Cerebral Vascular Toxicity of Antiretroviral Therapy.

Cerebral Vascular Toxicity of Antiretroviral Therapy.
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抗逆转录病毒治疗的脑血管毒性。

DOI:
10.1007/s11481-019-09858-x
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发表时间:
2021-03
期刊:
Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology
影响因子:
--
通讯作者:
Toborek M
Toborek M
中科院分区:
其他
文献类型:
--
作者:
Bertrand L;Velichkovska M;Toborek M

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HIV 感染与合并症相关,这些合并症可能不仅由 HIV 本身引起,而且还与长期使用抗逆转录病毒治疗 (ART) 的毒性有关。事实上,越来越多的证据表明,用于艾滋病毒治疗的抗逆转录病毒药物具有毒性作用,导致各种细胞和组织病变。血脑屏障(BBB)是一个经过调节的解剖生理学界面,它分离和控制血液和脑实质之间的物质交换;因此,它特别容易受到ART引起的毒性的影响。为了最大限度地发挥治疗的积极作用,必须考虑平衡 ART 的健康风险和收益。当前的综述讨论了 ART 的脑血管毒性,重点是线粒体功能障碍。 HIV、抗逆转录病毒治疗 (ART) 和血脑屏障 (BBB) 之间相互作用的图形表示。
HIV infection is associated with comorbidities that are likely to be driven not only by HIV itself, but also by the toxicity of long-term use of antiretroviral therapy (ART). Indeed, increasing evidence demonstrates that the antiretroviral drugs used for HIV treatment have toxic effects resulting in various cellular and tissue pathologies. The blood-brain barrier (BBB) is a modulated anatomophysiological interface which separates and controls substance exchange between the blood and the brain parenchyma; therefore, it is particularly exposed to ART-induced toxicity. Balancing the health risks and gains of ART has to be considered in order to maximize the positive effects of therapy. The current review discusses the cerebrovascular toxicity of ART, with the focus on mitochondrial dysfunction. Graphical representation of the interactions between HIV, antiretroviral therapy (ART), and the blood-brain barrier (BBB).
DOI: 10.1097/qad.0000000000000033
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影响因子: --
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