在艾滋病毒感染者中,脂肪组织功能障碍和能量平衡范式
Claudia E Ramirez Bustamante1, Neeti Agarwal1, Aaron R Cox1
1Division of Diabetes, Endocrinology, and Metabolism, Department of Medicine, Baylor College of Medicine, Houston, TX 77030, USA.
Endocrine reviews
|August 9, 2023
概括
艾滋病毒感染者 (PLWH) 面临脂肪组织功能改变,导致胰岛素抵抗和心血管疾病风险等代谢问题. 了解这些变化是开发HIV相关代谢并发症有效治疗的关键.
科学领域:
- 内分泌学和新陈代谢学
- 传染病研究 传染病研究
- 心血管科学 心血管科学
背景情况:
- 对艾滋病毒感染者 (PLWH) 的临床护理已经从机会性感染转向管理慢性并发症.
- 脂肪组织现在被认为是其在能量平衡中的内分泌作用.
- 艾滋病毒和抗逆转录病毒疗法 (ART) 影响脂肪组织质量,组成和功能.
结论:
- 由于胰岛素抵抗,过多内脏脂肪的PLWH增加了心血管疾病的风险.
- 传统疗法不足以控制PLWH中的心脏代谢风险.
- 对器官间通信和能量平衡的进一步研究可能会揭示HIV相关代谢障碍的新治疗点.
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