scholarly journals A comparison between different anti-retroviral therapy regimes on soluble inflammation markers: a pilot study

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Martina Maritati ◽  
Trentini Alessandro ◽  
Nunzia Zanotta ◽  
Manola Comar ◽  
Tiziana Bellini ◽  
...  
Keyword(s):  
Drug Regimen ◽  
Antiretroviral Drugs ◽  
Serum Samples ◽  
The Third ◽  
Cytokines And Chemokines ◽  
Antiretroviral Drug ◽  
Group 3 ◽  
Group 2 ◽  
Inflammatory Profile ◽  
Group 1

Abstract Background Although HIV-related deaths have decreased dramatically following the introduction of antiretroviral therapy (ART), HIV infection itself causes increased morbidity and mortality for both non-AIDS-related events or chronic inflammation and immune activation. The use of certain antiretroviral drugs can contribute to this process. Methods We investigated 26 potential biomarkers in serum samples from HIV-1 infected patients virologically suppressed under ART. The main objective of our study was to evaluate if virological suppression achieved with a triple drug regimen containing tenofovir disoproxil fumarate co-formulated with emtricitabine (TDF/FTC) as backbone, could correlate with a better immunological and inflammatory profile in relation to the third class of antiretroviral drug administered. The eligible patients were then divided into 3 groups in relation to the third drug associated with TDF/FTC: nucleoside reverse transcriptase inhibitors (NNRTI) (Group 1, n = 16), protease inhibitors (PI) (Group 2, n = 17) and integrase inhibitors (INI) (Group 3, n = 16). Results Inflammatory cytokines and chemokines were more represented in Group 2 than in Group 3 (IL-1Ra, p = 0.013; IL-12p70 p = 0.039; TNF-α p = 0.041; IL-8, p = 0.027; MIP1 β, p = 0.033). Eotaxin showed lower levels in Group 1 compared to Group 2 (p = 0.010), while IP-10 was significantly lower in Group 1 compared to both Group 2 and Group 3 (p = 0.003 and p = 0.007, respectively). Conclusions Our results seem to discourage the administration of PI as a third drug in a virologically effective antiretroviral regimen, as its use is linked to the detection of higher levels of pro-inflammatory mediators in comparison with INI and NNRTI.

scholarly journals A Comparison Between Different Anti-retroviral Therapy Regimes on Soluble Infammation Markers: a Pilot Study

2020 ◽  
Author(s):  
Martina Maritati ◽  
Trentini Alessandro ◽  
Nunzia Zanotta ◽  
Manola Comar ◽  
Tiziana Bellini ◽  
...  
Keyword(s):  
Drug Regimen ◽  
Antiretroviral Drugs ◽  
Serum Samples ◽  
The Third ◽  
Cytokines And Chemokines ◽  
Antiretroviral Drug ◽  
Group 3 ◽  
Group 2 ◽  
Inflammatory Profile ◽  
Group 1

Abstract Background: Although HIV-related deaths have decreased dramatically following the introduction of antiretroviral therapy (ART), HIV infection itself causes increased morbidity and mortality for both non-AIDS-related events or chronic inflammation and immune activation. The use of certain antiretroviral drugs can contribute to this process.Methods: We investigated 26 potential biomarkers in serum samples from HIV-1 infected patients virologically suppressed under ART. The main objective of our study was to evaluate if virological suppression achieved with a triple drug regimen containing tenofovir disoproxil fumarate co-formulated with emtricitabine (TDF/FTC) as backbone, could correlate with a better immunological and inflammatory profile in relation to the third class of antiretroviral drug administered. The eligible patients were then divided into 3 groups in relation to the third drug associated with TDF/FTC: nucleoside reverse transcriptase inhibitors (NNRTI) (Group 1, n=16), protease inhibitors (PI) (Group 2, n=17) and integrase inhibitors (INI) (Group 3, n=16).Results: Inflammatory cytokines and chemokines were more represented in Group 2 than in Group 3 (IL-1Ra, p=0.013; IL-12p70 p=0.039; TNF-α p=0.041; IL-8, p=0.027; MIP1 β, p=0.033). Eotaxin showed lower levels in Group 1 compared to Group 2 (p=0.010), while IP-10 was significantly lower in Group 1 compared to both Group 2 and Group 3 (p=0.003 and p=0.007, respectively).Conclusions: our results seem to discourage the administration of PI as a third drug in a virologically effective antiretroviral regimen, as its use is linked to the detection of higher levels of pro-inflammatory mediators in comparison with INI and NNRTI.

