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非核苷类逆转录酶抑制剂依非韦伦和奈韦拉平抑制小鼠脑区细胞色素 C 氧化酶。

Non-nucleoside reverse transcriptase inhibitors efavirenz and nevirapine inhibit cytochrome C oxidase in mouse brain regions.

机构信息

Laboratório de Fisiopatologia Experimental, Programa de Pós-Graduação em Ciências da Saúde, Universidade do Extremo Sul Catarinense, Av Universitária, 1105 Bairro Universitário, Criciúma, SC 88806-000, Brazil.

出版信息

Neurochem Res. 2011 Jun;36(6):962-6. doi: 10.1007/s11064-011-0432-3. Epub 2011 Mar 2.

DOI:10.1007/s11064-011-0432-3
PMID:21365448
Abstract

The highly active antiretroviral therapy completely changed the clinical evolution of HIV infection, reducing the morbidity and mortality among human immunodeficiency virus (HIV)-1 infected patients. Therefore, in the present study we evaluated the effect of chronic efavirenz (EFV) and nevirapine (NVP) administration on mitochondrial respiratory chain complexes activities (I, II, II-III, IV) in different brain regions of mice. Mice were orally administered via gavage with EFV 10 mg/kg, NVP 3.3 mg/kg or vehicle (controls) once a day for 36 days. We observed that the complex IV activity was inhibited by both EFV and NVP in cerebral cortex, striatum and hippocampus of mice, but not in cerebellum, as compared to control group. In contrast, chronic EFV and NVP administration did not alter complexes I, II and II-III. We speculated that brain energy metabolism dysfunction could be involved in the CNS-related adverse effects.

摘要

高效抗逆转录病毒疗法(Highly active antiretroviral therapy,HAART)完全改变了人类免疫缺陷病毒(HIV)感染的临床进程,降低了 HIV-1 感染患者的发病率和死亡率。因此,在本研究中,我们评估了慢性依非韦伦(Efavirenz,EFV)和奈韦拉平(Nevirapine,NVP)给药对不同脑区中小鼠线粒体呼吸链复合物活性(复合物 I、II、II-III、IV)的影响。通过灌胃,每天一次给予小鼠 EFV 10mg/kg、NVP 3.3mg/kg 或载体(对照组),共 36 天。结果显示,与对照组相比,EFV 和 NVP 均可抑制大脑皮质、纹状体和海马中的复合物 IV 活性,但对小脑没有影响。相反,慢性 EFV 和 NVP 给药并不改变复合物 I、II 和 II-III。我们推测,脑能量代谢功能障碍可能与中枢神经系统相关的不良反应有关。

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本文引用的文献

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Highly active antiretroviral treatment as prevention of HIV transmission: review of scientific evidence and update.高效抗逆转录病毒治疗作为预防 HIV 传播的手段:科学证据回顾与更新。
Curr Opin HIV AIDS. 2010 Jul;5(4):298-304. doi: 10.1097/COH.0b013e32833a6c32.
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Nevirapine hypersensitivity.奈韦拉平超敏反应。
Handb Exp Pharmacol. 2010(196):437-51. doi: 10.1007/978-3-642-00663-0_15.
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Anti-HIV drugs nevirapine and efavirenz affect anxiety-related behavior and cognitive performance in mice.抗 HIV 药物奈韦拉平与依非韦伦可影响小鼠的焦虑相关行为与认知表现。
检查接受抗逆转录病毒治疗的 HIV 患者代谢与持续炎症之间的关系。
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Evaluation of Oral Antiretroviral Drugs in Mice With Metabolic and Neurologic Complications.对患有代谢和神经并发症的小鼠口服抗逆转录病毒药物的评估。
Front Pharmacol. 2018 Sep 4;9:1004. doi: 10.3389/fphar.2018.01004. eCollection 2018.
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Does efavirenz replacement improve neurological function in treated HIV infection?依非韦伦替换治疗能否改善治疗后 HIV 感染的神经功能?
HIV Med. 2017 Oct;18(9):690-695. doi: 10.1111/hiv.12503. Epub 2017 Mar 1.
6
Consequences of a Chronic Exposure of Cultured Brain Astrocytes to the Anti-Retroviral Drug Efavirenz and its Primary Metabolite 8-Hydroxy Efavirenz.培养的脑星形胶质细胞长期暴露于抗逆转录病毒药物依非韦伦及其主要代谢产物8-羟基依非韦伦的后果。
Neurochem Res. 2016 Dec;41(12):3278-3288. doi: 10.1007/s11064-016-2059-x. Epub 2016 Sep 21.
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6
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