与艾滋病毒相关的脏疾病的变化
Nina E Diana1, Saraladevi Naicker2
1Department of Internal Medicine, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. nina.diana@wits.ac.za.
Nature reviews. Nephrology
|January 25, 2024
概括
抗逆转录病毒疗法改善了艾滋病毒的治疗结果,但脏疾病仍然令人担忧. 移植为艾滋病毒感染者提供了显著的生存益处,与艾滋病毒阴性接受者相比.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染性疾病 传染性疾病
- 遗传学 遗传学 是一个
背景情况:
- 人类免疫缺陷病毒 (HIV) 疫情在全球造成了数百万人的死亡.
- 抗逆转录病毒疗法 (ART) 已经改变了艾滋病毒的预后,但发病率和死亡率仍然存在.
- 艾滋病毒可以直接导致脏损伤 (艾滋病毒相关脏病或HIVAN),特别是在具有APOL1风险等位基因的个体中.
研究的目的:
- 审查艾滋病毒及其治疗对病的影响.
- 评估移植作为艾滋病毒感染者的治疗选择.
主要方法:
- 关于艾滋病毒,病,ART和移植的研究的文献综述.
- 对HIV阳性脏移植受体与透析和HIV阴性移植受体的结果分析.
主要成果:
- ART已经减少了HIVAN的流行,但其他脏病理和与年龄相关的并发症正在增加.
- 早期开始ART可能会增加毒性风险.
- 与透析相比,移植显著提高了艾滋病毒感染者的生存率.
结论:
- 移植为艾滋病毒感染者提供了优秀的长期结果,其存活率与艾滋病毒阴性接受者相似.
- 尽管有进展,但对艾滋病毒感染者的脏疾病进行仔细监测至关重要.
- 对于符合条件的艾滋病毒感染者来说,应该考虑进行移植.
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