scholarly journals Evaluation of Novel Immunological Biomarkers as Potential Determinants of Chronic Inflammation in Virologically Suppressed HIV-1 Positive Patients Receiving Antiretroviral Therapy

2020 ◽  
Author(s):  
Martina Maritati ◽  
Trentini Alessandro ◽  
Nunzia Zanotta ◽  
Manola Comar ◽  
Tiziana Bellini ◽  
...  
Keyword(s):  
Antiretroviral Therapy ◽  
Chronic Inflammation ◽  
Drug Regimen ◽  
Antiretroviral Drugs ◽  
Serum Samples ◽  
The Third ◽  
Group 3 ◽  
Group 2 ◽  
Hiv 1 ◽  
Group 1

Abstract Background:Although HIV-related deaths have decreased dramatically following the introduction of antiretroviral therapy (ART), HIV infection itself causes increased morbidity and mortality for both non-AIDS-related events or chronic inflammation and immune activation. The use of certain antiretroviral drugs can contribute to this process. Methods:We investigated 26 potential biomarkers in serum samples from HIV-1 infected patients virologically suppressed under ART. The mailobjective of our study was to evaluate if virological suppression achieved with a triple drug regimen containing tenofovir disoproxil fumarate co-formulated with emtricitabine (TDF/FTC) as backbone, could correlate with a better immunological and inflammatory profile in relation to the third class of antiretroviral drug administered. The eligible patients were then divided into 3 groups in relation to the third drug associated with TDF/FTC : NNRTI (Group 1, n=18), + PI (Group 2, n=18) and INI (Group 3, n=18). Results: Traditionally, inflammatory cytokines and chemokines were more represented in Group 2 than in Group 3 (IL-1Ra, p=0.013; IL-12p70 p=0.039; TNF-α p=0.041; IL-8, p=0.027; MIP1 β, p=0.033). Eotaxin showed lower levels in Group 1 compared to Group 2 (p=0.010), while IP-10 was significantly lower in Group 1 compared to both Group 2 and Group 3 (p=0.003 and p=0.007, respectively).Conclusions: our results seem to discourage the administration of PI as a third drug in a virologically effective antiretroviral regimen, as its use is linked to the detection of higher levels of pro-inflammatory mediators than INI and NNRTI.

scholarly journals Vaccine trial against canine visceral leishmaniasis in the Islamic republic of Iran

1998 ◽  
Vol 4 (2) ◽  
pp. 234-238
Author(s):  
M. Mohebali ◽  
E. Fallah ◽  
S. Jamshidi ◽  
H. Hajjaran
Keyword(s):  
Vaccine Trial ◽  
Canine Visceral Leishmaniasis ◽  
Islamic Republic ◽  
The Third ◽  
Group 4 ◽  
Leishmanin Skin Test ◽  
Islamic Republic Of Iran ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

Sixteen dogs were randomly divided into four groups. Group 1 received autoclaved Leishmania infantum vaccine with BCG. Group 2 received autoclaved L. major vaccine with BCG. Group 3 received BCG alone and Group 4 received normal saline. Dogs received the vaccines intradermally three times each at 30-day intervals. All dogs were tested at 2-month intervals with the leishmanin skin test and anti-Leishmania ELISA. Ninety days after the third dose, each dog received an intraperitoneal challenge of 2.5 X 10 [6] infective promastigotes of L. infantum. Necropsy was performed on all dogs to investigate for parasites. All of the dogs in the unvaccinated groups were infected with L. infantum but of the dogs in the vaccinated groups, only one dog was infected

scholarly journals Reproductive health of women after abdominal delivery living in different regions of the Kyrgyz Republic

2018 ◽  
Vol 99 (2) ◽  
pp. 291-296
Author(s):  
A E Samigullina ◽  
V A Vybornykh
Keyword(s):  
Pregnant Women ◽  
Medical Institute ◽  
Kyrgyz Republic ◽  
Third Place ◽  
The Third ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2 ◽  
Abdominal Delivery ◽  
Group 1

