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    Clin Infect Dis. 2002 Aug 15;35(4):475-81. Epub 2002 Jul 23.

    Prospective, intensive study of metabolic changes associated with 48 weeks of amprenavir-based antiretroviral therapy.

    Source

    Department of Medicine, Division of Infectious Diseases, Indiana University School of Medicine, Indianapolis, IN, USA. mpdube@iupui.edu

    Abstract

    To determine whether a 48-week course of amprenavir-based antiretroviral therapy is associated with metabolic alterations, 14 clinically stable human immunodeficiency virus (HIV)-infected, protease inhibitor-naive adults initiated amprenavir-based triple therapy. Twelve subjects (86%) achieved HIV RNA levels of <400 copies/mL at week 24. Fasting glucose and insulin levels did not change. Insulin sensitivity did not decrease in the first 24 weeks, but a trend toward a decrease appeared at week 48. Six subjects experienced onset or worsening of glucose tolerance by week 24. Levels of fasting triglycerides and low-density lipoprotein, high-density lipoprotein, and total cholesterol increased. Bone mineral content, lean tissue, total fat, trunk fat, limb fat, and the ratio of trunk to limb fat increased at week 48. Amprenavir-based therapy was associated with increases in serum lipid levels but no short-term decrease in insulin sensitivity. A trend toward insulin resistance appeared late in the study following weight gain, particularly of trunk fat, but without loss of limb fat.

    PMID:
    12145733
    [PubMed - indexed for MEDLINE]
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