Dissertations / Theses on the topic 'Metabolic inhibition'
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Bullock, Anthony James. "Metabolic inhibition in the ureter." Thesis, University of Liverpool, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.366420.
Full textGibb, Fraser Wilson. "Metabolic effects of aromatase inhibition." Thesis, University of Edinburgh, 2015. http://hdl.handle.net/1842/15838.
Full textUpreti, Rita. "Metabolic effects of 5α-reductase inhibition in humans." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/11745.
Full text何頌詩 and Chung-sze Joyce Ho. "Effects of preconditioning with metabolic inhibition or U50488H or high CA2+ on CA2+ homeostasis in ventricular myocytes subjected tosevere metabolic inhibition or high CA2+." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31226024.
Full textHo, Chung-sze Joyce. "Effects of preconditioning with metabolic inhibition or U50488H or high CA2+ on CA2+ homeostasis in ventricular myocytes subjected to severe metabolic inhibition or high CA2+ /." Hong Kong : University of Hong Kong, 2001. http://sunzi.lib.hku.hk/hkuto/record.jsp?B2359617x.
Full textOrr, Linda E. "Reticulocyte maturation in vitro : impaired release of vesicular activity by metabolic inhibition." Thesis, McGill University, 1987. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=66232.
Full textWamil, Małgorzata. "Protective role of 11β-HSD1 inhibition in the metabolic syndrome and atherosclerosis." Thesis, University of Edinburgh, 2009. http://hdl.handle.net/1842/3891.
Full textDry, Katherine L. "Catecholamine release from isolated chromaffin cells under conditions of anoxia or metabolic inhibition." Thesis, University of Edinburgh, 1990. http://hdl.handle.net/1842/18845.
Full textHoudi, A. A. "Studies on metabolic sulphoxidation of alkyl and aryl thioethers : Role of cytochrome P-450 and FAD-containing monooxygenases." Thesis, University of Manchester, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.375073.
Full textReid, John M. "Role of K⺠channels during hypoxia and metabolic inhibition in the rat brain." Thesis, University of Oxford, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.308872.
Full textSahene, Warrick. "Pharmacological Inhibition Of Hif-1 Alpha And Its Effects On Dendritic Cell Metabolic Reprogramming." ScholarWorks @ UVM, 2020. https://scholarworks.uvm.edu/graddis/1188.
Full textLeppanen, Lisa. "Properties of the resting membrane potential in central myelinated axons during normoxic conditions and metabolic inhibition." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq20979.pdf.
Full textLeppanen, Lisa Livia. "Properties of the resting membrane potential in central myelinated axons during normoxic conditions and metabolic inhibition." Thesis, University of Ottawa (Canada), 1997. http://hdl.handle.net/10393/4413.
Full textBaatarkhuu, Zoljargal. "Metabolic labelling of bacterial isoprenoids produced by the methylerythritol phosphate pathway : a starting point towards a new inhibitor." Thesis, Strasbourg, 2017. http://www.theses.fr/2017STRAF029/document.
Full textIsoprenoids, present in all living organisms, are synthesised according to two routes: the Mevalonate and the Methylerythritol phosphate (MEP) pathways. The MEP pathway, absent in humans, is extensively investigated as it is a target for the development of new antimicrobials. ME-N3 an azide tagged analogue of methylerythritol was synthesised and utilised for metabolic labelling studies of the MEP pathway using bioorthogonal ligation followed by LC-MS analysis. Interestingly, we found that MEP-N3, an analogue of MEP, inhibits E.coli IspD (3rd enzyme of the MEP pathway). Further inhibition kinetic studies revealed that MEP-N3 possesses the highest inhibitory activity on E.coli ispD when compared to known inhibitors. In addition, the mechanism of inhibition of E.coli ispD by MEP-N3 was found to be best described using a mixed type model. Moreover, determination of the IspD reaction mechanism has been carried out for the first time, by virtue of a bisubstrate steady state kinetic analysis
Chou, Chih-Chien. "Inhibition of Epithelial-to-Mesenchymal Transition by Anti-tumor Agents in Cancer Cells." The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1396875461.
