艾滋病毒,艾滋病毒特异性因素和女性心肌病
Yoko Kato1, Bharath Ambale-Venkatesh2, Mahim Naveed3,4
1Division of Cardiology, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
概括
接受抗逆转录病毒治疗的艾滋病毒感染妇女表现出心脏炎症和纤维化增加,特别是在未抑制的病毒载量或低CD4计数的情况下. 这凸显了需要更好的坚持策略来预防心脏损伤的需要.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗成像医学成像
背景情况:
- 人类免疫缺陷病毒 (HIV) 感染者患心血管疾病 (CVD) 的风险更高.
- 心脏磁共振 (CMR) 在艾滋病毒 (PWH) 感染者中显示心肌纤维化,炎症和肥胖症的增加.
- 以前的研究经常使用健康的志愿者,并专注于男性,限制了女性的理解.
研究的目的:
- 研究艾滋病毒和特定因素与女性中CMR衍生的心脏表型之间的关联.
- 评估艾滋病毒感染妇女的心肌纤维炎症,纤维化和肥胖症 (WWH).
主要方法:
- 利用了来自妇女机构间艾滋病毒研究的数据.
- 通过CMR评估心肌原生T1 (纤维炎症),细胞外体积分数 (纤维化) 和甘油三含量 (稳定性).
- 使用多变量线性回归和元分析来评估关联.
主要成果:
- 与没有艾滋病毒的妇女相比,艾滋病毒感染的妇女表现出更高的肌肉心本土T1 (纤维炎症).
- 较高的原生T1在病毒病或低CD4+计数中更为明显.
- 较低的CD4+计数也与细胞外体积分数 (纤维化) 的增加有关;在低CD4+计数的WWH中,观察到较少的肥胖症.
结论:
- 与HIV阴性女性相比,接受抗逆转录病毒治疗 (ART) 的艾滋病毒感染女性表现出心肌纤维炎症的增加.
- 这种纤维性炎症会因未抑制的病毒病或CD4+淋巴缺血症而恶化.
- 这些发现强调了需要改善ART坚持和理解潜在感染,以减少心脏末端器官损伤的必要性.
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