Tropism switch in patients infected with HIV-1 and its clinical implications for the treatment with CCR5-receptor inhibitors.

Abstract:

:CCR5 receptor inhibitors are currently being introduced into clinical practice. In some instances treatment failure is related to the selection of pre-existing CXCR4-tropic minority virus strains. Up to date it is unclear whether the outgrowth of a CXCR4 using reservoir is associated with accelerated HIV-disease. In any case, treatment with CCR5 inhibitors should only be initiated in the absence of a relevant CXCR4-tropic minority. Otherwise treatment failure and the accumulation of mutations may ensue. Tropism tests, clinical data and other laboratory parameters help to determine the risk for an individual patient to harbour CXCR4 tropic virus strains, although the negative predictive value of each of these parameters and tests is quite low. If treatment fails re-assessment of viral tropism can help to differentiate between failure due to the development of CCR5 inhibitor resistance or the selection of CXCR4-tropic virus strains. This article presents and discusses available data on viral tropism and tropism testing in the context of CCR5 inhibitor treatment.

journal_name

Eur J Med Res

authors

Arastéh K,Stocker H

subject

Has Abstract

pub_date

2007-10-15 00:00:00

pages

397-402

issue

9

eissn

0949-2321

issn

2047-783X

journal_volume

12

pub_type

杂志文章,评审
  • Detection of occult high graded microsatellite instabilities in MMR gene mutation negative HNPCC tumors by addition of complementary marker analysis.

    abstract:BACKGROUND:Hereditary non-polyposis colorectal cancer (HNPCC) is an autosomal dominant tumor syndrome predisposing to predominantly colorectal and endometrial cancer. In 90% of the cases, molecular analyses reveal microsatellite instabilities due to germline mutations in DNA mismatch repair (MMR) genes, mainly MLH1, MS...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Schiemann U,Müller-Koch Y,Gross M,Glas J,Baretton G,Muders M,Mussack T,Holinski-Feder E

    更新日期:2005-01-28 00:00:00

  • Primary radio(chemo)therapy for esophageal cancer in elderly patients: are efficiency and toxicity comparable with younger patients?

    abstract:PURPOSE:In elderly patients with esophageal cancer (EC), esophagectomy is associated with an increased mortality, and therefore these patients are often treated with definite (chemo)radiation. The purpose of this study was to assess the toxicity and efficiency of definite radio(chemo)therapy in patients >75 years compa...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:10.1186/s40001-017-0265-x

    authors: Münch S,Heinrich C,Habermehl D,Oechsner M,Combs SE,Duma MN

    更新日期:2017-07-06 00:00:00

  • Pharmacology and metabolism of anidulafungin, caspofungin and micafungin in the treatment of invasive candidosis: review of the literature.

    abstract::Echinocandins represent the newest class of antifungal agents. Currently, three echinocandins, anidulafungin, caspofungin and micafungin are licensed for clinical use in various indications. They act as inhibitors of β-(1,3)-glucan synthesis in the fungal cell wall and have a favorable pharmacological profile. They ha...

    journal_title:European journal of medical research

    pub_type: 杂志文章,评审

    doi:10.1186/2047-783x-16-4-159

    authors: Kofla G,Ruhnke M

    更新日期:2011-04-28 00:00:00

  • In vitro study of human alveolar macrophages inflammatory mediator transcriptions and releases induced by soot FR 101, Printex 90, titandioxide and Chrysotile B.

    abstract::Soot FR 101, Printex 90 and Chrysotile B are frequently found in indoor air pollutants phagocytized by alveolar macrophages (AM) involved in inflammatory pulmonary processes as, e.g. in cytokine secretions. The transcription factor NF-kappaB has a role in the trans-duction pathway of proinflammatory cytokines like IL-...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Drumm K,Oettinger R,Smolarski R,Bay M,Kienast K

    更新日期:1998-09-17 00:00:00

  • Continuous assessment of intraocular pressure - telematic transmission, even under flight- or space mission conditions.

    abstract::Fluid shift after entering into microgravity, but also under equivalent flight conditions leads to enormous increase of intraocular pressure. To assess this precisely position - and gravity independent, handsome, automatic tonometers have been developed (German-Spacelab D1-Mission, German-Spacelab D2-Mission, German-R...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Draeger J,Michelson G,Rumberger E

    更新日期:2000-01-26 00:00:00

  • Glucose and lipid metabolism in young lean normotensive males with the G protein beta3 825T-allele.

    abstract::The 825T-allele of the C825T polymorphism in GNB3, the gene for the G protein beta3 subunit, has been reported to be associated with essential hypertension and obesity. Expression of Gbeta3s, the gene product of GNB3 associated with the GNB3 825T-allele, causes increased signal transduction which may contribute to pat...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Saller B,Nemesszeghy P,Mann K,Siffert W,Rosskopf D

