Passi S, Morrone A, Picardo M, De Luca C, Bartoli F, Zurlo A, Ippolito F
Istituto Dermatologico San Gallicano, Roma.
G Ital Dermatol Venereol. 1990 Nov;125(11):487-91.
Plasma levels of vitamin E (Vit E), polyunsaturated fatty acids of phospholipids (PUFA-PL), lipoperoxides as well as erythrocytes glutathione peroxidase activity (GSH-Px), were evaluated in 200 migrants coming from developing countries, some of which at high risk for serious infective diseases. HIV-1 and syphilis infections were also investigated. 114 subjects (57%) had blood levels of Vit E, PUFA-PL and GSH-Px significantly lower (p less than 0.001, p less than 0.01) than those of normal healthy individuals (n = 30), while lipoperoxides values were unchanged. 8 from this group were found to be HIV-1 positive, and 5 TPHA positive. In contrast, the remaining 86 migrants did not show any signs of infections and their blood parameters were normal enough. These results show that factors such as widespread poverty, inadequate housing, malnutrition, insufficient access to medical care, psychological stress are strictly correlated to the reduction of blood parameters which are critical for the normal cell function of mammalian cells. PUFA-PL deficiency may cause lesions likely due to faulty cellular membranes. The lack of Vit E and GSH-Px, which are considered major protective molecules against lipoperoxidation damage in vivo, has been involved in several human diseases. We suggest that low blood levels of Vit E, GSH-Px and particularly PUFA-PL may play a pathogenetic role in the onset and development of AIDS and other infections. In this connection, we have found that a deficiency of these blood parameters occurs in patients with AIDS (n = 50) and in 32% of HIV seronegative intravenous drug abusers (n = 100).
对200名来自发展中国家的移民进行了血浆维生素E(Vit E)、磷脂多不饱和脂肪酸(PUFA-PL)、脂过氧化物以及红细胞谷胱甘肽过氧化物酶活性(GSH-Px)的评估,其中一些人面临严重感染性疾病的高风险。还对HIV-1和梅毒感染进行了调查。114名受试者(57%)的血液中Vit E、PUFA-PL和GSH-Px水平显著低于(p<0.001,p<0.01)正常健康个体(n = 30),而脂过氧化物值未发生变化。该组中有8人被发现HIV-1呈阳性,5人梅毒螺旋体血凝试验(TPHA)呈阳性。相比之下,其余86名移民未表现出任何感染迹象,其血液参数足够正常。这些结果表明,普遍贫困、住房不足、营养不良、医疗服务获取不足、心理压力等因素与对哺乳动物细胞正常功能至关重要的血液参数降低密切相关。PUFA-PL缺乏可能导致可能由于细胞膜缺陷引起的病变。Vit E和GSH-Px缺乏被认为是体内对抗脂过氧化损伤的主要保护分子,与多种人类疾病有关。我们认为,血液中Vit E、GSH-Px尤其是PUFA-PL水平较低可能在艾滋病和其他感染的发生和发展中起致病作用。在这方面,我们发现艾滋病患者(n = 50)以及32%的HIV血清阴性静脉吸毒者(n = 100)存在这些血液参数缺乏的情况。