Aflatoxin levels, plasma vitamins A and E concentrations, and their association with HIV and hepatitis B virus infections in Ghanaians: a cross-sectional study
Identifieur interne : 000845 ( Main/Exploration ); précédent : 000844; suivant : 000846Aflatoxin levels, plasma vitamins A and E concentrations, and their association with HIV and hepatitis B virus infections in Ghanaians: a cross-sectional study
Auteurs : Francis A. Obuseh [États-Unis] ; Pauline E. Jolly [États-Unis] ; Andrzej Kulczycki [États-Unis] ; John Ehiri [États-Unis] ; John Waterbor [États-Unis] ; Renee A. Desmond [États-Unis] ; Peter O. Preko [Ghana] ; Yi Jiang [États-Unis] ; Chandrika J. Piyathilake [États-Unis]Source :
- Journal of the International AIDS Society [ 1758-2652 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aflatoxines (sang), Aflatoxines (toxicité), Carence en vitamine A (), Carence en vitamine E (), Femelle, Ghana (épidémiologie), Humains, Hépatite B (épidémiologie), Infections à VIH (épidémiologie), Mâle, Plasma sanguin (), Rétinol (sang), Vitamine E (sang), Études transversales.
- MESH :
- sang : Aflatoxines, Rétinol, Vitamine E.
- toxicité : Aflatoxines.
- épidémiologie : Ghana, Hépatite B, Infections à VIH.
- Adulte, Adulte d'âge moyen, Carence en vitamine A, Carence en vitamine E, Femelle, Humains, Mâle, Plasma sanguin, Études transversales.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Adult, Aflatoxins (blood), Aflatoxins (toxicity), Cross-Sectional Studies, Female, Ghana (epidemiology), HIV Infections (epidemiology), Hepatitis B (epidemiology), Humans, Male, Middle Aged, Plasma (chemistry), Vitamin A (blood), Vitamin A Deficiency (complications), Vitamin E (blood), Vitamin E Deficiency (complications).
- MESH :
- chemical , blood : Aflatoxins, Vitamin A, Vitamin E.
- chemical , toxicity : Aflatoxins.
- geographic , epidemiology : Ghana.
- chemistry : Plasma.
- complications : Vitamin A Deficiency, Vitamin E Deficiency.
- epidemiology : HIV Infections, Hepatitis B.
- Adult, Cross-Sectional Studies, Female, Humans, Male, Middle Aged.
Abstract
Micronutrient deficiencies occur commonly in people infected with the human immunodeficiency virus. Since aflatoxin exposure also results in reduced levels of several micronutrients, HIV and aflatoxin may work synergistically to increase micronutrient deficiencies. However, there has been no report on the association between aflatoxin exposure and micronutrient deficiencies in HIV-infected people. We measured aflatoxin B1 albumin (AF-ALB) adduct levels and vitamins A and E concentrations in the plasma of HIV-positive and HIV-negative Ghanaians and examined the association of vitamins A and E with HIV status, aflatoxin levels and hepatitis B virus (HBV) infection.
A cross-sectional study was conducted in which participants completed a demographic survey and gave a 20 mL blood sample for analysis of AF-ALB levels, vitamins A and E concentrations, CD4 counts, HIV viral load and HBV infection.
HIV-infected participants had significantly higher AF-ALB levels (median for HIV-positive and HIV-negative participants was 0.93 and 0.80 pmol/mg albumin, respectively; p <0.01) and significantly lower levels of vitamin A (-16.94 μg/dL; p <0.0001) and vitamin E (-0.22 mg/dL; p <0.001). For the total study group, higher AF-ALB was associated with significantly lower vitamin A (-4.83 μg/dL for every 0.1 pmol/mg increase in AF-ALB). HBV-infected people had significantly lower vitamin A (-5.66 μg/dL; p = 0.01). Vitamins A and E levels were inversely associated with HIV viral load (p = 0.02 for each), and low vitamin E was associated with lower CD4 counts (p = 0.004).
Our finding of the significant decrease in vitamin A associated with AF-ALB suggests that aflatoxin exposure significantly compromises the micronutrient status of people who are already facing overwhelming health problems, including HIV infection.