    更新日期:2003-03-27 00:00:00

  • Analysis of the Candida albicans - specific T-cell response and oropharyngeal Candida colonization in a cohort of HIV-1-infected patients.

    abstract::To investigate Candida epidemiology and immunologic correlates of protection in HIV-1 infected patients, we analyzed oral Candida colonization in correlation to the Candida-specific T-cell response measured by g-IFN ELISPOT using different Candida (C.) albicans strains. In 16/46 patients (13 asymptomatic, 3 with oral ...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Bäuerle M,Schröppel K,Taylor B,Bergmann S,Schmitt-Haendle M,Harrer T

    更新日期:2006-11-30 00:00:00

  • Attenuation of the near-infrared and red photoplethysmographic signal by different depth of tissues.

    abstract::Photoplethysmography enables non-invasive investigation of the volume pulse in the microvasculature of patients. We previously have shown that time-discrete analysis enables identification of highly reproducible characteristics of the volume pulse in absolute values. The method would be of particular interest, if the ...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Niklas M,Moser U,Buehrer A,Valentin R,Abicht J,Baschnegger H,Christ F

    更新日期:1998-05-12 00:00:00

  • Bone marrow Th2 cytokine expression as predictor for relapse in childhood acute lymphoblastic leukemia (ALL).

    abstract::The immunological environment of leukemic blasts in the bone marrow might play a decisive role in determining an individual's risk for relapse. In order to identify potential predictors of relapse and to elucidate the mechanisms of immune control of leukemic blasts we examined the expression of cytokines, costimulator...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Stachel D,Albert M,Meilbeck R,Kreutzer B,Haas RJ,Schmid I

    更新日期:2006-03-27 00:00:00

  • Alternative management of the left subclavian artery in thoracic endovascular aortic repair for aortic dissection: a single-center experience.

    abstract:BACKGROUND:Since the new 2009 guidelines for left subclavian artery (LSA) management using thoracic endovascular aortic repair (TEVAR), a few studies have been published about alternative LSA management. The objective of this study was to present the follow-up results of covered or revascularized LSA during TEVAR. MET...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:10.1186/s40001-015-0147-z

    authors: Zhang L,Lu Q,Zhou J,Jing Z,Zhao Z,Bao J

    更新日期:2015-05-31 00:00:00

  • C5aR inhibition in the early inflammatory phase does not affect bone regeneration in a model of uneventful fracture healing.

    abstract:BACKGROUND:Recent studies were able to demonstrate involvement of the complement cascade in bone biology. Further studies analyzed the role of complement in traumatic injuries and demonstrated negative effects after excessive systemic activation of the inflammatory response with early abrogation of complement activatio...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:10.1186/s40001-016-0236-7

    authors: Ehrnthaller C,Huber-Lang M,Kovtun A,Rapp AE,Kemmler J,Gebhard F,Ignatius A

    更新日期:2016-10-26 00:00:00

  • Spinning around or stagnation - what do osteoblasts and chondroblasts really like?

    abstract:OBJECTIVE:The influence of cytomechanical forces in cellular migration, proliferation and differentiation of mesenchymal stem cells (MSCs) is still poorly understood in detail. METHODS:Human MSCs were isolated and cultivated onto the surface of a 3 x 3 mm porcine collagen I / III carrier. After incubation, cell cultur...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:10.1186/2047-783x-15-1-35

    authors: Zilkens C,Lögters T,Bittersohl B,Krauspe R,Lensing-Höhn S,Jäger M

    更新日期:2010-01-29 00:00:00

  • Determination of intrarenal resistance index (RI) in patients with multiple myeloma.

    abstract:BACKGROUND:Renal impairment is a common complication of multiple myeloma occurring in up to 50 % of patients at some stage in their disease. Due to occurrence of cast nephropathies we hypothesized circulatory dysregulation (vasoconstriction) in the kidneys with measurable elevation of the resistance index among these p...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:10.1186/2047-783x-15-5-210

    authors: Schiemann U,Kaiser HC,Götzberger M,Schmidmaier R,Bantle F,Straka C

    更新日期:2010-05-18 00:00:00

  • Inhibition of TNF-alpha mediated cell death by HIV-1 specific protease inhibitors.

    abstract::HIV-1 protease inhibitors have contributed significantly to the reduction in morbidity and mortality associated with HIV-1 disease. Some of their clinical benefit may be attributed to inhibition of non-viral pathogen proteases and mammalian proteases involved in apoptosis. Our objective was to investigate the effect o...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Wolf T,Findhammer S,Nolte B,Helm EB,Brodt HR

