Gratton Rossella, Tricarico Paola Maura, Guimaraes Rafael Lima, Celsi Fulvio, Crovella Sergio
Institute for Maternal and Child Health "Burlo Garofolo", via dell`Istria 65/1, 34137 Trieste, Italy.
Department of Genetics, Federal University of Pernambuco (UFPE), Recife, Brazil.
Curr HIV Res. 2018;16(2):106-112. doi: 10.2174/1570162X16666180528100922.
BACKGROUND: Lopinavir and Ritonavir (LPV/r) treatment is widely used to prevent HIV mother-to-child transmission. Nevertheless, studies related to the impact of these compounds on patients, in particular in the foetus and newborns, are strictly required due to the controversial findings reported in the literature concerning possible neurologic side effects following the administration of these drugs. OBJECTIVES: In our study, we evaluated the impact of LPV/r treatment on the human glioblastoma U- 87 MG cell line. METHODS: In order to evaluate the influence of Lopinavir and Ritonavir in terms of oxidative stress (ROS production), mitochondrial morphology and apoptotic cell death, the latter either in the presence or in the absence of caspase-3 and -9 inhibitors, we treated U-87 MG with increasing doses (0.1-1-10-25-50 µM) of Lopinavir and Ritonavir for 24h, either in single formulation or in combination. ROS production was measured by flow cytometry using H2DCFDA dye, mitochondrial morphology was evaluated using MitoRed dye and apoptotic cell death was monitored by flow cytometry using Annexin V-FITC and Propidium Iodide. RESULTS: We observed that co-treatment with Lopinavir and Ritonavir (25 and 50 µM) promoted a significant increase in ROS production, caused mitochondrial network damage and induced apoptosis in a caspase-independent manner. CONCLUSION: Based on our findings, concordant with others reported in the literature, we hypothesize that LPV/r treatment could not be entirely free from side effects, being aware of the need of validation in in vivo models, necessary to confirm our results.
背景:洛匹那韦和利托那韦(LPV/r)治疗被广泛用于预防HIV母婴传播。然而,由于文献中报道了关于这些药物给药后可能的神经副作用的争议性发现,因此严格需要开展与这些化合物对患者,特别是对胎儿和新生儿影响相关的研究。 目的:在我们的研究中,我们评估了LPV/r治疗对人胶质母细胞瘤U-87 MG细胞系的影响。 方法:为了评估洛匹那韦和利托那韦在氧化应激(活性氧产生)、线粒体形态和凋亡性细胞死亡方面的影响,后者在存在或不存在半胱天冬酶-3和-9抑制剂的情况下,我们用递增剂量(0.1-1-10-25-50 μM)的洛匹那韦和利托那韦单独或联合处理U-87 MG细胞24小时。使用H2DCFDA染料通过流式细胞术测量活性氧产生,使用MitoRed染料评估线粒体形态,并使用膜联蛋白V-FITC和碘化丙啶通过流式细胞术监测凋亡性细胞死亡。 结果:我们观察到,洛匹那韦和利托那韦联合处理(25和50 μM)促进了活性氧产生的显著增加,导致线粒体网络损伤,并以半胱天冬酶非依赖性方式诱导凋亡。 结论:基于我们的研究结果,与文献中报道的其他结果一致,我们推测LPV/r治疗可能并非完全没有副作用,同时意识到需要在体内模型中进行验证,以证实我们的结果。
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