Full textLaVoie, Holly Anne. "Reproductive and Metabolic Characteristics in Peromyscus leucopus noveboracensis from Laboratory Populations and Females during Release from Reproductive Inhibition." W&M ScholarWorks, 1989. https://scholarworks.wm.edu/etd/1539625509.
Full textMukai, Eri. "The effect of metabolic inhibition on ATP-sensitive K[+] channel block by sulfonylurea and cibenzoline in pancreatic β-cells." Kyoto University, 2001. http://hdl.handle.net/2433/150530.
Full textGramolini, Anthony Orlando. "The effect of modulating ATP-sensitive potassium channels in frog skeletal muscle, in vitro, during fatigue and metabolic inhibition." Thesis, University of Ottawa (Canada), 1996. http://hdl.handle.net/10393/9473.
Full textFulton, Stephanie E. "The lateral hypothalamus and energy balance, facilitation and inhibition of perifornical self-stimulation by long- and short-term metabolic signals." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ39058.pdf.
Full textMaharao, Neha V. "Inhibition of Oxidative and Conjugative Metabolism of Buprenorphine Using Generally Recognized As Safe (GRAS) Compounds or Components of Dietary Supplements." VCU Scholars Compass, 2017. http://scholarscompass.vcu.edu/etd/4752.
Full textDool, Carly Jade 1985. "Pharmacologic inhibition of insulin receptor tyrosine kinase activity has antineoplastic effects similar to alloxan-induced insulin deficiency with less acute metabolic toxicity." Thesis, McGill University, 2009. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=111555.
Full textMaarman, Gerald Jerome. "The effect of CPT-1 inhibition on myocardial function and resistance to ischemia/reperfusion injury in a rodent model of the metabolic syndrome." Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/5354.
Full textENGLISH ABSTRACT: Background: Obesity is associated with dyslipidemia, insulin resistance and glucose intolerance and together these components characterise the metabolic syndrome (Dandona et al. 2005). In the state of obesity, there are high levels of circulating free fatty acids and increased rates of fatty oxidation which inhibit glucose oxidation. This: (i) reduce the heart‘s contractile ability, (ii) exacerbates ischemic/reperfusion injury and (iii) decreases cardiac mechanical function during reperfusion (Kantor et al. 2000; Liu et al. 2002; Taegtmeyer, 2000). Aim: The aim of our study was to investigate the effect of inhibiting fatty acid oxidation, with oxfenicine (4-Hydroxy-L-phenylglycine), on (i) cardiac mechanical function, (ii) mitochondrial respiration, (iii) myocardial tolerance to ischemia/reperfusion injury, (iv) CPT-I expression, MCAD expression, IRS-1 activation, total GLUT- 4 expression and (v) the RISK pathway (ERK42/44 and PKB/Akt). Methods: Male Wistar rats were fed a control rat chow diet or a high calorie diet (HCD) for 16 weeks. The HCD caused diet induced obesity (DIO). The animals were randomly divided into 4 groups [Control, DIO, Control + oxfen and DIO + oxfen]. The drug was administered for the last 8 weeks of feeding (200mg/kg/day). Animals were sacrificed and the hearts were perfused on the Langendorff perfusion system. After being subjected to regional ischemia and two hours of reperfusion, infarct size was determined. A separate series of animals were fed and/or treated and hearts were collected after 25 minutes global ischemia followed by 30 min reperfusion for determination of GLUT- 4, CPT-1, IRS -1, MCAD, ERK (42/44) and PKB/Akt expression/phosphorylation using Western blot analysis. A third series of hearts were excised and used for the isolation of mitochondria. Results: In the DIO rats, chronic oxfenicine treatment improved cardiac mechanical function by improving mitochondrial respiration. Oxfenicine inhibited CPT-1 expression but had no effect on MCAD or GLUT- 4 expression. Oxfenicine decreased IRS-1 iv expression, but not IRS-1 activation. Oxfenicine also improved myocardial tolerance to ischemia/reperfusion without activation of the RISK pathway (ERK & PKB). In the control rats, chronic oxfenicine treatment worsened cardiac mechanical function by adversely affecting mitochondrial respiration. Oxfenicine also worsened myocardial tolerance to ischemia/reperfusion in the control rats without changes in the RISK pathway (ERK & PKB). Oxfenicine had no effect on CPT-1, MCAD or GLUT- 4 expression. Oxfenicine increased IRS-1 expression, but not IRS-1 activity. Conclusion: Chronic oxfenicine treatment improved cardiac mechanical function and myocardial resistance to ischemia/reperfusion injury in obese animals, but worsened it in control animals. The improved cardiac mechanical function and tolerance to ischemia/reperfusion injury may be due to improvement in mitochondrial respiration.
