Antiretroviral Treatment in HIV-1-Positive Mothers: Neurological Implications in Virus-Free Children
Identifieur interne : 000B39 ( Main/Exploration ); précédent : 000B38; suivant : 000B40Antiretroviral Treatment in HIV-1-Positive Mothers: Neurological Implications in Virus-Free Children
Auteurs : Antonio Victor Campos Coelho ; Paola Maura Tricarico ; Fulvio Celsi ; Sergio Crovella [Italie]Source :
- International Journal of Molecular Sciences [ 1422-0067 ] ; 2017.
Abstract
Since the worldwide introduction of antiretroviral therapy (ART) in human immunodeficiency virus type 1, HIV-1-positive mothers, together with HIV-1 testing prior to pregnancy, caesarian birth and breastfeeding cessation with replacement feeding, a reduction of HIV-1 mother-to-child transmission (MTCT) has been observed in the last few years. As such, an increasing number of children are being exposed in utero to ART. Several questions have arisen concerning the neurological effects of ART exposure in utero, considering the potential effect of antiretroviral drugs on the central nervous system, a structure which is in continuous development in the fetus and characterized by great plasticity. This review aims at discussing the possible neurological impairment of children exposed to ART in utero, focusing attention on the drugs commonly used for HIV-1 MTCT prevention, clinical reports of ART neurotoxicity in children born to HIV-1-positive mothers, and neurologic effects of protease inhibitors (PIs), especially ritonavir-“boosted” lopinavir (LPV/r) in cell and animal central nervous system models evaluating the potential neurotoxic effect of ART. Finally, we present the findings of a meta-analysis to assess the effects on the neurodevelopment of children exposed to ART in utero.
Url:
DOI: 10.3390/ijms18020423
PubMed: 28212307
PubMed Central: 5343957
Affiliations:
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Cidade Universitária, 50740-600 Recife, Brazil;<email>avccbio@gmail.com</email></nlm:aff></affiliation></author><author><name sortKey="Tricarico, Paola Maura" sort="Tricarico, Paola Maura" uniqKey="Tricarico P" first="Paola Maura" last="Tricarico">Paola Maura Tricarico</name><affiliation><nlm:aff id="af2-ijms-18-00423">Institute for Maternal and Child Health, Scientific Institute for Research, Hospitalization and Care (IRCCS) Burlo Garofolo, 34137 Trieste, Italy;<email>tricaricopa@gmail.com</email> (P.M.T.);<email>fulvio.celsi@gmail.com</email> (F.C.)</nlm:aff></affiliation></author><author><name sortKey="Celsi, Fulvio" sort="Celsi, Fulvio" uniqKey="Celsi F" first="Fulvio" last="Celsi">Fulvio Celsi</name><affiliation><nlm:aff id="af2-ijms-18-00423">Institute for Maternal and Child Health, Scientific Institute for Research, Hospitalization and Care (IRCCS) Burlo Garofolo, 34137 Trieste, Italy;<email>tricaricopa@gmail.com</email> (P.M.T.);<email>fulvio.celsi@gmail.com</email> (F.C.)</nlm:aff></affiliation></author><author><name sortKey="Crovella, Sergio" sort="Crovella, Sergio" uniqKey="Crovella S" first="Sergio" last="Crovella">Sergio Crovella</name><affiliation><nlm:aff id="af2-ijms-18-00423">Institute for Maternal and Child Health, Scientific Institute for Research, Hospitalization and Care (IRCCS) Burlo Garofolo, 34137 Trieste, Italy;<email>tricaricopa@gmail.com</email> (P.M.T.);<email>fulvio.celsi@gmail.com</email> (F.C.)