Background:Antiretroviral therapy(ART)was often associated with dyslipidemia among human immunodeficiency virus(HIV)/acquired immunodeficiency syndrome(AIDS)patients.This study aimed to assess treatment-naïve adu...Background:Antiretroviral therapy(ART)was often associated with dyslipidemia among human immunodeficiency virus(HIV)/acquired immunodeficiency syndrome(AIDS)patients.This study aimed to assess treatment-naïve adult male patients with HIV/AIDS who initiated ART with either co-formulated bictegravir,emtricitabine,and tenofovir alafenamide(BIC/FTC/TAF)or lamivudine,efavirenz,and tenofovir disoproxil fumarate(3TC+EFV+TDF),monitoring at weeks 4,12,24,and 48.Methods:A case-control retrospective study was conducted.The newly diagnosed HIV-infected individuals attending the sexual transmission disease(STD)/AIDS clinic of Beijing Youan Hospital,Capital Medical University,from January to December 2021.The patients were divided into BIC/FTC/TAF group or 3TC+EFV+TDF group.High-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol(LDL-C),triglyceride(TG),and total cholesterol(TC)at different time points over 48 weeks between two groups were compared.A multivariate Cox regression model was used to identify relevant influencing factors for the population at high risk of increased LDL-C.Results:A total of 870 participants,with 510 in BIC/FTC/TAF group and 360 in 3TC+EFV+TDF group.There were no statistically significant differences in median age,baseline CD4/CD8 ratio,median body mass index(BMI)between the two groups.In both two groups,levels of TG,TC,and LDL-C were higher at 4 weeks,12 weeks,and 24 weeks of treatment(all P<0.05),and there were no statistically significant differences at 48 weeks compared to those at baseline(all P>0.05).In addition,the differences in average changes of the level of TG,TC,HDL-C,and LDL-C from weeks 4,12,24,and 48 to baseline between two groups were not statistically significant(all P>0.05).Multivariate Cox proportional risk model analysis showed that initiating ART with HIV RNA≥10^(5)copies/mL(compared with<10^(5)copies/mL)was associated with an increased risk of elevated LDL-C(hazard ratio=1.26,95%confidence interval:1.07-1.48,P=0.005).Conclusions:Transient elevations in blood lipid levels(TC,TG,HDL-C,and LDL-C)were observed in treatment-naïve adult male HIV/AIDS patients with BIC/FTC/TAF at 4 weeks,12 weeks,and 24 weeks of treatment.However,these levels did not differ significantly from baseline after 48 weeks of treatment,regardless of whether patients were in the BIC/FTC/TAF or 3TC+EFV+TDF group.展开更多
EFV是Excited Fed(Few Determinants)Vampir(Variation After Meanfield Projection In Realistic model spaces)的简称.这种方法利用几个对称性投影的HFB行列式,用变分方法近似计算原子核的基态和激发态,因此它包括了平均场近似以外的...EFV是Excited Fed(Few Determinants)Vampir(Variation After Meanfield Projection In Realistic model spaces)的简称.这种方法利用几个对称性投影的HFB行列式,用变分方法近似计算原子核的基态和激发态,因此它包括了平均场近似以外的最重要的关联.本文以系统化的方式给出了这种方法的一般公式.展开更多
目的评价人类免疫缺陷病毒(human immunodeficiency virus,HIV)和丙型肝炎病毒(hepatitis C virus,HCV)共感染患者基于含依非韦伦(Efavirenz,EFV)方案抗HIV下直接抗HCV治疗的疗效和安全性。方法选取2020年1月至2023年9月梧州市第三人民...目的评价人类免疫缺陷病毒(human immunodeficiency virus,HIV)和丙型肝炎病毒(hepatitis C virus,HCV)共感染患者基于含依非韦伦(Efavirenz,EFV)方案抗HIV下直接抗HCV治疗的疗效和安全性。方法选取2020年1月至2023年9月梧州市第三人民医院感染科收治的基于含EFV方案抗HIV下索磷布韦维帕他韦直接抗HCV治疗的HIV和HCV共感染患者21例,疗程12周,停药随访12周,分析患者基线特征,比较治疗前后白细胞、血红蛋白、血小板、肝肾功能,评估患者基于抗HIV情况下直接抗HCV治疗的疗效以及停药12周病毒持续应答率和安全性。结果21例HIV和HCV共感染的患者基于含EFV方案抗HIV下,接受索磷布韦维帕他韦抗HCV治疗12周,停药随访12周,HCV病毒应答率均达到100%。与治疗前比较,患者血清丙氨酸转氨酶和天冬氨酸转氨酶水平降低(P<0.01),白细胞、血小板、血肌酐差异无统计学意义(P>0.05)。结论HIV和HCV共感染患者基于含EFV方案抗HIV下直接抗HCV的疗效确切,未发现明显不良反应。展开更多
