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HIV 和 HCV 患者肝组织中酶的表达。

Expression of Enzyme in Human Liver Tissue of HIV and HCV Patients.

机构信息

University of Belgrade, Faculty of Medicine, Department of Pharmacology, Clinical Pharmacology and Toxicology, 11000 Belgrade, Serbia.

University of Buckingham Medical School, Faculty of Medicine and Health Sciences, University of Buckingham, Buckingham MK18 1EG, UK.

出版信息

Medicina (Kaunas). 2023 Jun 27;59(7):1207. doi: 10.3390/medicina59071207.

Abstract

: Hepatitis C virus (HCV) and human immunodeficiency virus (HIV) infections present significant public health challenges worldwide. The management of these infections is complicated by the need for antiviral and antiretroviral therapies, which are influenced by drug metabolism mediated by metabolic enzymes and transporters. This study focuses on the gene expression of , , and transporters in patients with HIV, HCV, and HIV/HCV co-infection, aiming to assess their potential association with the choice of therapy, patohistological and clinical parameters of liver damage such as the stage of liver fibrosis, serum levels of ALT and AST, as well as the grade of liver inflammation and other available biochemical parameters. : The study included 54 patients who underwent liver biopsy, divided into HIV-infected, HCV-infected, and co-infected groups. The mRNA levels of , , and was quantified and compared between the groups, along with the analysis of liver fibrosis and inflammation levels. : The results indicated a significant increase in mRNA levels in co-infected patients, a significant association with the presence of HIV infection with an increase in mRNA levels. A trend towards downregulation of expression was observed in patients using lamivudine. : This study provides insight into gene expression of , and in HIV, HCV, and HIV/HCV co-infected patients. The absence of correlation with liver damage, inflammation, and specific treatment interventions emphasises the need for additional research to elucidate the complex interplay between gene expression, viral co-infection, liver pathology, and therapeutic responses in these particular patients population.

摘要

丙型肝炎病毒 (HCV) 和人类免疫缺陷病毒 (HIV) 感染在全球范围内构成重大公共卫生挑战。这些感染的管理因需要抗病毒和抗逆转录病毒治疗而变得复杂,这些治疗受到代谢酶和转运体介导的药物代谢的影响。本研究专注于 HIV、HCV 和 HIV/HCV 合并感染患者中 、 和 转运体的基因表达,旨在评估它们与治疗选择、肝损伤的组织病理学和临床参数(如肝纤维化分期、血清 ALT 和 AST 水平)以及炎症程度和其他可用生化参数的潜在关联。

该研究纳入了 54 名接受肝活检的患者,分为 HIV 感染、HCV 感染和合并感染组。比较了各组之间 、 和 的 mRNA 水平,并分析了肝纤维化和炎症水平。

结果表明,合并感染患者的 mRNA 水平显著升高,HIV 感染的存在与 mRNA 水平的升高显著相关。使用拉米夫定时, 表达呈下调趋势。

本研究深入了解了 HIV、HCV 和 HIV/HCV 合并感染患者中 、 和 的基因表达。与肝损伤、炎症和特定治疗干预无相关性,强调需要进一步研究阐明这些特定患者人群中基因表达、病毒合并感染、肝病理学和治疗反应之间的复杂相互作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e58/10385124/c58d88cba137/medicina-59-01207-g001.jpg

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