Dyslipidemia in patients with HIV

Authors

  • D. Puppo Universidad de la República Uruguay
  • J. Torales M. Universidad de la República Uruguay
  • S. Duarte Universidad de la República Uruguay
  • M. Pandolfi Universidad de la República Uruguay

DOI:

https://doi.org/10.31052/1853.1180.v18.n3.11733

Keywords:

Human Immunodeficiency Virus HIV – Acquired immunodeficiency syndrome. Antiretroviral therapy. Dyslipidemias

Abstract

Abstract Since the introduction of highly active antiretroviral therapy (ART) in the treatment of HIV/AIDS patients, we have observed a change in the development of the disease, becoming a chronic therapeutically containable condition. The increase in survival goes together with associated diseases; cardiovascular ones have become relevant, being earlier and more severe. Dyslipidemias have a leading role in this pathology. In this work, we analyze their incidence and characteristics in HIV patients, with and without ART treatment. Lipid profile was different in the pre-treatment stage (low HDL, low total Cholesterol and normal TG) from the stage under ART (marked increase of TG and to a lesser extent of total Cholesterol and LDL), with a significant association of the use of Protease Inhibitors (PIs) and CD4 levels lower than 200/mm3.

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Author Biographies

  • D. Puppo, Universidad de la República Uruguay

    Internista. Prof. Adjunto de Clínica Médica. E-mail: danipune@gmail.com

  • J. Torales M., Universidad de la República Uruguay

    Internista. Nefrólogo. Prof. Agregado de Clínica Médica. 

  • S. Duarte, Universidad de la República Uruguay

    Internista. Infectólogo. Intensivista. Ex Prof. Adjunto de Clínica Médica. Udelar. Montevideo

  • M. Pandolfi, Universidad de la República Uruguay

    Asistente de Clínica Médica. Hospital Pasteur. Montevideo.

References

1. Vacarezza M, Vazquez R, Savio E. Alteraciones del metabolismo lipidico en pacientes infectados por VIH. Revista Medica Uruguay 2003;19: 45-52.

2. Informe de la situación nacional VIH/SIDA. Cátedra de Enfermedades Infecciosas. Julio 2012. Montevideo.

3. Neumann T, Woiwod T, Neumann A et al. Cardiovascular Risk Factors and Probability for Cardiovascular Events in HIV- Infected Patients. European Journal of Medical Research 2004; 9: 267-272.

4. Dronda, F . Riesgo vascular e infeccion por el virus de la inmunodeficiencia humana tipo 1. MED. CLIN. 01/2004;122(8):301-303.

5. Holmberg SD, Moorman AC, Williamson JM, Tong TC, Ward DJ, Wood KC, et al. Protease inhibitors and cardiovascular outcomes in patients with HIV-1. Lancet 2002;360:1747-8.

6. Behrens G, Dejam A, Schmidt H, Balks HJ, Brabant G, Korner T, Stoll M, Schmidt RE (1999). Impaired glucose tolerance and beta cell function and lipid metabolism in HIV patients under treatment with protease inhibitors. AIDS 13: F63-F70.

7. Detels R, Tarwater P, Phair JP, Margolick J, Riddler SA, Minoz A (2001) Effectiveness of potent antiretroviral therapies on the incidence of opportunistic infections before and after AIDS diagnosis. AIDS 15 :347- 355

8. Friis-Moller N, Weber R, D’Arminio Monforte A, El Sadr W, Reiss P, Dabis F, et al. Exposure to HAART is associated with an increased risk of myocardial infarction: the DAD study. En: Programs and Abstracts of the 10th Conference on Retroviruses and Opportunistic Infections; 2003,February; Boston 2003 [abstract 130]

9. Gotto A, Assmann G, Carmena R, Davignon J, Fernandez Cruz A, Paoletti R. Manual ILIB sobre lipidos para la practica clinica. Buenos Aires: Waberly Hispanica, 1998; 130-6.

10. Summary of the Second Report of tje National Cholesterol Education Program (NCEP) Expert Pannel on Detection, Evaluation, and treatment of High Blooe Cholestyerol in Adult s (ATP-ll). JAMA 1993; 269: 3015 -23.

PUPPO D, VALIÑO J, TORALES M | Dislipemias en pacientes VIHRevista de Salud Pública, (XVIII) 3:8-14, dic 201414

11. Estrada V, Portilla J. Dyslipidemia Related to Antiretroviral Therapy. AIDS Rev.2011; 13: 49-56

12. Oh J, Hegele R. HIV-associated dyslipidaemia: pathogenesis and treatment. Lancet Infect Dis. 2007; 7:787-96.

13. Christeff N, Lortholary O, Casassus P, Thobie N, Dalle MT, Veyssier P, et al. Serum lipid concentration with reference to the clinical and inmunological status of HIV infected men. Ann Med Interne (Paris) 1995; 146(7): 490-5.

14. Ducobu J, Payen MC. Lipids and AIDS. Rev Med Brux 2000; 21(1): 11-7.

15. Carr A, Samaras K, Thorisdottir A, Kaufmann GR, Chiismo DJ, Cooper DA. Diagnosis, prediction, and natural course of HIV-1 protease inhibitor associated lipodistrophy, hyperlipidaemia and diabetes mellitus; a cohort study. Lancet 1999; 353(9170): 2093-9

16. Kotler DP. Update on metabolic and morphologic abnormalities in HIV. Medscape HIV/AIDS: 1999 Annual Update. (www.medscape.com/Medscape/HIV/Treatment Update/1999).

17. Crook MA, Mir N. Abnormal lipids and the acquired immunodeficiency syndrome: is there a problem and what should we do about it? Int J STD AIDS 1999; 10(6): 353-6.

18. Tsiodras S, Mantzoros C, Hammer S, Samore M. Effects of Protease Inhibitors on Hyperglycemia, hyperlipidemia and lipodystrophy: a 5 year cohort study. Arch Intern Med 2000;160(13): 2050-6.

19. Carr A, Chuah J, Hudson J, French M, Hoy J, Law M, et al. A randomised, open label comparision of three highly active antiretroviral therapy regimens including two nucleoside analogues and indinavir for previously untreated HIV-Infection: the OzCombo1 study. AIDS 2000; 14(9): 1171-80.

20. Carpentier A, Patterson B, Uffelman K, Salit I, Lewis G. Mechanism of highly active antiretroviral therapy-induced hyperlipidemia in HIV-infected individuals. Atherosclerosis. 2005;178:165-72.

21. Lenhard J, Croom DK, Weiel J, Winegar D. HIV protease inhibitors stimulate hepatic triglyceride synthesis. Arterioscler Thromb Vasc Biol. 2000; 20:2625-9.

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Published

2015-07-14

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Section

Scientific Articles

How to Cite

1.
Dyslipidemia in patients with HIV. Rev. Salud Pública (Córdoba) [Internet]. 2015 Jul. 14 [cited 2024 Nov. 8];18(3):8-14. Available from: https://revistas.unc.edu.ar/index.php/RSD/article/view/11733