High risk of HIV-related mortality is associated with selenium deficiency

作者: Marianna K. Baum , Gail Shor-Posner , Shenghan Lai , Guoyan Zhang , Hong Lai

DOI: 10.1097/00042560-199708150-00007

关键词:

摘要: To determine the independent contribution of specific immunologic and nutritional factors on survival in HIV-1 disease, CD4 cell count, antiretroviral treatment, plasma levels vitamins A, E, B6, B12 minerals selenium zinc were considered relation to relative risk for HIV-related mortality. Immune parameters nutrients known affect immune function evaluated at 6-month intervals 125 HIV-1-seropositive drug-using men women Miami, FL, over 3.5 years. A total 21 HIV-1-infected participants died causes during 3.5-year longitudinal study. Subclinical malnutrition (i.e., overly low prealbumin, [RR] = 4.01, p < 0.007), deficiency vitamin (RR 3.23, 0.03), 8.33, 0.009), 2.29.1, 0.04), 19.9, 0.0001) time, but not zidovudine shown each be associated with HIV-1-related mortality counts <200/mm3 baseline, time. When all that could survival, including nutrient deficiencies jointly, only time 0.69, 0.04) 10.8, 0.002) significantly These results indicate is an predictor those infection.

参考文章(38)
Gail Shor-Posner, Emilio Mantero-Atienza, Carl Eisdorfer, Richard S. Beach, Mary Ann Fletcher, Marianna K. Baum, Philip E. Cornwell, Robert Morgan, Howerde E. Sauberlich, Howerde E. Sauberlich, Association of vitamin B6 status with parameters of immune function in early HIV-1 infection. Journal of Acquired Immune Deficiency Syndromes. ,vol. 4, pp. 1122- 1132 ,(1991)
Spira Tj, Garber J, Friedman, Mildvan D, Cohen H, el-Sadr W, Marmor M, Yancovitz S, Mathur U, Des Jarlais Dc, Development of AIDS, HIV seroconversion, and potential co-factors for T4 cell loss in a cohort of intravenous drug users. AIDS. ,vol. 1, pp. 105- 111 ,(1987)
M C Delmas-Beauvieux, E Peuchant, A Couchouron, J Constans, C Sergeant, M Simonoff, J L Pellegrin, B Leng, C Conri, M Clerc, The enzymatic antioxidant system in blood and glutathione status in human immunodeficiency virus (HIV)-infected patients: effects of supplementation with selenium or beta-carotene The American Journal of Clinical Nutrition. ,vol. 64, pp. 101- 107 ,(1996) , 10.1093/AJCN/64.1.101
Gillian Lockitch, Selenium: Clinical Significance and Analytical Concepts Critical Reviews in Clinical Laboratory Sciences. ,vol. 27, pp. 483- 541 ,(1989) , 10.3109/10408368909114596
P.S. Shetty, R.T. Jung, K.E. Watrasiewicz, W.P.T. James, RAPID-TURNOVER TRANSPORT PROTEINS: AN INDEX OF SUBCLINICAL PROTEIN-ENERGY MALNUTRITION The Lancet. ,vol. 314, pp. 230- 232 ,(1979) , 10.1016/S0140-6736(79)90241-1
Marisa Repetto, Claudia Reides, Maria L Gomez Carretero, Marta Costa, Gloria Griemberg, Susana Llesuy, None, Oxidative stress in blood of HIV infected patients. Clinica Chimica Acta. ,vol. 255, pp. 107- 117 ,(1996) , 10.1016/0009-8981(96)06394-2
E. W. Taylor, C. S. Ramanathan, R. K. Jalluri, R. G. Nadimpalli, A Basis for New Approaches to the Chemotherapy of AIDS: Novel Genes in HIV-1 Potentially Encode Selenoproteins Expressed by Ribosomal Frameshifting and Termination Suppression Journal of Medicinal Chemistry. ,vol. 37, pp. 2637- 2654 ,(1994) , 10.1021/JM00043A004
C Cheng-Mayer, D Seto, M Tateno, J. Levy, Biologic features of HIV-1 that correlate with virulence in the host Science. ,vol. 240, pp. 80- 82 ,(1988) , 10.1126/SCIENCE.2832945
Richard S. Beach, Emilio Mantero-Atienza, Gail Shor-Posner, Julian J. Javier, Jose Szapocznik, Robert Morgan, Howerde E. Sauberlich, Phillip E. Cornwell, Carl Eisdorfer, Marianna K. Baum, Specific Nutrient Abnormalities in Asymptomatic HIV-1 Infection AIDS. ,vol. 6, pp. 701- 708 ,(1992) , 10.1097/00002030-199207000-00013
Augusto Cirelli, Maria Ciardi, Claudio de Simone, Franco Sorice, Rosa Giordano, Laura Ciaralli, Sergio Costantini, Serum selenium concentration and disease progress in patients with HIV infection. Clinical Biochemistry. ,vol. 24, pp. 211- 214 ,(1991) , 10.1016/0009-9120(91)90601-A