AFRIKAANSE OPSOMMING: Agtergrond: Vetsug word geassosieer met dislipidemie, insulien weerstandigheid en glukose intoleransie, wat saam die metaboliese sindroom karakteriseer (Dandona et al. 2005). Met vetsug is daar ‗n hoë sirkulasie van vetsure, sowel as verhoogde vertsuur oksidasie wat gevolglik glukose oksidasie onderdruk. Dit: (i) verlaag die hart se vermoë om saam te trek, (ii) vererger isgemiese/herperfusie skade en (iv) verlaag kardiale effektiwiteit gedurende herperfusie (Kantor et al. 2000; Liu et al. 2002; Taegtmeyer, 2000). Doel: Die doel van die studie was om die effekte van vetsuur onderdrukking m.b.v. oksfenisien (4-Hidroksie-L-fenielglisien) op (i) meganiese hart funksie, (ii) mitokondriale respirasie, (iii) miokardiale toleransie teen isgemiese/herperfusie skade, (iv) CPT-I uitdrukking, MCAD uitdrukking, IRS-1 aktiwiteit, totale GLUT-4 uitdrukking en (v) die RISK pad (ERK42/44 en PKB/Akt) te ondersoek. Metodes: Manlike Wistar rotte was gevoer met ‗n kontrole rot dieet of ‗n hoë kalorie dieet (HKD) vir 16 weke. Die HKD lei tot dieet-geïnduseerde vetsug (DGV). Die diere was lukraak verdeel in 4 groepe [kontrole, DGV, kontrole + oksfen en DGV + oksfen]. Die behandeling met die middel was toegedien vir die laaste 8 weke van die voeding protokol (200mg/kg/dag). Die diere was geslag en die harte was geperfuseer op die Langendorff perfusie sisteem. Na blootstelling aan streeks- of globale isgemie en 2 ure herperfusie was infark groottes bepaal. ‗n Aparte reeks diere was gevoer en/of behandel en die harte was versamel na 25 minute globale isgemie gevolg deur 30 minute herperfusie vir die bepaling van GLUT-4, CPT 1, IRS -1, MCAD, ERK (42/44) en PKB/Akt uitdrukking/aktivering d.m.v. Western blot analise. ‗n Derde reeks diere was gebruik vir die isolasie van mitokondria. Resultate: In die DGV diere, het kroniese oksfenisien behandeling meganiese hart funksie verbeter d.m.v. die verbetering van mitokondriale respirasie. Oksfenisien het CPT-1 uitdrukking verlaag terwyl GLUT- 4 en MCAD uitdrukking nie geaffekteer was vi nie. Oksfenisien het IRS-1 uitdrukking verlaag, maar nie IRS-1 aktiwiteit nie. Oksfenisien het ook miokardiale weerstand teen isgemiese/herperfusie verbeter met sonder aktivering van die RISK pad (ERK & PKB). In die kontrole diere, het kroniese oksfenisien behandeling die meganiese hart funksie versleg d.m.v. negatiewe effekte op mitokondriale respirasie. Oksfenisien het die miokardiale weerstand teen isgemiese/herperfusie van die kontrole rotte versleg sonder veranderinge in die RISK pad (ERK & PKB). Oksfenisien het geen effek gehad op CPT-1, MCAD en GLUT-4 uitdrukking nie. Oksfenisien het IRS-1 uitdrukking verhoog, maar nie IRS-1 aktiwiteit nie. Samevatting: Kroniese oksfenisien behandeling het die meganiese hart funksie en miokardiale weerstand teen isgemiese/herperfusie skade in die vet diere verbeter, maar versleg in die kontrole diere. Hierdie verbetering van meganiese hart funksie en weerstand teen isgemiese/herperfusie skade kon dalk wees a.g.v. ‗n verbetering in mitokondriale respirasie.
