Association of high viral load and abnormal liver function with high aflatoxin B1–albumin adduct levels in HIV-positive Ghanaians: preliminary observations
Identifieur interne : 000839 ( Main/Exploration ); précédent : 000838; suivant : 000840Association of high viral load and abnormal liver function with high aflatoxin B1–albumin adduct levels in HIV-positive Ghanaians: preliminary observations
Auteurs : P. E. Jolly [États-Unis] ; F. M. Shuaib [États-Unis] ; Y. Jiang [États-Unis] ; P. Preko [Ghana] ; J. Baidoo [Ghana] ; J. K. Stiles [États-Unis] ; J.-S. Wang [États-Unis] ; T. D. Phillips [États-Unis] ; J. H. Williams [États-Unis]Source :
- Food additives & contaminants. Part A, Chemistry, analysis, control, exposure & risk assessment [ 1944-0049 ] ; 2011.
Descripteurs français
- KwdFr :
- ARN viral (sang), Adulte, Aflatoxine B1 (métabolisme), Aflatoxine B1 (sang), Anticorps de l'hépatite B (immunologie), Anticorps de l'hépatite B (sang), Anticorps de l'hépatite C (sang), Antigènes de surface du virus de l'hépatite B (immunologie), Charge virale, Femelle, Ghana (épidémiologie), Hepacivirus (immunologie), Humains, Infections à VIH (), Infections à VIH (sang), Infections à VIH (épidémiologie), Maladies du foie (sang), Maladies du foie (étiologie), Mâle, Numération des lymphocytes CD4, Paludisme (), Paludisme (sang).
- MESH :
- immunologie : Anticorps de l'hépatite B, Antigènes de surface du virus de l'hépatite B, Hepacivirus.
- métabolisme : Aflatoxine B1.
- sang : ARN viral, Aflatoxine B1, Anticorps de l'hépatite B, Anticorps de l'hépatite C, Infections à VIH, Maladies du foie, Paludisme.
- épidémiologie : Ghana, Infections à VIH.
- étiologie : Maladies du foie.
- Adulte, Charge virale, Femelle, Humains, Infections à VIH, Mâle, Numération des lymphocytes CD4, Paludisme.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adult, Aflatoxin B1 (blood), Aflatoxin B1 (metabolism), CD4 Lymphocyte Count, Female, Ghana (epidemiology), HIV Infections (blood), HIV Infections (complications), HIV Infections (epidemiology), Hepacivirus (immunology), Hepatitis B Antibodies (blood), Hepatitis B Antibodies (immunology), Hepatitis B Surface Antigens (immunology), Hepatitis C Antibodies (blood), Humans, Liver Diseases (blood), Liver Diseases (etiology), Malaria (blood), Malaria (complications), Male, RNA, Viral (blood), Viral Load.
- MESH :
- chemical , blood : Aflatoxin B1, Hepatitis B Antibodies, Hepatitis C Antibodies, RNA, Viral.
- chemical , immunology : Hepatitis B Antibodies, Hepatitis B Surface Antigens.
- chemical , metabolism : Aflatoxin B1.
- geographic , epidemiology : Ghana.
- blood : HIV Infections, Liver Diseases, Malaria.
- complications : HIV Infections, Malaria.
- epidemiology : HIV Infections.
- etiology : Liver Diseases.
- immunology : Hepacivirus.
- Adult, CD4 Lymphocyte Count, Female, Humans, Male, Viral Load.
Abstract
We examined the association between certain clinical factors and aflatoxin B1–albumin adduct (AF-ALB) levels in HIV-positive people. Plasma samples collected from 314 (155 HIV-positive and 159 HIV-negative) people were tested for AF-ALB levels, viral load, CD4+ T-cell count, liver function profile, malaria parasitaemia, and hepatitis B and C virus infections. HIV-positive participants were divided into high and low groups based on their median AF-ALB of 0.93 pmol mg−1 albumin and multivariable logistic and linear regression methods used to assess relationships between clinical conditions and AF-ALB levels. Multivariable logistic regression showed statistically significant increased odds of having higher HIV viral loads (OR=2.84; 95% CI=1.17–7.78) and higher direct bilirubin levels (OR=5.47; 95% CI=1.03–22.85) among HIV-positive participants in the high AF-ALB group. There were also higher levels of total bilirubin and lower levels of albumin in association with high AF-ALB. Thus, aflatoxin exposure may contribute to high viral loads and abnormal liver function in HIV-positive people and so promote disease progression.