</nlm:aff></affiliation><affiliation wicri:level="1"><nlm:aff id="af3-ijms-18-00423">Department of Developmental and Reproductive Sciences, Genetic Unit, University of Trieste, 34127 Trieste, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Developmental and Reproductive Sciences, Genetic Unit, University of Trieste, 34127 Trieste</wicri:regionArea><wicri:noRegion>34127 Trieste</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal of Molecular Sciences</title><idno type="eISSN">1422-0067</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Since the worldwide introduction of antiretroviral therapy (ART) in human immunodeficiency virus type 1, HIV-1-positive mothers, together with HIV-1 testing prior to pregnancy, caesarian birth and breastfeeding cessation with replacement feeding, a reduction of HIV-1 mother-to-child transmission (MTCT) has been observed in the last few years. As such, an increasing number of children are being exposed in utero to ART. Several questions have arisen concerning the neurological effects of ART exposure in utero, considering the potential effect of antiretroviral drugs on the central nervous system, a structure which is in continuous development in the fetus and characterized by great plasticity. This review aims at discussing the possible neurological impairment of children exposed to ART in utero, focusing attention on the drugs commonly used for HIV-1 MTCT prevention, clinical reports of ART neurotoxicity in children born to HIV-1-positive mothers, and neurologic effects of protease inhibitors (PIs), especially ritonavir-“boosted” lopinavir (LPV/r) in cell and animal central nervous system models evaluating the potential neurotoxic effect of ART. Finally, we present the findings of a meta-analysis to assess the effects on the neurodevelopment of children exposed to ART in utero.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Mccormack, S A" uniqKey="Mccormack S">S.A. McCormack</name></author><author><name sortKey="Best, B M" uniqKey="Best B">B.M. Best</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Williams, P L" uniqKey="Williams P">P.L. Williams</name></author><author><name sortKey="Hazra, R" uniqKey="Hazra R">R. Hazra</name></author><author><name sortKey="Van Dyke, R B" uniqKey="Van Dyke R">R.B. van Dyke</name></author><author><name sortKey="Yildirim, C" uniqKey="Yildirim C">C. Yildirim</name></author><author><name sortKey="Crain, M J" uniqKey="Crain M">M.J. Crain</name></author><author><name sortKey="Seage, G R" uniqKey="Seage G">G.R. 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Madhi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Prechtl, H F" uniqKey="Prechtl H">H.F. Prechtl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Einspieler, C" uniqKey="Einspieler C">C. Einspieler</name></author><author><name sortKey="Prechtl, H F" uniqKey="Prechtl H">H.F. Prechtl</name></author><author><name sortKey="Ferrari, F" uniqKey="Ferrari F">F. Ferrari</name></author><author><name sortKey="Cioni, G" uniqKey="Cioni G">G. Cioni</name></author><author><name sortKey="Bos, A F" uniqKey="Bos A">A.F. Bos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Herskind, A" uniqKey="Herskind A">A. Herskind</name></author><author><name sortKey="Greisen, G" uniqKey="Greisen G">G. Greisen</name></author><author><name sortKey="Nielsen, J B" uniqKey="Nielsen J">J.B. Nielsen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wong, H S" uniqKey="Wong H">H.S. Wong</name></author><author><name sortKey="Santhakumaran, S" uniqKey="Santhakumaran S">S. Santhakumaran</name></author><author><name sortKey="Cowan, F M" uniqKey="Cowan F">F.M. Cowan</name></author><author><name sortKey="Modi, N" uniqKey="Modi N">N. Modi</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Italie</li></country></list><tree><noCountry><name sortKey="Celsi, Fulvio" sort="Celsi, Fulvio" uniqKey="Celsi F" first="Fulvio" last="Celsi">Fulvio Celsi</name><name sortKey="Coelho, Antonio Victor Campos" sort="Coelho, Antonio Victor Campos" uniqKey="Coelho A" first="Antonio Victor Campos" last="Coelho">Antonio Victor Campos Coelho</name><name sortKey="Tricarico, Paola Maura" sort="Tricarico, Paola Maura" uniqKey="Tricarico P" first="Paola Maura" last="Tricarico">Paola Maura Tricarico</name></noCountry><country name="Italie"><noRegion><name sortKey="Crovella, Sergio" sort="Crovella, Sergio" uniqKey="Crovella S" first="Sergio" last="Crovella">Sergio Crovella</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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