基金supported by the Gilead Sciences and the Capital Health Research and Development of Special Fund(No.2022-1G-3015)
文摘Background:Antiretroviral therapy(ART)was often associated with dyslipidemia among human immunodeficiency virus(HIV)/acquired immunodeficiency syndrome(AIDS)patients.This study aimed to assess treatment-naïve adult male patients with HIV/AIDS who initiated ART with either co-formulated bictegravir,emtricitabine,and tenofovir alafenamide(BIC/FTC/TAF)or lamivudine,efavirenz,and tenofovir disoproxil fumarate(3TC+EFV+TDF),monitoring at weeks 4,12,24,and 48.Methods:A case-control retrospective study was conducted.The newly diagnosed HIV-infected individuals attending the sexual transmission disease(STD)/AIDS clinic of Beijing Youan Hospital,Capital Medical University,from January to December 2021.The patients were divided into BIC/FTC/TAF group or 3TC+EFV+TDF group.High-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol(LDL-C),triglyceride(TG),and total cholesterol(TC)at different time points over 48 weeks between two groups were compared.A multivariate Cox regression model was used to identify relevant influencing factors for the population at high risk of increased LDL-C.Results:A total of 870 participants,with 510 in BIC/FTC/TAF group and 360 in 3TC+EFV+TDF group.There were no statistically significant differences in median age,baseline CD4/CD8 ratio,median body mass index(BMI)between the two groups.In both two groups,levels of TG,TC,and LDL-C were higher at 4 weeks,12 weeks,and 24 weeks of treatment(all P<0.05),and there were no statistically significant differences at 48 weeks compared to those at baseline(all P>0.05).In addition,the differences in average changes of the level of TG,TC,HDL-C,and LDL-C from weeks 4,12,24,and 48 to baseline between two groups were not statistically significant(all P>0.05).Multivariate Cox proportional risk model analysis showed that initiating ART with HIV RNA≥10^(5)copies/mL(compared with<10^(5)copies/mL)was associated with an increased risk of elevated LDL-C(hazard ratio=1.26,95%confidence interval:1.07-1.48,P=0.005).Conclusions:Transient elevations in blood lipid levels(TC,TG,HDL-C,and LDL-C)were observed in treatment-naïve adult male HIV/AIDS patients with BIC/FTC/TAF at 4 weeks,12 weeks,and 24 weeks of treatment.However,these levels did not differ significantly from baseline after 48 weeks of treatment,regardless of whether patients were in the BIC/FTC/TAF or 3TC+EFV+TDF group.
文摘EFV是Excited Fed(Few Determinants)Vampir(Variation After Meanfield Projection In Realistic model spaces)的简称.这种方法利用几个对称性投影的HFB行列式,用变分方法近似计算原子核的基态和激发态,因此它包括了平均场近似以外的最重要的关联.本文以系统化的方式给出了这种方法的一般公式.
文摘目的评价人类免疫缺陷病毒(human immunodeficiency virus,HIV)和丙型肝炎病毒(hepatitis C virus,HCV)共感染患者基于含依非韦伦(Efavirenz,EFV)方案抗HIV下直接抗HCV治疗的疗效和安全性。方法选取2020年1月至2023年9月梧州市第三人民医院感染科收治的基于含EFV方案抗HIV下索磷布韦维帕他韦直接抗HCV治疗的HIV和HCV共感染患者21例,疗程12周,停药随访12周,分析患者基线特征,比较治疗前后白细胞、血红蛋白、血小板、肝肾功能,评估患者基于抗HIV情况下直接抗HCV治疗的疗效以及停药12周病毒持续应答率和安全性。结果21例HIV和HCV共感染的患者基于含EFV方案抗HIV下,接受索磷布韦维帕他韦抗HCV治疗12周,停药随访12周,HCV病毒应答率均达到100%。与治疗前比较,患者血清丙氨酸转氨酶和天冬氨酸转氨酶水平降低(P<0.01),白细胞、血小板、血肌酐差异无统计学意义(P>0.05)。结论HIV和HCV共感染患者基于含EFV方案抗HIV下直接抗HCV的疗效确切,未发现明显不良反应。
