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抗病毒治疗艾滋病患者HIV-1耐药性影响因素
  • 期刊名称:中国公共卫生
  • 时间:0
  • 页码:438-449
  • 语言:中文
  • 分类:R512.91[医药卫生—临床医学;医药卫生—内科学] R181[医药卫生—流行病学;医药卫生—公共卫生与预防医学]
  • 作者机构:[1]广西医科大学公共卫生学院,广西艾滋病防治研究重点实验室,广西南宁530021, [2]军事医学科学院微生物流行病研究所,病原微生物生物安全国家重点实验室,北京100071, [3]广西医科大学第一附属医院老年消化内科,广西南宁530021, [4]广西疾病预防控制中心艾滋病防制所,广西南宁530021, [5]柳州市疾病预防控制中心,广西柳州545001
  • 相关基金:国家自然科学基金(30760218);美国NIH课题(1-R21-DA025477-01);教育部高等学校博士学科点专项科研基金(教技发中心函[2012]17号)
  • 相关项目:鸦片类毒品对艾滋病抗病毒治疗和耐药性的影响及其机制的研究
中文摘要:

目的探讨冰毒对人类免疫缺陷病毒-1型(human immunodeficiency virus 1,HIV-1)在巨噬细胞中复制的作用。方法将巨噬细胞按单纯随机分组原则分为:(1)冰毒+多巴胺受体D1阻滞剂(SCH23390)处理组,(2)冰毒处理组,(3)SCH23390处理组,(4)病毒对照组。先用浓度为10-5mol/L的SCH23390预处理(1)、(3)组1h,再用10μmol/L的冰毒处理(1)组24h,同时用10~mol/L、10μmol/L及2.5×10-4mol/L的冰毒处理(2)组24h,然后每组加入等量的HIV-1进行感染,于感染的第4、6、8、10d取培养上清,用酶联免疫吸附剂测定(enzymelinked immunosorbnent assay,ELISA)检测培养上清的HIV-1 p24抗原,比较各组之间抗原表达量差异。结果HIV-1感染巨噬细胞第4、6、8、10d,病毒对照组的p24抗原表达量均低于3个不同浓度冰毒处理组(均有P〈0.01);且各浓度冰毒处理组的p24抗原表达量比对照组增加的倍数,随着感染时间的延长而具有上升的趋势,时间.效应差异有统计学意义(F=155.94,P〈0.001);而冰毒+SCH23390处理组、SCH23390处理组分别与病毒对照组HIV-1p24抗原表达比较,差异均无统计学意义(均有P〉0.05)。结论冰毒能够促进HIV-1在巨噬细胞内的复制,并随感染时间的延长呈递增趋势;冰毒促进HIV-1复制的作用可被多巴胺受体D1阻滞剂(SCH23390)阻断。

英文摘要:

Objective To determine the effect of methamphetamine on the replication of HIV-1 in macrophages. Methods Maerophages were assigned randomly into four groups: ( 1 ) the methamphetamine/SCH 23390 co-treatment group ; (2) the methamphetamine treatment group ; (3) the SCH 23390 treatment group ; (4) the control group. Firstly, (1) and(3 )group were treated with 10-5 mol/L of SCH 23390 for 1 hour. Secondly, (1) group were treated with 10-4 mol/L of methamphetamine for 24 hours and (2) group were treated with 10 -5mol/L, 10 -4mol/L and 2. 5 × 10 -4mol/L of methamphetamine for 24 hours. And then all groups were infected with equal amounts of HIV-1 strain. HIV-1 p24 antigen in culture supernatants collected at days 4, 6, 8 and 10 after infection were tested and then the difference between the anti- gen expressions of the groups were compared. Results On the 4th day,6th day, 8th day and 10th day of macrophages in- fected with HIV-1, the expressions of p24 antigen in the control group were significantly decreased compared to the three different concentrations of methamphetamine treatment group ( all P 〈 0.01 ) ; The increased folds of p24 antigen expressions in different concentrations of methamphetamine-treated groups compared with that of the control group, appeared to have an increasing trend with HIV-1 infected time. This enhanced result showed a significant time-course effect (F = 155.94 ,P 〈 0. 001 ); There was no significant difference between the methamphetamine/SCH 23390 co-treatment group, the SCH 23390 treatment group and the control group ( all P 〉 0.05 ). Conclusions Methamphetamine has the ability to enhance HIV-1 replication in macrophages, and this enhanced result shows an increasing trend with HIV-1 infected time; The effect of methamphetamine on promotion of HIV-1 replication can be inhibited by the dopamine D1 receptor antagonists.

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