Aim. Study of somatic and obstetric and gynecologic morbidity of women of the Kyrgyz Republic after Cesarean section. Methods. Retrospective cohort study was conducted in 2016 in Kyrgyz state medical institute of retraining and advanced training. Three regions of the Kyrgyz Republic were selected: Bishkek, Jalal-Abad and Issyk-Kul regions. 908 pregnant women after abdominal delivery were chosen as the subject of the study and divided into three groups: group 1 (Bishkek) - 305 pregnant women, group 2 (Jalal-Abad region) - 300 females, group 3 (Issyk-Kul region) - 303 females. The age was 15 to 49 years. The incidence of gynecologic and extragenital pathology and complications during previous pregnancies were studied. Results. Gynecologic pathology in past medical history was revealed in 15.8% of females, while women from group 1 are statistically significantly more likely to have gynecologic diseases than women from group 3. Females from group 2 had gynecologic pathology more rarely. In the structure of gynecologic incidence, sexually transmitted infections take the first place, cervical ectopy takes the second place and uterine fibroids - the third place. Extragenital pathology was detected in 38.2% of pregnant women. In its structure the first ranked place is taken by urinary tract diseases (12.3%), the second one - by infectious and parasitic diseases (11.6%), and the third place - by cardiovascular diseases (3.2%). Pathological course of pregnancy was also more frequent in group 1 than in group 2; there was no significant difference with group 3. Spontaneous abortion interrupted previous pregnancy in 19.8% of women, 5% had premature births, significantly more frequently in group 1, as well as preeclampsia. Conclusion. The most unfavorable region is the city of Bishkek, female residents of Jalal-Abad region are less susceptible to diseases; in general, gynecologic pathology was revealed in 15.8% of females, extragenital pathology - in 38.2% of pregnant women; pathological course of pregnancy was statistically more frequent in group 1 than in group 2, without significant difference with group 3.

scholarly journals Feline Leukemia Virus-associated Enteritis—A Condition with Features of Feline Panleukopenia

1987 ◽  
Vol 24 (1) ◽  
pp. 1-4 ◽  
Author(s):  
M. Reinacher
Keyword(s):  
Bone Marrow ◽  
Leukemia Virus ◽  
Feline Leukemia Virus ◽  
Lymphoid Tissues ◽  
Post Mortem ◽  
The Third ◽  
Histopathological Alterations ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

Infection with feline leukemia virus (FeLV) was demonstrated immunohistologically in 218 necropsied cats suffering from enteritis. The animals were divided into three groups according to histopathological criteria. The first group exhibited the signs of feline panleukopenia in intestine, lymphoid tissues, and bone marrow. Only 1.6% of these animals were FeLV-infected. The animals of the second group had histopathological alterations as seen in cats suffering from feline panleukopenia, but these were found only in the intestine and not in lymphoid tissues or bone marrow. Of these 71.9% were infected with FeLV. The third group consisted of all other cats suffering from enteritis of which 6.3% were FeLV-positive. The association between FeLV infection and the lesions seen in the animals of group 1 (feline panleukopenia) and group 3 (other types of enteritis) is statistically not significant whereas the alterations exhibited by the cats of group 2 are significantly FeLV-associated. Cats with FeLV-associated enteritis (group 2) are of a mean age of about 2.5 years and are significantly older than animals with feline panleukopenia which are of a mean age of about half a year. Thus a FeLV-associated enteritis exists as a histopathologically recognizable condition which sometimes might be mistaken for feline panleukopenia in routine post-mortem investigations.

scholarly journals Increased serum interleukin-9 and interleukin-1β are associated with depression in type 2 diabetes patients

2020 ◽  
Vol 78 (5) ◽  
pp. 255-261 ◽  
Author(s):  
Prabhat VARSHNEY ◽  
Rizwana PARVEEN ◽  
Mohd Ashif KHAN ◽  
Sunil KOHLI ◽  
Nidhi B. AGARWAL
Keyword(s):  
Quality Of Life ◽  
Positive Association ◽  
Diabetic Patients ◽  
Serum Samples ◽  
Type 2 Diabetic Patients ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

ABSTRACT Background: Co-morbid diabetes and depression are prevalent chronic conditions negatively affecting quality of life (QoL). Inflammation has been considered as an integral mechanism in patients with both diabetes and depression. Objective: The aim of the present study was to investigate depression and its association with interleukins (IL)-1β and IL-9 in type 2 diabetic patients (T2DM) and controls. The QoL in diabetic patient was also assessed. Methods: Eighty subjects were included, distributed among three groups: Group 1 - Healthy controls; Group 2 - T2DM patients without depression; Group 3 - T2DM patients with depression. Depression and QoL were assessed using Patient Health Questionnaire (PHQ-9) and The Audit of Diabetes-Dependent QoL (ADDQoL), respectively. IL-1β and IL-9 were measured in serum samples of all the patients using ELISA kit. Results: The PHQ score in the Group 3 was significantly higher as compared to Group 1. The ADDQoL scores in the Group 3 were significantly higher as compared to Group 2. Levels of IL-9 and IL-1β were elevated in Group 3, as compared to the other groups. Conclusion: This study showed positive association between depression and IL-1β, IL-9 in T2DM patients. Additionally, the diabetic patients have poorer quality of life, which is further worsened by the presence of depression. Thus, routine assessment for the presence of depression is suggested in T2DM patients.

