低于最佳的ART坚持,无法检测到尿液中的诺福维尔,以及更高的C-反应蛋白值
Delaram Ghanooni1, Megan J Heise2, Kevin Sassaman2
1Florida International University, Robert Stempel College of Public Health and Social Work, Miami, FL.
AIDS (London, England)
|September 26, 2025
概括
艾滋病毒感染者对抗逆转录病毒疗法 (ART) 的非最佳坚持与更高的炎症有关,增加了心血管疾病等慢性健康问题的风险. 监测ART的坚持对于控制炎症和改善长期健康结果至关重要.
科学领域:
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 抗逆转录病毒疗法 (ART) 是HIV管理的标准.
- 在一些接受ART治疗的人群中,残留免疫激活和慢性炎症仍然存在.
- 这种炎症增加了早期伴随性疾病的风险,包括心血管疾病.
研究的目的:
- 调查ART坚持和炎症标志物之间的关联.
- 确定导致艾滋病毒感染者在ART治疗中的慢性炎症的因素.
主要方法:
- 研究包括492名与男性发生性关系的男性.
- 使用无法检测到的尿液诺福维尔水平来评估ART的坚持.
- 测量C-反应蛋白 (CRP) 水平作为炎症标志物.
- 对病毒抑制和兴奋剂使用进行调整的分析.
主要成果:
- 低于最佳的ART坚持与高C反应蛋白直接相关.
- 在对病毒抑制和兴奋剂使用进行调整后,这种关联仍然显著.
- 研究结果表明,粘附和全身炎症之间存在联系.
结论:
- 在减轻残留免疫激活和炎症方面,ART的坚持至关重要.
- 对艾滋病毒感染者的炎症相关慢性健康结果进行监测是必不可少的.
- 促进遵守的干预措施可能有助于预防并发症.
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