT 的特征。有证据表明,雌激素消耗会影响艾滋病毒的复制和潜伏病毒库。免疫激活、腰围和神经认知标志物的变化与实际年龄无关,发生在末次月经 (FMP) 之前。 HIV 对肠道微生物易位和脂肪组织的影响以及 WLWH 的健康差异可能有所贡献。提高预测 FMP 的生物标志物敏感性为研究 WLWH 中的 MT 提供了机会。需要进行研究来确定 MT 和 HIV 对病毒学和临床结果的影响,并使用准确的评估来预测 FMP 和绝经阶段。这些发现可以为干预措施的时机提供信息,以防止 WLWH 过早发生不良后果。
To describe research advances in the menopausal transition (MT) and its effects on HIV replication, immune activation, and metabolic parameters in women living with HIV (WLWH). Physiologic changes due to declines in ovarian reserve characterize the MT. Evidence suggests that estrogen depletion influences HIV replication and the latent reservoir. Changes in markers of immune activation, waist circumference, and neurocognition, independent of chronologic age, occur before the final menstrual period (FMP). HIV effects on gut microbial translocation and adipose tissue, as well as health disparities in WLWH may contribute. Improved biomarker sensitivity to predict FMP provides opportunities to study MT in WLWH. Research is needed to determine the effects of MT and HIV on virologic and clinical outcomes, using accurate assessments to predict the FMP and menopausal stages. These findings could inform the timing of interventions to prevent early onset of adverse outcomes in WLWH.
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