    更新日期:2003-01-28 00:00:00

  • Late intra-arterial thrombolysis.

    abstract::A 70-year-old woman with a progressive dominant hemisphere syndrome but only mild hemiparesis and a normal brain scan (>3 hours from stroke onset) showed angiographic occlusion of the left anterior cerebral artery and the middle cerebral artery at its trifurcation with preservation of the rolandic artery. Intra-arteri...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Stapf C,Marshall RS,Mohr JP,Duong HD,Brunson JC,Benson RT,Mast H

    更新日期:2000-07-19 00:00:00

  • Carcinoma of the collecting ducts of Bellini of the kidney: adjuvant chemotherapy followed by multikinase-inhibition with sunitinib.

    abstract:INTRODUCTION:Carcinoma of the collecting ducts of Bellini of the kidney (CDC) is very rare but among the most aggressive urological entities. Standard therapy is not well defined with questionable efficacy. METHODS:We present two cases of male patients (49 and 66 years old) with pT3a pN2 CDC treated with a combination...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Staehler M,Haseke N,Schöppler G,Stadler T,Karl A,Siebels M,Ihrler S,Stief CG

    更新日期:2008-11-24 00:00:00

  • Predictors of exacerbation frequency in chronic obstructive pulmonary disease.

    abstract:BACKGROUND:Exacerbations of chronic obstructive pulmonary disease (COPD) are sporadic, acute worsening of symptoms. Identifying predictors of exacerbation frequency may facilitate medical interventions that reduce exacerbation frequency and severity. The objective of this study was to determine predictors of exacerbati...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:10.1186/2047-783X-19-18

    authors: Yang H,Xiang P,Zhang E,Guo W,Shi Y,Zhang S,Tong Z

    更新日期:2014-04-08 00:00:00

  • IgM-enriched immunoglobulin preparation for immunoprophylaxis in cardiac surgery.

    abstract:OBJECTIVE:Evaluating the effects of prophylactic administration of IgM-enriched immunoglobulins (IVIG) on immunological- and clinical parameters in cardiac surgical patients. PATIENTS AND METHODS:41 patients were randomized to receive either an IgM-enriched immunoglobulin (Pentaglobin(R)) preparation (1,300 ml immunog...

    journal_title:European journal of medical research

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Friedrich I,Silber RE,Baumann B,Fischer C,Holzheimer RG

    更新日期:2002-12-17 00:00:00

  • Ocular massage in a case of central retinal artery occlusion the successful treatment of a hitherto undescribed type of embolism.

    abstract:BACKGROUND:The pathogenesis of central retinal artery occlusions (CRAO) varies, depending upon the underlying disease. An embolic origin of an occlusion often occurs. PATIENT AND METHODS:A 50-year-old man with an occlusion of the left internal carotid artery was examined because of a left central retinal artery occlus...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Schmidt D

    更新日期:2000-04-19 00:00:00

  • The value of initial cavitation to predict re-treatment with pulmonary tuberculosis.

    abstract:OBJECTIVE:Pulmonary cavitation is the classic hallmark of pulmonary tuberculosis (PTB) and is the site of very high mycobacterial burden associated with antimycobacterial drug resistance and treatment failure. The objective of this study was to investigate the relationship between re-treatment PTB and initial pulmonary...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:10.1186/s40001-016-0214-0

    authors: Huang Q,Yin Y,Kuai S,Yan Y,Liu J,Zhang Y,Shan Z,Gu L,Pei H,Wang J

    更新日期:2016-05-06 00:00:00

  • Beta-blockers for prophylaxis of bleeding from esophageal varices in cirrhotic portal hypertension. Review of the literature.

    abstract::Hemorrhage from esophageal varices is a life-threatening event in patients with liver cirrhosis. About 40% to 80% of the patients surviving the first bleeding suffer from a recurrence of variceal bleeding within one year. This high recurrence rate substantially contributes to the mortality in patients with liver cirrh...

    journal_title:European journal of medical research

    pub_type: 杂志文章,评审

    doi:

    authors: Zoller WG,Gross M

    更新日期:1996-06-25 00:00:00

  • Influence of density and viscosity of fluids on extracorporeal shock wave lithotripsy of gallstones in vitro.

    abstract:BACKGROUND:It is hitherto still questionable which of the physical properties of the bile fluid influence the outcome of extracorporeal shock wave lithotripsy (ESWL). METHODS:In this study the influence of the density and viscosity of bile simulating fluid on ESWL was tested in vitro by applying CsCl solutions of dens...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Nitsche R,Hinrichsen H,Wilhelm R,Fölsch UR

