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抗逆转录病毒药物对疟原虫肝期的影响。

The effect of antiretrovirals on Plasmodium falciparum liver stages.

机构信息

NIH/NIAID/Laboratory of Malaria Immunology and Vaccinology, Rockville, MD 20852, USA.

出版信息

AIDS. 2013 Jun 19;27(10):1674-7. doi: 10.1097/QAD.0b013e3283621dd4.

DOI:10.1097/QAD.0b013e3283621dd4
PMID:23907270
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4782918/
Abstract

HIV and malaria overlap geographically, but the full impact of different antiretrovirals on malaria remains poorly understood. We examined the antimalarial activity of the HIV protease inhibitors lopinavir and saquinavir and the non-nucleoside reverse transcriptase inhibitor nevirapine on Plasmodium falciparum liver stages. Our results demonstrate that the HIV PI lopinavir inhibits liver stage parasites at clinically relevant concentrations, that is, at drug levels achieved in HIV-infected patients on standard dosing regimens. Because drugs that inhibit liver stages target parasites when they are present in lower numbers, these results might have implications for eradication efforts.

摘要

HIV 和疟疾在地理上有重叠,但不同抗逆转录病毒药物对疟疾的全面影响仍知之甚少。我们研究了 HIV 蛋白酶抑制剂洛匹那韦和沙奎那韦以及非核苷类逆转录酶抑制剂奈韦拉平对疟原虫肝期的抗疟活性。我们的结果表明,HIV PI 洛匹那韦以临床相关浓度(即 HIV 感染患者在标准剂量方案下达到的药物水平)抑制肝期寄生虫。由于抑制肝期的药物在寄生虫数量较少时靶向寄生虫,因此这些结果可能对根除工作有影响。

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本文引用的文献

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J Infect Dis. 2013 Jul;208(1):139-48. doi: 10.1093/infdis/jit132. Epub 2013 Mar 28.
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Prevalence of asymptomatic parasitemia and gametocytemia among HIV-infected Ugandan children randomized to receive different antiretroviral therapies.在接受不同抗逆转录病毒治疗的乌干达感染艾滋病毒的儿童中,无症状寄生虫血症和配子体血症的流行率。
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Antiretroviral agents and prevention of malaria in HIV-infected Ugandan children.抗逆转录病毒药物与预防感染 HIV 的乌干达儿童疟疾
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HIV nonnucleoside reverse transcriptase inhibitors and trimethoprim-sulfamethoxazole inhibit plasmodium liver stages.HIV 非核苷类逆转录酶抑制剂和甲氧苄啶-磺胺甲噁唑抑制疟原虫肝期。
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