Url:
DOI: 10.1080/19440049.2011.581698
PubMed: 21749228
PubMed Central: 3381352
Affiliations:
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E." last="Jolly">P. E. Jolly</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL</wicri:regionArea><placeName><region type="state">Alabama</region></placeName></affiliation></author><author><name sortKey="Shuaib, F M" sort="Shuaib, F M" uniqKey="Shuaib F" first="F. M." last="Shuaib">F. M. Shuaib</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL</wicri:regionArea><placeName><region type="state">Alabama</region></placeName></affiliation></author><author><name sortKey="Jiang, Y" sort="Jiang, Y" uniqKey="Jiang Y" first="Y." last="Jiang">Y. Jiang</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL</wicri:regionArea><placeName><region type="state">Alabama</region></placeName></affiliation></author><author><name sortKey="Preko, P" sort="Preko, P" uniqKey="Preko P" first="P." last="Preko">P. Preko</name><affiliation wicri:level="1"><nlm:aff id="A2">AIDS ALLY and St. Markus Hospital, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>AIDS ALLY and St. Markus Hospital, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Baidoo, J" sort="Baidoo, J" uniqKey="Baidoo J" first="J." last="Baidoo">J. Baidoo</name><affiliation wicri:level="1"><nlm:aff id="A2">AIDS ALLY and St. Markus Hospital, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>AIDS ALLY and St. Markus Hospital, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Stiles, J K" sort="Stiles, J K" uniqKey="Stiles J" first="J. K." last="Stiles">J. K. Stiles</name><affiliation wicri:level="2"><nlm:aff id="A3">Department of Microbiology, Biochemistry and Immunology, Morehouse School of Medicine, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Microbiology, Biochemistry and Immunology, Morehouse School of Medicine, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Wang, J S" sort="Wang, J S" uniqKey="Wang J" first="J.-S." last="Wang">J.-S. Wang</name><affiliation wicri:level="2"><nlm:aff id="A4">Department of Environmental Health Science, University of Georgia, Athens, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Environmental Health Science, University of Georgia, Athens, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Phillips, T D" sort="Phillips, T D" uniqKey="Phillips T" first="T. D." last="Phillips">T. D. Phillips</name><affiliation wicri:level="2"><nlm:aff id="A5">Department of Veterinary Integrative Biosciences, Texas A&M University, College Station, TX, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Veterinary Integrative Biosciences, Texas A&M University, College Station, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Williams, J H" sort="Williams, J H" uniqKey="Williams J" first="J. H." last="Williams">J. H. Williams</name><affiliation wicri:level="2"><nlm:aff id="A6">College of Agricultural and Environmental Sciences, University of Georgia, Griffin, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>College of Agricultural and Environmental Sciences, University of Georgia, Griffin, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author></analytic><series><title level="j">Food additives & contaminants. Part A, Chemistry, analysis, control, exposure & risk assessment</title><idno type="ISSN">1944-0049</idno><idno type="eISSN">1944-0057</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aflatoxin B1 (blood)</term><term>Aflatoxin B1 (metabolism)</term><term>CD4 Lymphocyte Count</term><term>Female</term><term>Ghana (epidemiology)</term><term>HIV Infections (blood)</term><term>HIV Infections (complications)</term><term>HIV Infections (epidemiology)</term><term>Hepacivirus (immunology)</term><term>Hepatitis B Antibodies (blood)</term><term>Hepatitis B Antibodies (immunology)</term><term>Hepatitis B Surface Antigens (immunology)</term><term>Hepatitis C Antibodies (blood)</term><term>Humans</term><term>Liver Diseases (blood)</term><term>Liver Diseases (etiology)</term><term>Malaria (blood)</term><term>Malaria (complications)</term><term>Male</term><term>RNA, Viral (blood)</term><term>Viral Load</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>ARN viral (sang)</term><term>Adulte</term><term>Aflatoxine B1 (métabolisme)</term><term>Aflatoxine B1 (sang)</term><term>Anticorps de l'hépatite B (immunologie)</term><term>Anticorps de l'hépatite B (sang)</term><term>Anticorps de l'hépatite C (sang)</term><term>Antigènes de surface du virus de l'hépatite B (immunologie)</term><term>Charge virale</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Hepacivirus (immunologie)</term><term>Humains</term><term>Infections à VIH ()</term><term>Infections à VIH (sang)</term><term>Infections à VIH (épidémiologie)</term><term>Maladies du foie (sang)</term><term>Maladies du foie (étiologie)</term><term>Mâle</term><term>Numération des lymphocytes CD4</term><term>Paludisme ()</term><term>Paludisme (sang)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Aflatoxin B1</term><term>Hepatitis B Antibodies</term><term>Hepatitis C Antibodies</term><term>RNA, Viral</term></keywords><keywords scheme="MESH" type="chemical" qualifier="immunology" xml:lang="en"><term>Hepatitis B Antibodies</term><term>Hepatitis B Surface Antigens</term></keywords><keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Aflatoxin B1</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>HIV Infections</term><term>Liver Diseases</term><term>Malaria</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>HIV Infections</term><term>Malaria</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Liver Diseases</term></keywords><keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Anticorps de l'hépatite B</term><term>Antigènes de surface du virus de l'hépatite B</term><term>Hepacivirus</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Hepacivirus</term></keywords><keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Aflatoxine B1</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>ARN viral</term><term>Aflatoxine B1</term><term>Anticorps de l'hépatite B</term><term>Anticorps de l'hépatite C</term><term>Infections à VIH</term><term>Maladies du foie</term><term>Paludisme</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Maladies du foie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>CD4 Lymphocyte Count</term><term>Female</term><term>Humans</term><term>Male</term><term>Viral Load</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Charge virale</term><term>Femelle</term><term>Humains</term><term>Infections à VIH</term><term>Mâle</term><term>Numération des lymphocytes CD4</term><term>Paludisme</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">We examined the association between certain clinical factors and aflatoxin B<sub>1</sub>–albumin adduct (AF-ALB) levels in HIV-positive people. Plasma samples collected from 314 (155 HIV-positive and 159 HIV-negative) people were tested for AF-ALB levels, viral load, CD4+ T-cell count, liver function profile, malaria parasitaemia, and hepatitis B and C virus infections. HIV-positive participants were divided into high and low groups based on their median AF-ALB of 0.93 pmol mg<sup>−1</sup> albumin and multivariable logistic and linear regression methods used to assess relationships between clinical conditions and AF-ALB levels. Multivariable logistic regression showed statistically significant increased odds of having higher HIV viral loads (OR=2.84; 95% CI=1.17–7.78) and higher direct bilirubin levels (OR=5.47; 95% CI=1.03–22.85) among HIV-positive participants in the high AF-ALB group. There were also higher levels of total bilirubin and lower levels of albumin in association with high AF-ALB. Thus, aflatoxin exposure may contribute to high viral loads and abnormal liver function in HIV-positive people and so promote disease progression.</p></div></front></TEI><affiliations><list><country><li>Ghana</li><li>États-Unis</li></country><region><li>Alabama</li><li>Géorgie (États-Unis)</li><li>Texas</li></region></list><tree><country name="États-Unis"><region name="Alabama"><name sortKey="Jolly, P E" sort="Jolly, P E" uniqKey="Jolly P" first="P. E." last="Jolly">P. E. Jolly</name></region><name sortKey="Jiang, Y" sort="Jiang, Y" uniqKey="Jiang Y" first="Y." last="Jiang">Y. Jiang</name><name sortKey="Phillips, T D" sort="Phillips, T D" uniqKey="Phillips T" first="T. D." last="Phillips">T. D. Phillips</name><name sortKey="Shuaib, F M" sort="Shuaib, F M" uniqKey="Shuaib F" first="F. M." last="Shuaib">F. M. Shuaib</name><name sortKey="Stiles, J K" sort="Stiles, J K" uniqKey="Stiles J" first="J. K." last="Stiles">J. K. Stiles</name><name sortKey="Wang, J S" sort="Wang, J S" uniqKey="Wang J" first="J.-S." last="Wang">J.-S. Wang</name><name sortKey="Williams, J H" sort="Williams, J H" uniqKey="Williams J" first="J. H." last="Williams">J. H. Williams</name></country><country name="Ghana"><noRegion><name sortKey="Preko, P" sort="Preko, P" uniqKey="Preko P" first="P." last="Preko">P. Preko</name></noRegion><name sortKey="Baidoo, J" sort="Baidoo, J" uniqKey="Baidoo J" first="J." last="Baidoo">J. Baidoo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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