Abstract:
:Advances in management have resulted in a dramatic decline in mortality for individuals infected with human immunodeficiency virus (HIV). This decrease in mortality, initially the result of improved prophylaxis and treatment of opportunistic infections but later mediated by the use of highly-active antiretroviral therapy (HAART) has led to the need to consider long-term complications of the disease itself, or its treatment. Bone disease is increasingly recognised as a concern. The prevalence of reduced BMD and possibly also fracture incidence are increased in HIV-positive individuals compared with HIV-negative controls. There are many potential explanations for this - an increased prevalence of established osteoporosis risk factors in the HIV-positive population, a likely direct effect of HIV infection itself and a possible contributory role of ARV therapy. At present, the assessment of bone disease and fracture risk remains patchy, with little or no guidance on identifying those at increased risk of reduced BMD or fragility fracture. Preventative and therapeutic strategies with bone specific treatments need to be developed. Limited data suggest bisphosphonates may be beneficial in conjunction with vitamin D and calcium supplementation in the treatment of reduced BMD in HIV-infected patients but larger studies of longer duration are needed. The safety and cost-effectiveness of these and other treatments needs to be evaluated.
journal_name
Arch Biochem Biophysjournal_title
Archives of biochemistry and biophysicsauthors
Stone B,Dockrell D,Bowman C,McCloskey Edoi
10.1016/j.abb.2010.07.029subject
Has Abstractpub_date
2010-11-01 00:00:00pages
66-77issue
1eissn
0003-9861issn
1096-0384pii
S0003-9861(10)00308-5journal_volume
503pub_type
杂志文章,评审abstract::While prior studies focusing on male mice suggest a role for sterol carrier protein-2/sterol carrier protein-x (SCP-2/SCP-x; DKO) on hepatic phytol metabolism, its role in females is unresolved. This issue was addressed using female and male wild-type (WT) and DKO mice fed a phytoestrogen-free diet without or with 0.5...
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doi:10.1016/0003-9861(90)90479-i
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journal_title:Archives of biochemistry and biophysics
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1006/abbi.1999.1177
更新日期:1999-05-15 00:00:00
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更新日期:2002-12-15 00:00:00
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更新日期:2017-04-01 00:00:00
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journal_title:Archives of biochemistry and biophysics
pub_type: 杂志文章
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更新日期:2001-07-01 00:00:00
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pub_type: 杂志文章,评审
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