Url:
DOI: 10.1186/1758-2652-14-53
PubMed: 22078415
PubMed Central: 3228661
Affiliations:
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Obuseh</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama</wicri:regionArea><placeName><region type="state">Alabama</region></placeName></affiliation></author><author><name sortKey="Jolly, Pauline E" sort="Jolly, Pauline E" uniqKey="Jolly P" first="Pauline E" last="Jolly">Pauline E. Jolly</name><affiliation wicri:level="2"><nlm:aff id="I2">Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama</wicri:regionArea><placeName><region type="state">Alabama</region></placeName></affiliation></author><author><name sortKey="Kulczycki, Andrzej" sort="Kulczycki, Andrzej" uniqKey="Kulczycki A" first="Andrzej" last="Kulczycki">Andrzej Kulczycki</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama</wicri:regionArea><placeName><region type="state">Alabama</region></placeName></affiliation></author><author><name sortKey="Ehiri, John" sort="Ehiri, John" uniqKey="Ehiri J" first="John" last="Ehiri">John Ehiri</name><affiliation wicri:level="2"><nlm:aff id="I3">Division of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona</wicri:regionArea><placeName><region type="state">Arizona</region></placeName></affiliation></author><author><name sortKey="Waterbor, John" sort="Waterbor, John" uniqKey="Waterbor J" first="John" last="Waterbor">John Waterbor</name><affiliation wicri:level="2"><nlm:aff id="I2">Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama</wicri:regionArea><placeName><region type="state">Alabama</region></placeName></affiliation></author><author><name sortKey="Desmond, Renee A" sort="Desmond, Renee A" uniqKey="Desmond R" first="Renee A" last="Desmond">Renee A. Desmond</name><affiliation wicri:level="2"><nlm:aff id="I4">Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Preventive Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama</wicri:regionArea><placeName><region type="state">Alabama</region></placeName></affiliation></author><author><name sortKey="Preko, Peter O" sort="Preko, Peter O" uniqKey="Preko P" first="Peter O" last="Preko">Peter O. Preko</name><affiliation wicri:level="1"><nlm:aff id="I5">St. Markus Hospital, AIDS ALLY, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>St. Markus Hospital, AIDS ALLY, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Jiang, Yi" sort="Jiang, Yi" uniqKey="Jiang Y" first="Yi" last="Jiang">Yi Jiang</name><affiliation wicri:level="2"><nlm:aff id="I2">Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama</wicri:regionArea><placeName><region type="state">Alabama</region></placeName></affiliation></author><author><name sortKey="Piyathilake, Chandrika J" sort="Piyathilake, Chandrika J" uniqKey="Piyathilake C" first="Chandrika J" last="Piyathilake">Chandrika J. Piyathilake</name><affiliation wicri:level="2"><nlm:aff id="I6">Department of Nutrition Sciences - Nutritional Biochemistry and Genomics, University of Alabama at Birmingham, Birmingham, Alabama, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Nutrition Sciences - Nutritional Biochemistry and Genomics, University of Alabama at Birmingham, Birmingham, Alabama</wicri:regionArea><placeName><region type="state">Alabama</region></placeName></affiliation></author></analytic><series><title level="j">Journal of the International AIDS Society</title><idno type="eISSN">1758-2652</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aflatoxins (blood)</term><term>Aflatoxins (toxicity)</term><term>Cross-Sectional Studies</term><term>Female</term><term>Ghana (epidemiology)</term><term>HIV Infections (epidemiology)</term><term>Hepatitis B (epidemiology)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Plasma (chemistry)</term><term>Vitamin A (blood)</term><term>Vitamin A Deficiency (complications)</term><term>Vitamin E (blood)</term><term>Vitamin E Deficiency (complications)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aflatoxines (sang)</term><term>Aflatoxines (toxicité)</term><term>Carence en vitamine A ()</term><term>Carence en vitamine E ()</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Humains</term><term>Hépatite B (épidémiologie)</term><term>Infections à VIH (épidémiologie)</term><term>Mâle</term><term>Plasma sanguin ()</term><term>Rétinol (sang)</term><term>Vitamine E (sang)</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Aflatoxins</term><term>Vitamin A</term><term>Vitamin E</term></keywords><keywords scheme="MESH" type="chemical" qualifier="toxicity" xml:lang="en"><term>Aflatoxins</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="chemistry" xml:lang="en"><term>Plasma</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Vitamin A Deficiency</term><term>Vitamin E