Le SIDA au Ghana (serveur d'exploration)

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Association of high viral load and abnormal liver function with high aflatoxin B1-albumin adduct levels in HIV-positive Ghanaians: preliminary observations

Identifieur interne : 000903 ( Main/Exploration ); précédent : 000902; suivant : 000904

Association 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]

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RBID : Pascal:11-0451417

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English descriptors

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.


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Le document en format XML

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<title xml:lang="en" level="a">Association of high viral load and abnormal liver function with high aflatoxin B
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-albumin adduct levels in HIV-positive Ghanaians: preliminary observations</title>
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<term>Adduct</term>
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<div type="abstract" xml:lang="en">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
<sub>+</sub>
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.</div>
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