Zreikat, Hala. "EFFECT OF RENIN ANGIOTENSIN SYSTEM INHIBITION ON CARDIOVASCULAR SEQUELAE IN ELDERLY HYPERTENSIVE PATIENTS WITH INSULIN RESISTANCE." VCU Scholars Compass, 2009. http://scholarscompass.vcu.edu/etd/2009.
Full textLiu, Rui. "Effects of Selected Natural Health Products on Drug Metabolism: Implications for Pharmacovigilance." Thesis, Université d'Ottawa / University of Ottawa, 2011. http://hdl.handle.net/10393/19818.
Full textScott, D. A. "Folate metabolism in Leishmania." Thesis, University of Glasgow, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.375461.
Full textKatouah, Hanadi. "Inhibition of macrophage metabolism by oxLDL." Thesis, University of Canterbury. School of Biological Sciences, 2012. http://hdl.handle.net/10092/7395.
Full textLi, Mengyao. "USING SEMIPHYSIOLOGICALLY-BASED PHARMACOKINETIC (SEMI-PBPK) MODELING TO EXPLORE THE IMPACT OF DIFFERENCES BETWEEN THE INTRAVENOUS (IV) AND ORAL (PO) ROUTE OF ADMINISTRATION ON THE MAGNITUDE AND TIME COURSE OF CYP3A-MEDIATED METABOLIC DRUG-DRUG INTERACTIONS (DDI) USING MIDAZOLAM (MDZ) AS PROTOTYPICAL SUBSTRATE AND FLUCONAZOLE (FLZ) AND ERYTHROMYCIN (ERY) AS PROTOTYPICAL INHIBITORS." VCU Scholars Compass, 2016. http://scholarscompass.vcu.edu/etd/4402.
Full textTjia, J. F. "Inhibition of drug metabolism in vitro and in vivo." Thesis, University of Leeds, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.382142.
Full textJones, S. V. P. "The characteristics of endplate ion channel block produced by disopyramide and two erythrina alkaloids." Thesis, University of Strathclyde, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.372105.
Full textKerzic, Patrick James. "Inhibition of NF-[kappa]B by the benzene metabolite hydroquinone /." Connect to full text via ProQuest. Limited to UCD Anschutz Medical Campus, 2006.
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Lakhal, Samira. "Tryptophan transport & metabolism mechanism of immunosuppression and therapeutic inhibition." Thesis, University of Oxford, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.442596.
Full textMilne, Gavin D. S. "Inhibition studies of kynurenine 3-monooxygenase." Thesis, University of St Andrews, 2013. http://hdl.handle.net/10023/4101.
Full textScott-Taggart, Catherine Patricia. "Inhibition of glutamine production increases glutamate metabolism via the GABA shunt." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ27542.pdf.
Full textBriggs, William Thomas Edward. "Metabolomic insights into the pharmacological and genetic inhibition of cyclooxygenase-2." Thesis, University of Cambridge, 2017. https://www.repository.cam.ac.uk/handle/1810/275854.
Full textBall, Simon Edward. "Inhibition and characterisation of oestrogen 2-hydroxylase in rat and man in vitro." Thesis, University of Liverpool, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.329411.
Full textMacauley, Mavin Ekundayo Obafemi. "Metabolic effects of dipeptyl peptidase 4 inhibitor in type 2 diabetes." Thesis, University of Newcastle upon Tyne, 2016. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.701160.
Full textSánchez, Saavedra Javier Augusto. "Inhibition of the plasma contact system on end-point immobilized heparin and human endothelium /." Stockholm, 1998. http://diss.kib.ki.se/search/diss.se.cfm?19980513sanc.
Full textJackson, Matthew Irick. "Biochemical targets of Nitroxyl (HNO) and the inhibition of hydrogen peroxide metabolism." Diss., Restricted to subscribing institutions, 2008. http://proquest.umi.com/pqdweb?did=1596647481&sid=1&Fmt=2&clientId=1564&RQT=309&VName=PQD.
