在艾滋病毒感染者中分解骨病:病理生理学,诊断和治疗
Valeria Hasenmajer1, Nicolò Francesco D'Addario2, Ilaria Bonaventura2
1Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy. valeria.hasenmajer@uniroma1.it.
Advances in experimental medicine and biology
|December 12, 2024
概括
接受抗逆转录病毒疗法 (ART) 的艾滋病毒感染者 (PLWH) 面临由于病毒影响,免疫激活和ART导致骨质疏松症和骨折的风险增加. 本综述详细介绍了PLWH骨健康的机制,诊断和管理策略.
科学领域:
- 骨的新陈代谢 骨的新陈代谢
- 艾滋病病毒的发病因子
- 药理学 药理学是指药理学的学科.
背景情况:
- 有效的抗逆转录病毒疗法 (ART) 将艾滋病毒感染转变为慢性疾病.
- 长期的艾滋病毒感染和ART与严重的骨健康并发症有关.
- 在艾滋病毒感染者 (PLWH) 中观察到骨质疏松症和骨折的发病率增加.
研究的目的:
- 阐明PLWH骨健康恶化的多因素机制.
- 审查有关骨矿物质密度 (BMD) 减少和骨折风险的现有证据.
- 评估PLWH骨健康的诊断和管理策略.
主要方法:
- 关于PLWH骨健康研究的综合文献综述.
- 分析机制,包括直接的病毒效应,免疫激活和ART诱导的变化.
- 对诊断工具和治疗干预措施的评估.
主要成果:
- PLWH表现出 BMD 降低和骨折风险增加.
- 多因素的贡献者包括病毒载量,免疫状态和特定的ART疗法.
- 证据支持各种干预措施,包括维生素D优化和双酸盐.
结论:
- 骨健康恶化是PLWH在ART上的关键问题.
- 了解多因素机制是有效管理的关键.
- 需要综合策略来缓解骨损失和骨折风险在这个人群.
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