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An. acad. bras. ciênc ; 89(1,supl): 497-504, May. 2017. tab
Artigo em Inglês | LILACS | ID: biblio-886661

RESUMO

ABSTRACT This study aimed to identify the 516 G>T polymorphism of the CYP2B6 gene and evaluate its influence on central nervous system (CNS) side effect development in HIV-positive individuals undergoing Efavirenz (EFV) treatment in a population from southern Brazil. Additionally, we performed a survey on the clinical and epidemiological characteristics of our sample. In addition to medical records evaluation, whole blood of 89 individuals was analyzed for viral load, T lymphocyte count (CD4+ and CD8+), and the polymorphism. Considering the side effects of the CNS reported by individuals but without considering the genetic variables, no statistically significant association was noted between the adverse effects and the antiretroviral treatment (including or not EFV). In addition, no statistically significant difference was noted for the influence of genotype on the viral load or the number of T lymphocytes (CD4+ and CD8+) among individuals undergoing EFV treatment. This is the first study that investigated the impact of the 516 G>T polymorphism of the CYP2B6 gene among HIV-positive individuals from southern Brazil. Its clinical significance indicates the need for prospective studies in this population.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Polimorfismo Genético/genética , Infecções por HIV/genética , Infecções por HIV/tratamento farmacológico , Sistema Nervoso Central/efeitos dos fármacos , Inibidores da Transcriptase Reversa/efeitos adversos , Benzoxazinas/efeitos adversos , Citocromo P-450 CYP2B6/genética , Estudos Prospectivos , Relação CD4-CD8 , Inibidores da Transcriptase Reversa/uso terapêutico , Carga Viral , Benzoxazinas/uso terapêutico , Genótipo
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