Journal Article

Alterations in Serum Levels of Lipids and Lipoproteins with Indinavir Therapy for Human Immunodeficiency Virus—Infected Patients

Afsoon D. Roberts, Richard A. Muesing, David M. Parenti, Judy Hsia, Alan G. Wasserman and Gary L. Simon

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 29, issue 2, pages 441-443
Published in print July 1999 | ISSN: 1058-4838
Published online July 1999 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/520231
Alterations in Serum Levels of Lipids and Lipoproteins with Indinavir Therapy for Human Immunodeficiency Virus—Infected Patients

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Alterations in lipid metabolism have been associated with the use of protease inhibitors. Sequential lipid analyses were performed on serum samples from human immunodeficiency virus-infected antiretroviral-naive patients who received indinavir in combination with two nucleoside reverse transcriptase inhibitors. Serum levels of cholesterol, triglycerides, high-density lipoproteins (HDLs), and low-density lipoproteins (LDLs) were measured at baseline and at periodic intervals. After 48 weeks of indinavir therapy, mean serum levels 6 SD rose as follows: cholesterol, from 167.2 ± 36.0 to 206.3 ±32.4 mg/dL (P < .0005); triglycerides, from 110.4 ± 47.5 to 158.4 ± 72.5 mg/dL (P < .0101); and LDLs, from 106.6 ± 35.1 to 136.1 ± 31.6 mg/dL (P = .0029). There was no significant change in the serum HDL fraction. Mean serum lipoprotein (a) levels ± SD rose from 6.5 ± 1.4 to 9.6 ± 2.0 mg/dL after 30 weeks (P = .0695). Potential mechanisms for the noted increases include alterations in serum lipoprotein lipase activity or changes in hepatic lipid metabolism. The clinical significance of these changes remains to be determined.

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Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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