Pheochromocytoma/paraganglioma: clinical and genetic aspects

2013 ◽  
Vol 59 (3) ◽  
pp. 19-26 ◽  
Author(s):  
M Iu Iukina ◽  
E A Troshina ◽  
D G Bel'tsevich ◽  
A N Tiul'pakov ◽  
M A Lysenko
Keyword(s):  
Analytical Study ◽  
Tumour Size ◽  
Von Hippel Lindau ◽  
The Third ◽  
Von Hippel Lindau Disease ◽  
Group 3 ◽  
Group 2 ◽  
Sporadic Pheochromocytoma ◽  
Group 1

The present retrospective descriptive and analytical study included 167 patients divided into three groups. Two groups were comprised of the patients with genetically predetermined pheochromocytoma (type 2 MEN syndrome and von Hippel-Lindau disease respectively), the third croup consisted of the patients presenting with sporadic pheochromocytoma. The median age at which pheochromocytoma was diagnosed was 25 years in group 1, 18 years in group 2, and 47 years in group 3. Adrenalin-type secretion was predominated in group 1 in contrast to the noradrenalin-type and mixed-type secretion in the patients of groups 2 and 3 respectively. The patients of group 1 showed positive correlation between the tumour size and excretion of methylated catecholamines. 82% of these patients exhibited bilateral adrenal lesions and 58% suffered multifocal lesions; no cases of extra-adrenal localization of the tumour were documented. The extra-adrenal localization of pheochromocytomas was observed in 16.4% of the patients in group 2, where 6.6% of the patients had metastases. No metastases of pheochromocytoma were found in the patients of groups 1 and 3. It is concluded that the patients under the age of 40 presenting with bilateral and multicentral pheochromocytoma with the aggravated familial history need the genetic predetermination of the disease to be excluded taking into account syndromal symptoms. Examination for the detection of type 2 MEN is not required in the patients showing isolated normetanephrin excretion. Nor is the search for metastases of pheochromocytoma and its extra-adrenal localization is necessary in the patients presenting with type 2 MEN syndrome and/or exhibiting isolated metanephrin excretion.

Performance of sows first mated at puberty or second or third oestrus, and carcass assessment of once-bred gilts

1977 ◽  
Vol 24 (3) ◽  
pp. 333-342 ◽  
Author(s):  
R. M. MacPherson ◽  
F. D. Deb Hovell ◽  
A. S. Jones
Keyword(s):  
Restricted Feeding ◽  
The Third ◽  
Group 4 ◽  
Conception Rates ◽  
Group 3 ◽  
The Mean ◽  
Ad Libitum ◽  
Group 5 ◽  
Group 2 ◽  
Group 1

SUMMARY1. Of 80 gilts reared on a restricted plane of nutrition, 75 were allocated to one of four groups. Group 1; 17 gilts mated at puberty were slaughtered after farrowing their first litter. Group 2; 20 gilts mated at puberty were observed for three parities. Group 3; 18 gilts mated at second oestrus were observed for three parties. Group 4; 18 gilts mated at third oestrus were observed for three parities. Group 5; nine additional gilts reared on feed ad libitum and mated at first oestrus were observed for three parities. All animals received the same ration after the first mating.2. The mean age (±SD) of the restricted gilts at puberty was 186 ± 17 days at a weight of 89 ± 9 kg. The gilts fed ad libitum were significantly (P<0·01) older and heavier at puberty (203 ± 15 days and 120 ± 27 kg).3. Conception rates were 83, 86, 94 and 82% for Groups 1 and 2 combined, 3, 4 and 5 respectively.4. Gilts mated at first, second and third oestrus produced, respectively, 7·8, 9·8 and 10·4 ± 2·2 piglets in the first parity. Group 5 gilts had 11·0 ± 2·2 piglets. All significant differences were confined to the first parity.5. By the end of the third parity there were no differences between the restricted gilts mated at first, second or third oestrus in total number of piglets born or reared.6. The gilts slaughtered (at 135 kg) after producing one litter yielded carcasses which were heavier but leaner than those from contemporary maiden gilts grown to 120 kg on a semi-restricted feeding scale.

scholarly journals Plasma levels of cortisol and opioid peptide beta-endorphin during spontaneous vaginal delivery

