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pubmed-article:15371635pubmed:dateCreated2004-9-16lld:pubmed
pubmed-article:15371635pubmed:abstractTextHIV-protease inhibitor (HIV-PI) drugs are critical for highly active antiretroviral therapy (HAART) efficacy, but several recent reports have suggested that metabolic and/or cardiovascular toxicities are associated with these drugs. Given the importance of the HIV-PI drug class and the widespread and chronic use of these agents in an expanding patient population, further understanding of this potential drug toxicity is imperative. Here, we investigated a role for direct endothelial toxicity induced by saquinavir (SAQ), the first HIV-PI drug marketed in the United States and still an important component of HAART therapies. In initial studies using isolated vascular tissues, we observed selective impairment of endothelium-dependent vasodilation with no effect on contractile responses. Subsequent studies using human endothelial cells in culture at clinically relevant concentrations (5 and 10 microM, 2-48 h) demonstrated concentration-dependent increases in cell death, mainly via apoptosis rather than necrosis (determined via Annexin-V positive membrane labeling). Live cell imaging also demonstrated increased intracellular oxidant production (as measured by DCF fluorescence), which could be abrogated by incubation with the antioxidant N-acetylcysteine (NAC). NAC also prevented SAQ- induced apoptotic cell death. These data demonstrate that SAQ has direct toxicological effects on endothelial cells, and that the toxicity apparently involves apoptotic pathway activation via reactive oxygen and/or nitrogen species.lld:pubmed
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pubmed-article:15371635pubmed:statusMEDLINElld:pubmed
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pubmed-article:15371635pubmed:authorpubmed-author:HoytDale GDGlld:pubmed
pubmed-article:15371635pubmed:authorpubmed-author:BauerJohn AJAlld:pubmed
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pubmed-article:15371635pubmed:pagination199-206lld:pubmed
pubmed-article:15371635pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:15371635pubmed:year2004lld:pubmed
pubmed-article:15371635pubmed:articleTitleVascular endothelial toxicity induced by HIV protease inhibitor: evidence of oxidant-related dysfunction and apoptosis.lld:pubmed
pubmed-article:15371635pubmed:affiliationDepartment of Pharmacology, College of Pharmacy, Ohio State University, Columbus, OH 43205, USA.lld:pubmed
pubmed-article:15371635pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:15371635pubmed:publicationTypeIn Vitrolld:pubmed
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