Protease Inhibitor and Metabolic Alteration

Protease inhibitors (PIs), part of HAART (Highly Active Antiretroviral Therap) are selective, competitive inhibitors of protease, a crucial enzyme to viral maturation, infection and replication. A lipodystrophic syndrome has been reported in individuals treated with HAART, and associated to hypergly...

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Autores principales: Cavenaghi,F. M, Bataglion,C. A. N, Paula,P. C, Motta,A. C. F, Komesu,M. C
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2012
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022012000200014
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spelling oai:scielo:S0717-950220120002000142012-10-03Protease Inhibitor and Metabolic AlterationCavenaghi,F. MBataglion,C. A. NPaula,P. CMotta,A. C. FKomesu,M. C Protease inhibitors Dyslipidemia Metabolic disorders Protease inhibitors (PIs), part of HAART (Highly Active Antiretroviral Therap) are selective, competitive inhibitors of protease, a crucial enzyme to viral maturation, infection and replication. A lipodystrophic syndrome has been reported in individuals treated with HAART, and associated to hyperglycemia, hypercholesterolemia, hypertrigliceridemia, hyperlipidemia, hypertension and hypreinsulinemia. The HAART-associated metabolic abnormalities were first associated with protease inhibitors, Ritonavir mostly, but the mechamisns that underlie these metabolic alterations are to date, not completely understood. Since PIs are candidate to be the drug of choice for other diseases treatment, such as the Hepatitis C, malaria and some types of cancer, it seems to be important to clarify the metabolic alterations associated to PIs. Wistar rats were treated twice a week with 30mg/kg Ritonavir for 4 and 8 weeks. Total cholesterol, HDL, LDL, VLDL, triglycerides and glycemic levels were measured by the end of each period of time selected. To avoid confunding effects of food intake, the animals were fasted 16 hours before. Our results showed rapid increase in serum triglycerides, total cholesterol, LDL-C and glycemic levels. No significant differences were observed for HDL-C or VLDL serum levels. Our study addresses the importance to observe the possible family history of dyslipidemia or diabetes, and control any other cardiovascular and diabetes risk factors when using protease inhibitors.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.30 n.2 20122012-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022012000200014en10.4067/S0717-95022012000200014
institution Scielo Chile
collection Scielo Chile
language English
topic Protease inhibitors
Dyslipidemia
Metabolic disorders
spellingShingle Protease inhibitors
Dyslipidemia
Metabolic disorders
Cavenaghi,F. M
Bataglion,C. A. N
Paula,P. C
Motta,A. C. F
Komesu,M. C
Protease Inhibitor and Metabolic Alteration
description Protease inhibitors (PIs), part of HAART (Highly Active Antiretroviral Therap) are selective, competitive inhibitors of protease, a crucial enzyme to viral maturation, infection and replication. A lipodystrophic syndrome has been reported in individuals treated with HAART, and associated to hyperglycemia, hypercholesterolemia, hypertrigliceridemia, hyperlipidemia, hypertension and hypreinsulinemia. The HAART-associated metabolic abnormalities were first associated with protease inhibitors, Ritonavir mostly, but the mechamisns that underlie these metabolic alterations are to date, not completely understood. Since PIs are candidate to be the drug of choice for other diseases treatment, such as the Hepatitis C, malaria and some types of cancer, it seems to be important to clarify the metabolic alterations associated to PIs. Wistar rats were treated twice a week with 30mg/kg Ritonavir for 4 and 8 weeks. Total cholesterol, HDL, LDL, VLDL, triglycerides and glycemic levels were measured by the end of each period of time selected. To avoid confunding effects of food intake, the animals were fasted 16 hours before. Our results showed rapid increase in serum triglycerides, total cholesterol, LDL-C and glycemic levels. No significant differences were observed for HDL-C or VLDL serum levels. Our study addresses the importance to observe the possible family history of dyslipidemia or diabetes, and control any other cardiovascular and diabetes risk factors when using protease inhibitors.
author Cavenaghi,F. M
Bataglion,C. A. N
Paula,P. C
Motta,A. C. F
Komesu,M. C
author_facet Cavenaghi,F. M
Bataglion,C. A. N
Paula,P. C
Motta,A. C. F
Komesu,M. C
author_sort Cavenaghi,F. M
title Protease Inhibitor and Metabolic Alteration
title_short Protease Inhibitor and Metabolic Alteration
title_full Protease Inhibitor and Metabolic Alteration
title_fullStr Protease Inhibitor and Metabolic Alteration
title_full_unstemmed Protease Inhibitor and Metabolic Alteration
title_sort protease inhibitor and metabolic alteration
publisher Sociedad Chilena de Anatomía
publishDate 2012
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022012000200014
work_keys_str_mv AT cavenaghifm proteaseinhibitorandmetabolicalteration
AT bataglioncan proteaseinhibitorandmetabolicalteration
AT paulapc proteaseinhibitorandmetabolicalteration
AT mottaacf proteaseinhibitorandmetabolicalteration
AT komesumc proteaseinhibitorandmetabolicalteration
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