Erschienen in:
13.06.2020 | Complications of HIV and Antiretroviral Therapy (GA McComsey, Section Editor)
Immunomodulatory and Anti-Inflammatory Strategies to Reduce Comorbidity Risk in People with HIV
Erschienen in:
Current HIV/AIDS Reports
|
Ausgabe 4/2020
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Abstract
Purpose of Review
In this review, we will discuss treatment interventions targeting drivers of immune activation and chronic inflammation in PWH.
Recent Findings
Potential treatment strategies to prevent the progression of comorbidities in PWH have been identified. These studies include, among others, the use of statins to modulate lipid alterations and subsequent innate immune receptor activation, probiotics to restore healthy gut microbiota and reduce microbial translocation, hydroxychloroquine to reduce immune activation by altering Toll-like receptors function and expression, and canakinumab to block the action of a major pro-inflammatory cytokine IL-1β.
Summary
Although many of the treatment strategies discussed here show promise, due to the complex nature of chronic inflammation and comorbidities in PWH, larger clinical studies are needed to understand and target the prominent drivers and inflammatory cascades underlying these end-organ diseases.