Impact of antiretroviral therapy on lipid metabolism of human immunodeficiency virus-infected patients:Old and new drugs

• 作者: Ana Carolina Bassi Stern Celso Spada Joel da Cunha Luciana Morganti Ferreira Maselli Sérgio Paulo Bydlowski
• 来源期刊: 世界病毒学杂志
• 学科: 医学
• 关键词: Human IMMUNODEFICIENCY virus-1 infection Highly active ANTIRETROVIRAL therapy Protease inhibitors DYSLIPIDEMIA Atherosclerosis LIPODYSTROPHY STATINS FIBRATES Diet Lifestyle
• 年，卷（期）: 2015,（2）
• 页码范围: 56-77
• 页数: 22页
• 分类号: R

摘要

For human immunodeficiency virus(HIV)-infected patients,the 1990s were marked by the introduction of highly active antiretroviral therapy(HAART)representing a new perspective of life for these patients.The use of HAART was shown to effectively suppress the replication of HIV-1 and dramatically reduce mortality and morbidity,which led to a better and longer quality of life for HIV-1-infected patients.Apart from the substantial benefits that result from the use of various HAART regimens,laboratory and clinical experience has shown that HAART can induce severe and considerable adverse effects related to metabolic complications of lipid metabolism,characterized by signs of lipodystrophy,insulin resistance,central adiposity,dyslipidemia,increased risk of cardiovascular disease and even an increased risk of atherosclerosis.New drugs are being studied,new therapeutic strategies are being implemented,and the use of statins,fibrates,and inhibitors of intestinal cholesterol absorption have been effective alternatives.Changes in diet and lifestyle have also shown satisfactory results.