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人类免疫缺陷病毒感染、抗逆转录病毒治疗和他汀类药物:临床更新。

Human Immunodeficiency Virus Infection, Antiretroviral Therapy, and Statin: a Clinical Update.

机构信息

Master Institute of Education President Antônio Carlos, Avenida Minas Gerais, 1889 - Centro, Araguari, MG, 38.440-046, Brazil.

Department of Clinical Research, Federal University of Uberlândia, Uberlândia, MG, Brazil.

出版信息

Curr Atheroscler Rep. 2018 Feb 8;20(2):9. doi: 10.1007/s11883-018-0708-z.

DOI:10.1007/s11883-018-0708-z
PMID:29423787
Abstract

PURPOSE OF REVIEW

This clinical update is intended to focus in relationship between HIV infection and use of antiretroviral therapy (ART) and statin.

RECENT FINDINGS

Though ART significantly changed the course of HIV infection, it is related to numerous side effects principally to the lipid profile. In this way, statins became one of the most used lipid-lowering therapies in this population. In our clinical update, we evaluated studies that demonstrate the relationship and molecular mechanisms that HIV infection and ART use trigger dyslipidemia and also the use of statin to reduce this condition. We have demonstrated that use of statin can be used in dyslipidemic HIV-infected people as long as there is no drug interaction with ART. Recently, studies using rosuvastatin have shown greater effects when compared to the other statins.

摘要

目的综述

本临床更新旨在关注 HIV 感染与抗逆转录病毒治疗(ART)和他汀类药物的使用之间的关系。

最新发现

尽管 ART 极大地改变了 HIV 感染的进程,但它与许多副作用有关,主要与脂质谱有关。因此,他汀类药物成为该人群中使用最多的降脂药物之一。在我们的临床更新中,我们评估了表明 HIV 感染和 ART 使用引发血脂异常的关系和分子机制的研究,以及使用他汀类药物来降低这种情况的研究。我们已经证明,只要与 ART 没有药物相互作用,他汀类药物可用于血脂异常的 HIV 感染者。最近,使用瑞舒伐他汀的研究表明,与其他他汀类药物相比,其效果更大。

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Statin use and the risk of developing diabetes: a network meta-analysis.他汀类药物的使用与患糖尿病风险:一项网状荟萃分析。
Pharmacoepidemiol Drug Saf. 2016 Oct;25(10):1131-1149. doi: 10.1002/pds.4020. Epub 2016 Jun 9.
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Comparative safety and efficacy of statins for primary prevention in human immunodeficiency virus-positive patients: a systematic review and meta-analysis.他汀类药物用于人类免疫缺陷病毒阳性患者一级预防的比较安全性和疗效:系统评价和荟萃分析。
Eur Heart J. 2016 Dec 21;37(48):3600-3609. doi: 10.1093/eurheartj/ehv734. Epub 2016 Feb 6.
3
Statin Use Is Associated With Incident Diabetes Mellitus Among Patients in the HIV Outpatient Study.
Influence of Statin Therapy on the Incidence of Cardiovascular Events, Cancer, and All-Cause Mortality in People Living With HIV: A Meta-Analysis.
他汀类药物治疗对HIV感染者心血管事件、癌症发病率及全因死亡率的影响:一项荟萃分析。
Front Med (Lausanne). 2021 Nov 8;8:769740. doi: 10.3389/fmed.2021.769740. eCollection 2021.
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Adherence to Lipid-Lowering Medication in People Living with HIV: An Outpatient Clinic Drug Direct Distribution Experience.HIV感染者对降脂药物的依从性:门诊药物直接发放经验
J Res Pharm Pract. 2021 May 13;10(1):10-16. doi: 10.4103/jrpp.JRPP_20_96. eCollection 2021 Jan-Mar.
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Infect Drug Resist. 2021 Feb 10;14:483-487. doi: 10.2147/IDR.S301198. eCollection 2021.
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Adverse events in Chinese human immunodeficiency virus (HIV) patients receiving first line antiretroviral therapy.中国人类免疫缺陷病毒(HIV)患者接受一线抗逆转录病毒治疗的不良反应。
BMC Infect Dis. 2020 Feb 19;20(1):158. doi: 10.1186/s12879-020-4878-2.
在HIV门诊研究中,他汀类药物的使用与新发糖尿病有关。
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BMC Public Health. 2015 Mar 7;15:226. doi: 10.1186/s12889-015-1530-y.
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Rates of cardiovascular events and deaths are associated with advanced stages of HIV-infection: results of the HIV HEART study 7, 5 year follow-up.心血管事件和死亡发生率与HIV感染晚期相关:HIV心脏研究7年、5年随访结果
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