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pubmed-article:14560041pubmed:abstractTextOpioid abuse has been postulated as a cofactor in the immunopathogenesis of human immunodeficiency virus (HIV) infection and AIDS. We and others have recently demonstrated that opioid enhances HIV infection of human macrophages through modulation of beta-chemokines and the CCR5 receptor and that this effect is reversed by naltrexone, a tertiary opioid antagonist. Tertiary opioid antagonists cannot be used in opioid-dependent patients because they precipitate withdrawal or reversal of analgesia. We determined whether the quaternary opioid antagonist methylnaltrexone (MNTX), now in phase III clinical trials for opioid-induced constipation, reverses the opioid-mediated enhancement of HIV infection of macrophages at clinically relevant doses. MNTX completely abrogated morphine-induced HIV Bal strain infection of macrophages. MNTX also inhibited the R5 strain (ADA) envelope-pseudotyped HIV replication induced by morphine. Furthermore, MNTX abolished morphine-mediated up-regulation of CCR5 receptor expression. The ability of MNTX to block opioid-induced CCR5 expression and HIV replication at clinically relevant doses may have additional benefit for opioid abusers with HIV infection, or patients with AIDS pain receiving opioids.lld:pubmed
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pubmed-article:14560041pubmed:dateRevised2007-11-15lld:pubmed
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pubmed-article:14560041pubmed:articleTitleMethylnaltrexone antagonizes opioid-mediated enhancement of HIV infection of human blood mononuclear phagocytes.lld:pubmed
pubmed-article:14560041pubmed:affiliationDepartment of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.lld:pubmed
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pubmed-article:14560041pubmed:publicationTypeResearch Support, U.S. Gov't, P.H.S.lld:pubmed
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