    更新日期:1996-01-19 00:00:00

  • Ultrasonographic and biochemical evaluation of visceral obesity in obese women with non-alcoholic fatty liver disease.

    abstract:OBJECTIVE:Identification of specific origin of lipid accumulation in the liver of patients with non-alcoholic fatty liver disease (NAFLD) is the most important step in preventing this condition. Because liver steatosis, in the obese patients without any systemic disease, can be graded easily by ultrasonography (US), we...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Fenkci S,Rota S,Sabir N,Akdag B

    更新日期:2007-02-26 00:00:00

  • Fluticasone for the treatment of symptomatic bronchial asthma in children treated with sodium cromogylate--a prospective, randomised trial.

    abstract:BACKGROUND:Children with persistent mild to moderate bronchial asthma require anti-inflammatory therapy. According to current treatment guidelines both sodium cromoglycate (SCG) and inhaled corticosteroids can be used. If children remain symptomatic despite regular SCG therapy, corticosteroids are the next therapeutic ...

    journal_title:European journal of medical research

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: von Berg A,Gappa M,Steinkamp G,Flit-DNCG Study Group.

    更新日期:2002-06-28 00:00:00

  • Superior safety of reboxetine over amitryptiline in the elderly.

    abstract::Under antidepressive treatment with amitryptiline (100 mg/d) a 71-year old woman developed delirious symptoms, hyponatremia and a grand mal seizure followed by cardiovascular arrest. A few month later she ingested 48 mg reboxetine with suicidal intent. Overdosing of reboxetine, a selective noradrenaline re-uptake inhi...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Agelink MW,Ullrich H,Passenberg P,Sayar K,Brockmeyer NH

    更新日期:2002-09-30 00:00:00

  • Lung flooding enables efficient lung sonography and tumour imaging in human ex vivo and porcine in vivo lung cancer model.

    abstract:BACKGROUND:Sonography has become the imaging technique of choice for guiding intraoperative interventions in abdominal surgery. Due to artefacts from residual air content, however, videothoracoscopic and open intraoperative ultrasound-guided thermoablation of lung malignancies are impossible. Lung flooding is a new met...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:10.1186/2047-783X-18-23

    authors: Lesser TG,Schubert H,Bischoff S,Wolfram F

    更新日期:2013-07-10 00:00:00

  • Langerhans'-cell histiocytosis in 58 adults.

    abstract::Previous studies on Langerhans'-cell histiocytosis (LCH) were mostly retrospective and patients had been recruited over a long time period. The aim of the present study was to establish data on the clinical presentation, diagnosis and treatment of currently affected patients. Data on the clinical history, diagnostic w...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Götz G,Fichter J

    更新日期:2004-11-29 00:00:00

  • Treatment of complicated skin and soft-tissue infections caused by resistant bacteria: value of linezolid, tigecycline, daptomycin and vancomycin.

    abstract::Antibiotic-resistant organisms causing both hospital- and community-acquired complicated skin and soft-tissue infections (cSSTI) are increasingly reported. A substantial medical and economical burden associated with MRSA colonisation or infection has been documented. The number of currently available appropriate antim...

    journal_title:European journal of medical research

    pub_type: 杂志文章,评审

    doi:10.1186/2047-783x-15-12-554

    authors: Eckmann C,Dryden M

    更新日期:2010-11-30 00:00:00

  • Bromelain is an accelerator of phagocytosis, respiratory burst and Killing of Candida albicans by human granulocytes and monocytes.

    abstract:OBJECTIVE:The aim of this study was to examine the influence of immuno modulating agents like bromelain and trypsin (e.g. Wobenzym on granulocyte and monocyte functions in healthy volunteers and patients with disorders of the humoral immuno system X-linked agammaglobulinaemia (XLA) and common variable immuno deficiency...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Brakebusch M,Wintergerst U,Petropoulou T,Notheis G,Husfeld L,Belohradsky BH,Adam D

    更新日期:2001-05-29 00:00:00

  • Acute effects of an organic solvent mixture on the human central nervous system.

    abstract:OBJECTIVES:At workplaces, organic solvents are often used as mixtures. Nevertheless, there is limited knowledge of their acute effects on human central nervous system. Here we report the effects of a toluene-acetone mixture. METHODS:In a parallel design, subgroups of 12 healthy men each were exposed to a mixture conta...

    journal_title:European journal of medical research

    pub_type: 杂志文章

    doi:

    authors: Muttray A,Martus P,Schachtrup S,Müller E,Mayer-Popken O,Konietzko J

    更新日期:2005-09-12 00:00:00