相关实验视频
Updated: Jul 11, 2026

05:46
Rapid Screening of HIV Reverse Transcriptase and Integrase Inhibitors
Published on: April 9, 2014
在HIV感染中对co-trimoxazole的不良反应
A J van der Ven1, P P Koopmans, T B Vree
1Department of Internal Medicine, University Hospital St Radboud Nijmegen, The Netherlands.
Lancet (London, England)
|August 17, 1991
概括
对co-trimoxazole的不良反应在HIV阳性患者中更常见,这是由于他们的谷氨缺乏. 这种缺乏会损害身体中和反应性代谢物的能力,增加毒性.
科学领域:
- 药理学 药理学是指药理学的学科.
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
背景情况:
- 在患有人类免疫缺陷病毒 (HIV) 的患者中,co-trimoxazole经常与副作用有关.
- 这种增加的敏感性背后的确切机制尚不清楚.
- 目前关于co-trimoxazole母化合物的血度的现有数据是不确定的.
研究的目的:
- 调查HIV阳性个体中co-trimoxazole相关不良反应增加的根本原因.
- 确定导致这些不良事件的特定代谢物.
主要方法:
- 审查关于co-trimoxazole代谢和不良反应的现有文献.
- 对母药的血度数据的分析.
- 在艾滋病毒患者中评估谷氨缺乏症的作用.
主要成果:
- 有证据表明,硫甲醇的氧胺衍生物是引起不良反应的活性代谢产物.
- 艾滋病毒阳性个体表现出全身性谷氨缺乏.
- 这种缺陷降低了中和有毒代谢物的能力,导致暴露增加.
结论:
- 艾滋病毒患者的全身谷氨缺乏症会影响反应性硫甲醇代谢物的排毒.
- 这种受损的解毒途径解释了这种人群中对co-trimoxazole的不良反应的频率增加.
- 向谷氨水平或增强排毒途径可能会减轻艾滋病毒患者的co-trimoxazole毒性.
相关概念视频
Combined Effects of Drugs: Synergism
Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
Such synergistic combinations...
Pulmonary Tuberculosis I
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
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 many...
Drug Toxicity: Allergic Reactions
Drug-related allergies are immune-mediated responses triggered by the administration of pharmacological agents. These hypersensitivity reactions are classified based on the immune mechanisms involved. The four primary types—Type I, II, III, and IV—are mediated by different immunological pathways and exhibit distinct clinical manifestations.Type I Hypersensitivity/ IgE-Mediated Reactions: Immunoglobulin E (IgE) immediately mediates Type I hypersensitivity reactions. Upon initial exposure to a...
Drug toxicity: Drug–Drug Interaction
Drug–drug interactions can precipitate toxicity through multiple mechanisms. Absorption interactions alter how drugs enter the body, exemplified when ranitidine increases the absorption of basic drugs, while cholestyramine decreases the levels of propranolol. Protein binding interactions occur when drugs share the same binding sites on plasma proteins. Drugs like aspirin and warfarin, when bound in excess, can lead to increased free drug concentrations, enhancing the potential for...
Cryptococcal Meningitis
Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...

