Yussuf Feisal M, Barbarawi Ahmed, Nor Mohammed A, Ali Abdirazak I, Sheikh Ibrahimkhalil M, Ogedegbe Oboseh J, Tabowei Godfrey, Jimoh Abdulmalik, Ozokolie Godwin E, Igbinomwanhia Osahon
General Practice, Antaliya Hospital, Garissa, KEN.
Internal Medicine, University of Minnesota, Minneapolis, USA.
Cureus. 2023 Mar 27;15(3):e36755. doi: 10.7759/cureus.36755. eCollection 2023 Mar.
Human immunodeficiency virus (HIV) is a viral infection which progressively leads to acquired immunodeficiency syndrome (AIDS) in the absence of treatment. This happens through the destruction of crucial cells in the immune system, such as the helper T cells, dendritic cells, and macrophages. Since the first case was isolated in the 20th century, the disease has spread rapidly among humans, with significant renal, cardiovascular, respiratory, and neurological complications. It is predominantly sexually transmitted but non-sexual transmission. A relationship between HIV and renal diseases has been suggested for a long time, but only a few systematic studies have centered on this association. This systematic review aims to analyze the possible association between HIV and renal diseases as well as the range and pathogenesis of these renal diseases. HIV remains a critical infectious disease globally, inciting substantial morbidity and mortality. Studies have shown that people living with HIV (PLWH) are at increased risk of acute and chronic kidney disease. This review is based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, Google Scholar, and Cochrane databases were searched exhaustively using the inclusion criteria of free full-text English papers that have exclusively studied humans in the last 20 years. Sixteen articles were selected including a systematic review, observational studies, and comprehensive narrative reviews on the role of HIV in the etiology of renal diseases, and were systemically reviewed and analyzed to elicit the wide range of possible renal complications resulting from HIV infection.
人类免疫缺陷病毒(HIV)是一种病毒感染,在未经治疗的情况下会逐渐导致获得性免疫缺陷综合征(AIDS)。这是通过破坏免疫系统中的关键细胞,如辅助性T细胞、树突状细胞和巨噬细胞来实现的。自20世纪首例病例被分离出来以来,这种疾病在人类中迅速传播,伴有严重的肾脏、心血管、呼吸和神经并发症。它主要通过性传播,但也有非性传播途径。长期以来,人们一直认为HIV与肾脏疾病之间存在关联,但只有少数系统研究围绕这种关联展开。本系统评价旨在分析HIV与肾脏疾病之间可能存在的关联,以及这些肾脏疾病的范围和发病机制。HIV在全球范围内仍然是一种严重的传染病,会引发大量的发病和死亡。研究表明,感染HIV的人(PLWH)患急性和慢性肾病的风险增加。本综述基于系统评价和荟萃分析的首选报告项目(PRISMA)指南。通过使用过去20年专门研究人类的免费全文英文论文的纳入标准,对PubMed、谷歌学术和Cochrane数据库进行了详尽的搜索。共筛选出16篇文章,包括一篇系统评价、观察性研究以及关于HIV在肾脏疾病病因学中作用的全面叙述性综述,并对其进行了系统的审查和分析,以找出HIV感染可能导致的广泛肾脏并发症。