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一线抗逆转录病毒疗法对摩洛哥人类免疫缺陷病毒1型患者队列炎症可溶性标志物的影响:一项前瞻性研究。

Impact of the first-line antiretroviral therapy on soluble markers of inflammation in cohort of human immunodeficiency virus type 1 in Moroccan patients: a prospective study.

作者信息

Haddaji Asmaa, Ouladlahsen Ahd, Lkhider Mustapha, Bensghir Rajaa, Jebbar Sanaa, Hilmi Soufiane, Abbadi Islam, Sodqi Mustapha, Marih Latifa, Pineau Pascal, El Filali Kamal Marhoum, Ezzikouri Sayeh

机构信息

Virology Unit, Viral Hepatitis Laboratory, Institut Pasteur du Maroc, 1, Place Louis Pasteur, 20360, Casablanca, Morocco.

Laboratory of Virology, Oncology, Biosciences, Environment and New Energies, Faculty of Sciences and Techniques of Mohammedia, Hassan II University of Casablanca, Mohammedia, Morocco.

出版信息

Arch Microbiol. 2023 May 8;205(6):223. doi: 10.1007/s00203-023-03574-0.

Abstract

Chronic inflammation and immune activation are a hallmark of HIV-1 infection. In this study, we assessed inflammation biomarkers in a cohort of people living with HIV-1 (PLWH) before and after long-term suppressive combined antiretroviral therapy (cART). A single-center prospective cohort study was conducted to assess inflammatory biomarkers in 86 cART-naive PLWH and after receiving suppressive cART and 50 uninfected controls. Tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and soluble CD14 (sCD14) were measured using enzyme-linked immunosorbent assay (ELISA). No significant difference was found in IL-6 levels between cART-naïve PLWH and controls (p = 0.753). In contrast, TNF-α level showed a significant difference between cART naïve-PLWH and controls (p = 0.019). Interestingly, IL-6 and TNF-α levels were significantly decreased in PLWH after cART (p < 0.0001). The sCD14 showed no significant difference between cART-naïve patients and controls (p = 0.839) and similar levels were observed in pre- and post-treatment (p = 0.719). Our results highlight the critical importance of early treatment to reduce inflammation and its consequences during HIV infection.

摘要

慢性炎症和免疫激活是HIV-1感染的一个标志。在本研究中,我们评估了一组接受长期抑制性联合抗逆转录病毒疗法(cART)前后的HIV-1感染者(PLWH)的炎症生物标志物。开展了一项单中心前瞻性队列研究,以评估86例未接受过cART的PLWH、接受抑制性cART后的PLWH以及50名未感染对照者的炎症生物标志物。使用酶联免疫吸附测定(ELISA)法检测肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)和可溶性CD14(sCD14)。未接受过cART的PLWH与对照者的IL-6水平无显著差异(p = 0.753)。相比之下,未接受过cART的PLWH与对照者的TNF-α水平存在显著差异(p = 0.019)。有趣的是,cART治疗后PLWH的IL-6和TNF-α水平显著降低(p < 0.0001)。sCD14在未接受过cART的患者与对照者之间无显著差异(p = 0.839),治疗前和治疗后的水平相似(p = 0.719)。我们的结果凸显了早期治疗对于减少HIV感染期间炎症及其后果的至关重要性。

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