抗逆转录病毒治疗期间的神经认知障碍,尽管完全抑制HIV RNA

HIV therapy Pub Date : 2010-05-04 DOI:10.2217/HIV.10.24
J. Arribas, A. Hill
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引用次数: 3

摘要

在20世纪90年代末引入HAART后,艾滋病毒相关的神经系统疾病,如痴呆、中枢神经系统淋巴瘤和脑弓形虫病等显著减少[1]。然而,在接受抗逆转录病毒治疗的患者中,即使血浆中HIV RNA水平被抑制在50拷贝/毫升以下,仍有很大比例的患者检测到轻微的神经认知障碍[2,3]。hiv相关神经认知障碍被定义为无症状神经认知障碍、轻微神经认知障碍和hiv相关痴呆。这些疾病可以通过临床诊断和/或神经认知测试来确定。在一些研究中,对脑脊液(CSF)样本进行了HIV RNA和血浆中抗逆转录病毒药物PK水平的检测。一般人群中存在神经系统疾病的背景发病率[4,5],可能存在其他混杂因素,如娱乐性药物使用、精神疾病、酒精滥用/使用和乙型或丙型肝炎感染[6]。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neurocognitive disorders during antiretroviral treatment, despite full HIV RNA suppression
After the introduction of HAART in the late 1990s, there were dramatic reductions in HIVrelated neurological disorders such as dementia, CNS lymphoma and cerebral toxoplasmosis [1]. However, minor neurocognitive disorders are still detected in a high proportion of patients receiving antiretrovirals, even if HIV RNA levels are suppressed below 50 copies/ml in plasma [2,3]. HIV-associated neurocognitive disorders are defined by asymptomatic neurocognitive impairment, minor neurocognitive disorders and HIV-associated dementia. These disorders are identified either by clinical diagnosis and/or neurocognitive testing. In some studies, samples of cerebrospinal fluid (CSF) have been tested for HIV RNA and plasma PK levels of antiretrovirals. There is a background incidence of neurological disorders in the general population [4,5], and there may be other confounding factors such as recreational drug use, psychiatric illness, a lcohol abuse/use and hepatitis B or C infection [6].
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