Full textWehelie, Rahma. "Mycoplasma pyrimidine deoxynucleotide biosynthesis : molecular characterization of a new family flavin-dependent thymidylate synthase /." Uppsala : Dept. of Molecular Biosciences, Swedish University of Agricultural Sciences, 2006. http://epsilon.slu.se/200676.pdf.
Full textTaavitsainen, P. (Päivi). "Cytochrome P450 isoform-specific in vitro methods to predict drug metabolism and interactions." Doctoral thesis, University of Oulu, 2001. http://urn.fi/urn:isbn:9514259009.
Full textPatel, Meghana. "Inhibitor of kappa B kinase epsilon (IKKε), the metabolic syndrome and atherosclerosis." Thesis, University of Cambridge, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.648358.
Full textKeating, Jeffrey Desmond. "Characterization of an ethanologenic yeast inhibiting atypical galactose metabolism." Thesis, University of British Columbia, 2007. http://hdl.handle.net/2429/410.
Full textJaveshghani, Shiva. "Effects of metformin and Ataxia Telangiectasia mutated kinase inhibition on cellular energy metabolism." Thesis, McGill University, 2012. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=110539.
Full textL'utilisation de la metformine, un biguanide, pour la gestion de diabète de type 2, a été associée à une réduction du risque de cancer et de mortalité due au cancer par plusieurs études de population. Nos travaux antérieurs ont démontré que la metformine a des effets inhibiteurs de la croissance cellulaire in vitro qui sont liés à la phosphorylation d'AMPK, conduisant à une inhibition de mTOR. De plus, des études précédentes ont montré que l'activation de l'AMPK est liée à une baisse de l'ATP suite aux effets inhibiteurs de la metformine sur le complexe 1 de la mitochondrie. Compte tenu de ces résultats, nous avons étudié les effets inhibiteurs de la metformine sur la prolifération en fonction de la source de carbone dans plusieurs lignées cellulaires transformées. Nos résultats ont démontré que les conséquences de l'exposition à la metformine varient en fonction de la source de carbone. La plus grande inhibition par la metformine se produit en présence de glutamine et en l'absence de glucose. Ces résultats, conjointement avec des observations antérieures liant l'expression de myc à la «dépendance à la glutamine», nous a conduits à examiner les effets de la variation des niveaux de myc sur la sensibilité à la metformine. Nos résultats ont révélé que la surexpression de cet oncogène est associée à une sensibilisation aux effets anti-prolifératifs de la metformine. Cela suggère que pour un sous-ensemble des néoplasmes dans lequel myc est surexprimé, les biguanides peuvent apporter une importante activité anti-proliférative. Compte tenu des preuves préliminaires suggérant une fonction mitochondriale défectueuse chez les patients atteints d'ataxie télangiectasie, nous avons examiné si l'inhibiteur de l'ATM KU55933 produit des effets antiprolifératifs similaires à ceux de la metformine. Nos résultats indiquent que comme la metformine, l'exposition à KU-55933 a entraîné une inhibition de la prolifération cellulaire. En outre, KU-55933 provoque des effets analogues à ceux de la metformine sur le métabolisme : soit une augmentation de l'activation de l'AMPK, de l'absorption du glucose et de la production de lactate, tout en réduisant le potentiel de membrane mitochondriale et la respiration couplée. Nos observations suggèrent un rôle pour l'ATM dans la fonction mitochondriale et révèle que KU-55933 et la metformine peuvent perturber le cycle de Krebs et la phosphorylation oxydative.
Trousil, Sebastian. "Choline kinase inhibition as a treatment strategy of cancers with deregulated lipid metabolism." Thesis, Imperial College London, 2014. http://hdl.handle.net/10044/1/25146.
Full textSmith, Shelly Ann. "Effect of carbonic anhydrase inhibition on muscle metabolism during exercise studied by ³¹P-MRS." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ30742.pdf.
Full textKessler, Dino. "Wirkung der Pityriarubine - neue Tryptophan-Metabolite von Malassezia furfur - auf humane Granulozyten." Giessen VVB Laufersweiler, 2007. http://d-nb.info/98877335X/34.
