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Sökning: onr:"swepub:oai:DiVA.org:uu-19740" > Highly Active Antir...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004034naa a2200481 4500
001oai:DiVA.org:uu-19740
003SwePub
008061201s2006 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:1943253
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-197402 URI
024a https://doi.org/10.1097/01.qai.0000232610.93867.2f2 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:19432532 URI
040 a (SwePub)uud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Kappert, Kai4 aut
2451 0a Highly Active Antiretroviral Therapy Attenuates Re-Endothelialization and Alters Neointima Formation in the Rat Carotid Artery After Balloon Injury
264 1b Ovid Technologies (Wolters Kluwer Health),c 2006
338 a print2 rdacarrier
520 a Highly active antiretroviral therapy (HAART) has led to a sustained decline of HIV-associated morbidity and mortality. HAART exhibits significant side effects, however, such as hyperlipidemia and hyperglycemia, which possibly contribute to accelerated atherosclerosis in HAART-treated patients. In addition, direct effects of HAART on vascular cells have been described, which may promote atherosclerotic lesion formation. The effects of HAART on balloon-induced neointima formation have not been studied previously. The rat carotid artery balloon model was used to evaluate the effects of HAART (lopinavir, ritonavir, lamivudine, and zidovudine) on neointima formation and endothelial recovery. Furthermore, the effects of concomitant administration of the 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor rosuvastatin were investigated. HAART-treated animals displayed an increase in lesion size (neointima/media ratio: 1.14 +/- 0.32 vs. 1.31 +/- 0.20 in control vs. HAART; P < 0.05) and an impaired regenerative capacity of the endothelium, as indicated by reduction in endothelial regrowth from an adjacent undilated vessel segment 14 days after injury (re-endothelialization area: 8.29 +/- 1.45 mm vs. 5.09 +/- 0.53 mm in control vs. HAART; P < 0.05). When rosuvastatin was given in addition to HAART, these effects were not observed. In conclusion, HAART inhibited endothelial cell-mediated healing and promoted neointima formation after angioplasty in rats. These deleterious effects were attenuated by cotreatment with rosuvastatin, however. Our studies suggest that currently used drug regimens against HIV infection may lead to an increased risk for restenosis after percutaneous vascular interventions. Moreover, the findings indicate that the additional treatment with statins might counteract these adverse effects by HAART.
653 a AIDS
653 a atherosclerosis
653 a highly active antiretroviral therapy
653 a neointima formation
653 a restenosis
653 a vascular smooth muscle cell
653 a MEDICINE
653 a MEDICIN
700a Leppänen, Olliu Uppsala universitet,Kärlkirurgi4 aut
700a Paulsson, Jannau Karolinska Institutet4 aut
700a Furuhashi, Masaou Uppsala universitet,Ludwiginstitutet för cancerforskning4 aut
700a Carlsson, Mari-Anneu Uppsala universitet,Kärlkirurgi4 aut0 (Swepub:uu)macarls
700a Heldin, Carl-Henriku Uppsala universitet,Ludwiginstitutet för cancerforskning4 aut0 (Swepub:uu)carlheld
700a Fätkenheuer, Gerd4 aut
700a Rosenkranz, Stephan4 aut
700a Östman, Arneu Karolinska Institutet4 aut
710a Uppsala universitetb Kärlkirurgi4 org
773t Journal of Acquired Immune Deficiency Syndromesd : Ovid Technologies (Wolters Kluwer Health)g 43:4, s. 383-392q 43:4<383-392x 1525-4135x 1944-7884
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-19740
8564 8u https://doi.org/10.1097/01.qai.0000232610.93867.2f
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:1943253

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