Montero A, Giovannoni A G, Sen L
Hospital Centenario, Facultad de Ciencias Médicas, Universidad Nacional de Rosario, Argentina.
Medicina (B Aires). 2000;60(4):427-30.
Although many authors have reported the finding of hyperprolactinemia during the course of HIV infection, the circumstances determining the rise of prolactin (PRL) concentrations in serum are poorly understood. To analyze the relationships between serum PRL and other clinical variables in HIV-infected patients, 46 HIV-infected patients and 17 seronegative controls were studied. Serum PRL concentrations were significantly higher in the HIV-infected group (p = 0.022). Furthermore, Serum PRL and serum IgG correlated positively (Rs = 0.42; p = 0.05, Spearman-Rank). On the contrary, serum PRL concentrations did not correlate with the plasmic viral burden (Rs 0.039; p = 0.841), Our data confirm that hyperprolactinemia is a frequent finding during the course of HIV infection, and that serum PRL are independent of viral replication kinetics. Considering that a positive correlation was found between serum PRL and immunoglobulins, it is possible that serum PRL might increase in response to non specific immunological activation, or even in response to immunological activation at the onset of infections.
尽管许多作者报告了在HIV感染过程中发现高催乳素血症,但血清中催乳素(PRL)浓度升高的决定因素仍知之甚少。为了分析HIV感染患者血清PRL与其他临床变量之间的关系,对46例HIV感染患者和17例血清阴性对照者进行了研究。HIV感染组的血清PRL浓度显著更高(p = 0.022)。此外,血清PRL与血清IgG呈正相关(Rs = 0.42;p = 0.05,Spearman秩相关)。相反,血清PRL浓度与血浆病毒载量不相关(Rs = 0.039;p = 0.841)。我们的数据证实,高催乳素血症是HIV感染过程中的常见表现,且血清PRL与病毒复制动力学无关。鉴于血清PRL与免疫球蛋白之间存在正相关,血清PRL可能因非特异性免疫激活而升高,甚至可能因感染初期的免疫激活而升高。