Deficiency</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Infections</term><term>Hepatitis B</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Aflatoxines</term><term>Rétinol</term><term>Vitamine E</term></keywords><keywords scheme="MESH" qualifier="toxicité" xml:lang="fr"><term>Aflatoxines</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term><term>Hépatite B</term><term>Infections à VIH</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Carence en vitamine A</term><term>Carence en vitamine E</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Plasma sanguin</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Micronutrient deficiencies occur commonly in people infected with the human immunodeficiency virus. Since aflatoxin exposure also results in reduced levels of several micronutrients, HIV and aflatoxin may work synergistically to increase micronutrient deficiencies. However, there has been no report on the association between aflatoxin exposure and micronutrient deficiencies in HIV-infected people. We measured aflatoxin B<sub>1 </sub>albumin (AF-ALB) adduct levels and vitamins A and E concentrations in the plasma of HIV-positive and HIV-negative Ghanaians and examined the association of vitamins A and E with HIV status, aflatoxin levels and hepatitis B virus (HBV) infection.</p></sec><sec><title>Methods</title><p>A cross-sectional study was conducted in which participants completed a demographic survey and gave a 20 mL blood sample for analysis of AF-ALB levels, vitamins A and E concentrations, CD4 counts, HIV viral load and HBV infection.</p></sec><sec><title>Results</title><p>HIV-infected participants had significantly higher AF-ALB levels (median for HIV-positive and HIV-negative participants was 0.93 and 0.80 pmol/mg albumin, respectively; p <0.01) and significantly lower levels of vitamin A (-16.94 μg/dL; p <0.0001) and vitamin E (-0.22 mg/dL; p <0.001). For the total study group, higher AF-ALB was associated with significantly lower vitamin A (-4.83 μg/dL for every 0.1 pmol/mg increase in AF-ALB). HBV-infected people had significantly lower vitamin A (-5.66 μg/dL; p = 0.01). Vitamins A and E levels were inversely associated with HIV viral load (p = 0.02 for each), and low vitamin E was associated with lower CD4 counts (p = 0.004).</p></sec><sec><title>Conclusions</title><p>Our finding of the significant decrease in vitamin A associated with AF-ALB suggests that aflatoxin exposure significantly compromises the micronutrient status of people who are already facing overwhelming health problems, including HIV infection.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Fawzi, W" uniqKey="Fawzi W">W Fawzi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fawzi, Ww" uniqKey="Fawzi W">WW Fawzi</name></author><author><name sortKey="Hunter, Dj" uniqKey="Hunter D">DJ Hunter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kennedy, Cm" uniqKey="Kennedy C">CM 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Jensen</name></author><author><name sortKey="Carlo, Dj" uniqKey="Carlo D">DJ Carlo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Strickland, Pt" uniqKey="Strickland P">PT Strickland</name></author><author><name sortKey="Groopman, Jd" uniqKey="Groopman J">JD Groopman</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li><li>États-Unis</li></country><region><li>Alabama</li><li>Arizona</li></region></list><tree><country name="États-Unis"><region name="Alabama"><name sortKey="Obuseh, Francis A" sort="Obuseh, Francis A" uniqKey="Obuseh F" first="Francis A" last="Obuseh">Francis A. Obuseh</name></region><name sortKey="Desmond, Renee A" sort="Desmond, Renee A" uniqKey="Desmond R" first="Renee A" last="Desmond">Renee A. Desmond</name><name sortKey="Ehiri, John" sort="Ehiri, John" uniqKey="Ehiri J" first="John" last="Ehiri">John Ehiri</name><name sortKey="Jiang, Yi" sort="Jiang, Yi" uniqKey="Jiang Y" first="Yi" last="Jiang">Yi Jiang</name><name sortKey="Jolly, Pauline E" sort="Jolly, Pauline E" uniqKey="Jolly P" first="Pauline E" last="Jolly">Pauline E. Jolly</name><name sortKey="Kulczycki, Andrzej" sort="Kulczycki, Andrzej" uniqKey="Kulczycki A" first="Andrzej" last="Kulczycki">Andrzej Kulczycki</name><name sortKey="Piyathilake, Chandrika J" sort="Piyathilake, Chandrika J" uniqKey="Piyathilake C" first="Chandrika J" last="Piyathilake">Chandrika J. Piyathilake</name><name sortKey="Waterbor, John" sort="Waterbor, John" uniqKey="Waterbor J" first="John" last="Waterbor">John Waterbor</name></country><country name="Ghana"><noRegion><name sortKey="Preko, Peter O" sort="Preko, Peter O" uniqKey="Preko P" first="Peter O" last="Preko">Peter O. Preko</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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