Endocrine abnormalities induced by the antiviral drugs and frequency of their occurrence

Kamil Dyrka1, MiŁosz Miedziaszczyk2, Edyta Szałek3

  • 1Medical University of Poznan, Poland: Student's Scientific Group of Department of Endocrinology, Metabolism and Internal Diseases.

Insights

Antiviral drugs can cause adverse effects, including hormonal dysfunctions like diabetes and thyroid issues. Monitoring patients is key to diagnosing and personalizing treatment for these endocrine abnormalities.

Area of Science:

  • Endocrinology
  • Pharmacology
  • Infectious Diseases

Background:

  • Viral infections cause diverse disorders with varying prognoses.
  • New antiviral drugs show promise but can lead to adverse effects (AEs).
  • Hormonal dysfunctions are significant AEs associated with antiviral therapies.

Purpose of the Study:

  • To review endocrine abnormalities induced by antiviral drugs.
  • To discuss the frequency and types of these hormonal dysfunctions.
  • To highlight the importance of monitoring for personalized treatment.

Main Methods:

  • Literature review of articles from the Medline database.
  • Focus on recent publications concerning antiviral therapy and endocrine disorders.
  • Analysis of reported hormonal and metabolic dysfunctions.

Main Results:

  • Antiviral drug treatment is linked to various endocrine AEs.
  • Specific dysfunctions include osteoporosis, thyroid disorders, metabolic syndrome, lipodystrophy, and hyperglycemia.
  • The frequency and nature of these complications vary.

Conclusions:

  • Awareness of antiviral-induced endocrine complications is crucial for timely diagnosis.
  • Personalized antiviral therapy requires monitoring patient's general condition and diagnostic parameters.
  • Early detection and management of endocrinopathies improve patient outcomes.

Related Concept Videos

Pharmacokinetics: Drug–Food and Drug–Viral Interactions01:26

Pharmacokinetics: Drug–Food and Drug–Viral Interactions

A drug interaction occurs when the concurrent use of another drug, food, or an external substance alters the pharmacological activity of a drug. This interaction can modify the action of the original drug, affecting its effectiveness and safety.Drug–food interactions are significant as they impact drug absorption, metabolism, and excretion. For example, grapefruit juice is a well-known disruptor of drug metabolism. It inhibits the cytochrome P450 3A4 enzyme, crucial for the metabolism of...
144
Retrovirus Life Cycles01:10

Retrovirus Life Cycles

Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
48.9K
Immunodeficiency Diseases01:25

Immunodeficiency Diseases

Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
1.8K
Mechanisms of Retrovirus-induced Cancers01:51

Mechanisms of Retrovirus-induced Cancers

Retroviruses are RNA viruses that have been shown to cause cancers in diverse species, including chickens, mice, cats, and monkeys. The RNA genomes of these viruses are first reverse-transcribed into single and then double-stranded DNA (dsDNA) copies. This dsDNA called proviral DNA then integrates into the host genome. Subsequently, the host cell transcribes the proviral DNA in concert with the chromosomal DNA. This leads to the production of viral RNA and proteins that assemble at the host...
6.7K
Viral Mutations00:36

Viral Mutations

A mutation is a change in the sequence of bases of DNA or RNA in a genome. Some mutations occur during replication of the genome due to errors made by the polymerase enzymes that replicate DNA or RNA. Unlike DNA polymerase, RNA polymerase is prone to errors because it is not capable of “proofreading” its work. Viruses with RNA-based genomes, like HIV, therefore accrue mutations faster than viruses with DNA-based genomes. Because mutation and recombination provide the raw material...
39.4K
Immune Response Against Viral Pathogens01:29

Immune Response Against Viral Pathogens

The immune system's response to viral infections is a complex and coordinated process involving natural killer (NK) cells, T cell-mediated responses, and antibody-mediated responses.
NK Cells
NK cells are a crucial part of our innate immune system, acting as the first line of defense against viral infections. These cells can recognize and kill infected cells without prior exposure to the virus, effectively slowing down the spread of infection. Additionally, NK cells produce proinflammatory...
1.5K