Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
1993-7-13
pubmed:abstractText
Tumor necrosis factor-alpha (TNF)-cachectin increases the expression of the human immunodeficiency virus (HIV), reverses the therapeutic efficacy of zidovudine (ZDV), and may contribute to the wasting syndrome. Pentoxifylline (Trental) decreases TNF activity; in cell culture, it decreases HIV replication and down-regulates expression of the HIV long terminal repeat (LTR). Therefore, pentoxifylline was administered to 25 patients with advanced AIDS in this AIDS Clinical Trial Group study (ACTG #160), the goal of which was to investigate the ability of the drug to decrease TNF expression and HIV replication in this patient population. One patient discontinued drug treatment because of toxicity. Data were analyzed on the 17 patients who completed the 8-week study treatment with pentoxifylline, 400 mg, thrice daily. The median pretreatment CD4+ lymphocyte count was 32 cells/mm3. Fasting serum triglycerides, which have previously been shown to correlate with levels of interferon-alpha and/or TNF, fell on average by 66 mg/dl (p = 0.06). TNF mRNA levels in peripheral blood mononuclear cells fell in 10 of 16 patients (p = 0.02). HIV load decreased and increased significantly in four and one patients, respectively, but did not change in the group as a whole. This study demonstrates the safety of pentoxifylline in AIDS patients and its ability to decrease triglycerides and TNF mRNA levels.
pubmed:grant
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0894-9255
pubmed:author
pubmed:issnType
Print
pubmed:volume
6
pubmed:owner
NLM
pubmed:authorsComplete
N
pubmed:pagination
787-94
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:8099612-Acquired Immunodeficiency Syndrome, pubmed-meshheading:8099612-Adult, pubmed-meshheading:8099612-Biopterin, pubmed-meshheading:8099612-Body Weight, pubmed-meshheading:8099612-CD4-Positive T-Lymphocytes, pubmed-meshheading:8099612-Down-Regulation, pubmed-meshheading:8099612-Gene Expression Regulation, Viral, pubmed-meshheading:8099612-HIV, pubmed-meshheading:8099612-Humans, pubmed-meshheading:8099612-Leukocyte Count, pubmed-meshheading:8099612-Neopterin, pubmed-meshheading:8099612-Pentoxifylline, pubmed-meshheading:8099612-RNA, Messenger, pubmed-meshheading:8099612-Sarcoma, Kaposi, pubmed-meshheading:8099612-Skin Neoplasms, pubmed-meshheading:8099612-Triglycerides, pubmed-meshheading:8099612-Tumor Necrosis Factor-alpha, pubmed-meshheading:8099612-Virus Replication, pubmed-meshheading:8099612-beta 2-Microglobulin
pubmed:year
1993
pubmed:articleTitle
Pentoxifylline decreases tumor necrosis factor expression and serum triglycerides in people with AIDS. NIAID AIDS Clinical Trials Group.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't