2006 ◽  
Vol 134 (3-4) ◽  
pp. 95-99
Author(s):  
Ljubica Arsenijevic ◽  
Zvezdana Kojic ◽  
Nada Popovic ◽  
Ljiljana Scepanovic
Keyword(s):  
Plasma Level ◽  
Pregnant Women ◽  
Plasma Levels ◽  
Opioid Peptide ◽  
Labor Pain ◽  
The Third ◽  
Group 3 ◽  
Group 2 ◽  
Underlying Mechanisms ◽  
Group 1

INTRODUCTION Labor pain is very frequent in clinical practice, but the underlying mechanisms as well as numerous neuroendocrine responses activated by such pain have not been fully explained yet. OBJECTIVE The objective of the study was to determine the influence of labor pain on plasma levels of cortisol and opioid peptide ?-endorphin. METHOD Cortisol and ?-endorphin levels were measured in blood plasma of: health, non-pregnant women (group 1, n=8), health pregnant women (group 2, n=8) and in parturitions, through fourth ages (group 3, n=8), Plasma level of cortisol was measured by radioimmunoassay, and ?-endorphin by enzyme immunoassay. Data were expressed as mean ? standard error of mean and were analyzed by Student's t test and Mann Whitney test. RESULTS Plasma level of cortisol in group 2 was significantly increased compared to the group 1. During labor progression, plasma level of cortisol was rising till the third labor age. Plasma level of cortisol in fourth labor age was not significantly different from the ag.e one and group 1. Plasma level of ?-endorphin was (n.g/L): in group 1:64?20, group 2:70?22, group 3:the first labor age: 75?15, the second labor age: 193?54, the third labor age: 346+97 and the fourth labor age: 114?31. CONCLUSION These results indicate that both ?-endorphin and cortisol are involved in regulation and modulation of labor pain and stress.

scholarly journals PO 8595 FACTORS ASSOCIATED WITH VIROLOGIC FAILURE AMONG WOMEN WITH PRIOR EXPOSURE TO ANTIRETROVIRAL DRUGS FOR PMTCT, KISUMU, KENYA

2019 ◽  
Vol 4 (Suppl 3) ◽  
pp. A60.3-A61
Author(s):  
Francis Angira ◽  
Eucabeth Awuonda ◽  
Jacinter Oruko ◽  
Oyaro Boaz ◽  
Elijah Asadhi ◽  
...  
Keyword(s):  
Virologic Failure ◽  
Antiretroviral Drugs ◽  
Prior Exposure ◽  
Hiv Care ◽  
First Line ◽  
Factors Associated ◽  
Art Initiation ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

BackgroundUse of antiretroviral drugs (ARVs) for a discrete period for Preventing Mother-to-Child HIV transmission (PMTCT) only may be compared to Structured Treatment Interruption, which has been associated with virologic failure (VF). We sought to determine factors associated with VF among women on Antiretroviral Therapy (ART) but with prior exposure to short-term ARVs for PMTCT.MethodsHIV-infected women presenting for ART initiation in three HIV care clinics in Kisumu County, Kenya were enrolled in the KiBS follow-up study (2010–2013) if they had previously received triple ARVs for PMTCT (Group 1) or short-course ARVs for PMTCT (Group 2) or were ARVs-naïve (Group 3). First-line ART was provided as per 2010 WHO treatment guidelines and viral load (VL) tests were conducted every six months for 24 months. VF was defined as any confirmed VL value ≥400 copies/ml after 6 months of ART initiation. Frequencies and proportions were used in the descriptive analysis while Pearson’s Chi-square/Fisher’s exact test was used to determine the association between VF and eight independent variables. Univariate and Multivariate Cox-proportional regression model was fitted to investigate factors associated with VF.ResultsOut of 284 participants data for 245 were analysed (Group 1: 27; Group 2: 107; Group 3: 111). Majority were aged 25–29 years and over 60% had primary/lesser education. There were 39 (Group 1: 5; Group 2: 16; Group 3: 18) VFs with a total VF incidence of 8.12 [95% CI (5.96, 11.17)] per 1000 Person months of observation (PMOs). Group 2 had the lowest VF incidence. Baseline CD4 <349 cells/mm3 and initiation/use of TDF/3TC/EFV were associated with virologic failure (VF).ConclusionWomen at risk of VF based on the identified risk factors should be identified and targeted with appropriate intervention. Further studies are needed to verify and understand the mechanisms of association between VF and TDF/3TC/EFV which is a WHO-recommended first-line ART regimen.

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