Performance of Clinical Criteria for Screening of Possible Antiretroviral Related Mitochondrial Toxicity in HIV-Infected Children in Accra
Identifieur interne : 000578 ( Main/Exploration ); précédent : 000577; suivant : 000579Performance of Clinical Criteria for Screening of Possible Antiretroviral Related Mitochondrial Toxicity in HIV-Infected Children in Accra
Auteurs : Allison Langs-Barlow [États-Unis] ; Lorna Renner [Ghana] ; Karol Katz [États-Unis] ; Veronika Northrup [États-Unis] ; Elijah Paintsil [États-Unis]Source :
- AIDS Research and Treatment [ 2090-1240 ] ; 2013.
Abstract
Mitochondrial damage is implicated in highly active antiretroviral therapy (HAART) toxicity. HIV infection also causes mitochondrial toxicity (MT). Differentiating between the two is critical for HIV management. Our objective was to test the utility of the Mitochondrial Disease Criteria (MDC) and the Enquête Périnatale Française (EPF) to screen for possible HAART related MT in HIV-infected children in Ghana. The EPF and MDC are compilations of clinical symptoms, or criteria, of MT: a (+) score indicates possible MT. We applied these criteria retrospectively to 403 charts of HIV-infected children. Of those studied, 331/403 received HAART. Comparing HAART exposed and HAART naïve children, the difference in EPF score, but not MDC, approached significance (
Url:
DOI: 10.1155/2013/249171
PubMed: 23533730
PubMed Central: 3606755
Affiliations:
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Box kb77, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Child Health, Korle Bu Teaching Hospital, University of Ghana Medical School, P.O. Box kb77, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Katz, Karol" sort="Katz, Karol" uniqKey="Katz K" first="Karol" last="Katz">Karol Katz</name><affiliation wicri:level="2"><nlm:aff id="I3">Yale Center for Analytical Sciences, Yale School of Public Health, New Haven, CT 06520, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Yale Center for Analytical Sciences, Yale School of Public Health, New Haven, CT 06520</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Northrup, Veronika" sort="Northrup, Veronika" uniqKey="Northrup V" first="Veronika" last="Northrup">Veronika Northrup</name><affiliation wicri:level="2"><nlm:aff id="I3">Yale Center for Analytical Sciences, Yale School of Public Health, New Haven, CT 06520, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Yale Center for Analytical Sciences, Yale School of Public Health, New Haven, CT 06520</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Paintsil, Elijah" sort="Paintsil, Elijah" uniqKey="Paintsil E" first="Elijah" last="Paintsil">Elijah Paintsil</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Pediatrics, Yale School of Medicine, New Haven, CT 06520, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pediatrics, Yale School of Medicine, New Haven, CT 06520</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="I4">Department of Pharmacology, Yale School of Medicine, New Haven, CT 06520, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pharmacology, Yale School of Medicine, New Haven, CT 06520</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author></analytic><series><title level="j">AIDS Research and Treatment</title><idno type="ISSN">2090-1240</idno><idno type="eISSN">2090-1259</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Mitochondrial damage is implicated in highly active antiretroviral therapy (HAART) toxicity. HIV infection also causes mitochondrial toxicity (MT). Differentiating between the two is critical for HIV management. Our objective was to test the utility of the Mitochondrial Disease Criteria (MDC) and the Enquête Périnatale Française (EPF) to screen for possible HAART related MT in HIV-infected children in Ghana. The EPF and MDC are compilations of clinical symptoms, or criteria, of MT: a (+) score indicates possible MT. We applied these criteria retrospectively to 403 charts of HIV-infected children. Of those studied, 331/403 received HAART. Comparing HAART exposed and HAART naïve children, the difference in EPF score, but not MDC, approached significance (<italic>P</italic> = 0.1). Young age at HIV diagnosis or at HAART initiation was associated with (+) EPF (<italic>P</italic> ≤ 0.01). Adherence to HAART trended toward an association with (+) EPF (<italic>P</italic> = 0.09). Exposure to nevirapine, abacavir, or didanosine increased risk of (+) EPF (OR = 3.55 (CI = 1.99–6.33), 4.76 (2.39–9.43), 4.93 (1.29–18.87)). Neither EPF nor MDC identified a significant difference between HAART exposed or naïve children regarding possible MT. However, as indicators of HAART exposure are associated with (+) EPF, it may be a candidate for prospective study of possible HAART related MT in resource-poor settings.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Claessens, Ye" uniqKey="Claessens Y">YE Claessens</name></author><author><name sortKey="Chiche, Jd" uniqKey="Chiche J">JD Chiche</name></author><author><name sortKey="Mira, Jp" uniqKey="Mira J">JP Mira</name></author><author><name sortKey="Cariou, A" uniqKey="Cariou A">A Cariou</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brogly, S" uniqKey="Brogly S">S Brogly</name></author><author><name sortKey="Williams, P" uniqKey="Williams P">P Williams</name></author><author><name sortKey="Seage, Gr" uniqKey="Seage G">GR Seage</name></author><author><name sortKey="Oleske, Jm" uniqKey="Oleske J">JM Oleske</name></author><author><name sortKey="Van Dyke, R" 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Falk</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li><li>États-Unis</li></country><region><li>Connecticut</li><li>Région du Grand Accra</li></region><settlement><li>Accra</li></settlement></list><tree><country name="États-Unis"><region name="Connecticut"><name sortKey="Langs Barlow, Allison" sort="Langs Barlow, Allison" uniqKey="Langs Barlow A" first="Allison" last="Langs-Barlow">Allison Langs-Barlow</name></region><name sortKey="Katz, Karol" sort="Katz, Karol" uniqKey="Katz K" first="Karol" last="Katz">Karol Katz</name><name sortKey="Northrup, Veronika" sort="Northrup, Veronika" uniqKey="Northrup V" first="Veronika" last="Northrup">Veronika Northrup</name><name sortKey="Paintsil, Elijah" sort="Paintsil, Elijah" uniqKey="Paintsil E" first="Elijah" last="Paintsil">Elijah Paintsil</name><name sortKey="Paintsil, Elijah" sort="Paintsil, Elijah" uniqKey="Paintsil E" first="Elijah" last="Paintsil">Elijah Paintsil</name></country><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Renner, Lorna" sort="Renner, Lorna" uniqKey="Renner L" first="Lorna" last="Renner">Lorna Renner</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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