在艾滋病毒感染的病毒抑制女性中,托芬-金林路径激活和认知
Eran Frank Shorer1, Raha M Dastgheyb1, Audrey L French2
1Department of Neurology, Johns Hopkins Hospital, Baltimore, MD.
Journal of acquired immune deficiency syndromes (1999)
|July 10, 2024
概括
印列氨胺2,3-二氧化酶 (IDO) 激活,以金氨酸与氨酸 (K:T) 的比率表示,与艾滋病毒感染妇女的精细运动功能受损有关,即使在病毒抑制的情况下也是如此. 这种关联无论系统性炎症如何,都会持续存在.
科学领域:
- 神经免疫学 神经免疫学
- 艾滋病毒 医学 艾滋病毒 医学
- 代谢途径 代谢途径
背景情况:
- 持续的免疫和认知功能障碍发生在艾滋病病毒抑制妇女 (VS-WWH).
- 炎症和HIV蛋白质可以激活胺二氧化酶 (IDO),改变托代谢,并可能导致神经毒性.
研究的目的:
- 研究VS-WWH中IDO激活 (通过K:T比率测量) 和认知功能之间的关系.
- 为了比较VS-WWH和人口统计学上相似的没有艾滋病毒的妇女 (WWoH) 之间的IDO激活和认知功能.
主要方法:
- 对99个VS-WWH和102个WWoH进行了神经心理测试.
- 测量了托-金林代谢物和炎症标志物的血水平.
- 使用金氨酸与托芬 (K:T) 的比率来评估IDO激活.
主要成果:
- 与WWoH相比,VS-WWH表现出较高的K:T比率和升高的sCD14水平.
- 在VS-WWH中,较高的sCD163水平与较高的K:T比和较差的精细运动功能相关.
- 在调整炎症标志物后,在VS-WWH中,IDO激活仍然与精细运动功能受损有显著的关联.
结论:
- IDO激活与VS-WWH中精细运动控制的恶化有关,独立于测量的全身炎症.
- 需要进一步的研究来阐明生物机制,将IDO激活与这种人群中的精细运动功能缺陷联系起来.
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