Full textWard, Nathan Patrick. "Therapeutic Modulation of Cancer Metabolism with Dichloroacetate and Metformin." Scholar Commons, 2017. http://scholarcommons.usf.edu/etd/6778.
Full textBillard, 1959 Jean-Marie. "Olive inférieure et inhibition cérébelleuse." Paris 6, 1986. http://www.theses.fr/1986PA066044.
Full textFuhr, Luise Anna. "The Circadian Clock Modulates Tumour Progression and Drug Response in Colorectal Cancer Cells through Metabolic Phenotype Rewiring." Doctoral thesis, Humboldt-Universität zu Berlin, 2019. http://dx.doi.org/10.18452/20850.
Full textThe circadian clock is an internal timing system that allows the entrainment of physiological and behavioural processes to the geophysical time with a periodicity of about 24 hours. It consists of a central pacemaker and peripheral clocks in every cell. In mammals, a distinct set of genes is interconnected in regulatory feedback loops, thereby generating oscillations in gene expression in the core-clock itself as well as in many target genes. Clock target genes are, among others, involved in cellular processes connected to tumour development and progression, including metabolic pathways, drug response pathways and the cell cycle. Malfunctions of the circadian clock are associated with different pathologies including cancer. The aim of this project was to study the role of the circadian clock in tumour development and progression with a focus on cancer metabolism and treatment response. The role of a deregulated clock was investigated in SW480 cells derived from a primary tumour and SW620 cells derived from a lymph node metastasis of the same patient. The investigated cell lines showed clear differences with respect to their clock phenotypes with consequences on global oscillating gene expression and alterations in metabolic pathways. A knockdown of the core-clock gene Bmal1 in SW480 cells induced a metastatic phenotype similar to SW620 wild type cells, as indicated by faster proliferation, lower apoptosis rate and a highly energetic metabolic phenotype. Furthermore, Bmal1-KD induced metabolic phenotype rewiring as seen by altered glycolytic activity and mitochondrial respiration and modified treatment response to metabolism-targeting anticancer treatment. The results obtained in this project reinforce the postulated role of Bmal1 as a tumour suppressor and elucidate a reciprocal interplay between the circadian clock and cancer metabolism with implications in metabolic phenotype rewiring during tumour progression.
Echecopar-Sabogal, Jose, Lorenzo D’Angelo-Piaggio, Diego M. Chanamé-Baca, and Cesar Ugarte-Gil. "Association between the use of protease inhibitors in highly active antiretroviral therapy and incidence of diabetes mellitus and/or metabolic syndrome in HIV-infected patients: A systematic review and meta-analysis." SAGE Publications Ltd, 2018. http://hdl.handle.net/10757/624660.
Full textThis systematic review and meta-analysis tries to determine whether there is an association between the use of protease inhibitors (PIs) and the incidence of diabetes mellitus (DM) and/or metabolic syndrome (MS) in HIV-infected patients. A systematic literature search was performed using MEDLINE/PubMed, CENTRAL, LILACS, and EMBASE. Included articles were observational studies published on or prior to November 2015 that met specific inclusion criteria. Pooled relative risks (RRs) and hazard ratios (HRs) were calculated. Nine articles met the inclusion criteria, describing 13,742 HIV patients. Use of PIs was associated with the development of MS (RR: 2.11; 95% CI 1.28–3.48; p-value 0.003). No association between the use of PIs and development of DM was found: the HR for the incidence of DM among patients using PIs was 1.23 (95% CI 0.66–2.30; p-value: 0.51) and the RR was 1.25 (95% CI 0.99–1.58; p-value 0.06). Use of PIs in HIV-infected patients is associated with an increased risk of MS. No evidence of an increased risk of DM was found. However, because MS is a precursor to DM, it is possible that studies with a longer follow-up duration are needed in order to detect an association between PI use and onset of DM.
First, we would like to thank our families for all their support. Second, we would like to thank the Universidad Peruana de Ciencias Aplicadas, the Health Sciences Department, and the School of Medicine for their support and for all the tools they have provided throughout this process. Finally, we want to thanks to Dr Gwenyth O. Lee and Dr Daniela E. Kirwan for their comments.
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