Format

Send to

Choose Destination
In Vivo. 2017 Jan 2;31(1):125-131.

Effects of Therapy with Maraviroc on the Carotid Intima Media Thickness in HIV-1/HCV Co-infected Patients.

Author information

1
Institute of Infectious Diseases, University of Bari, Bari, Italy p_maggi@yahoo.com.
2
Institute of Infectious Diseases, University of Bari, Bari, Italy.

Abstract

AIM:

To evaluate, in human immunodeficiency virus-hepatitis C virus co-infected patients, the impact of C-C chemokine receptor type 5 (CCR5) antagonist maraviroc-based antiretroviral therapy on the carotid intima media thickness and on atheromasic plaques.

PATIENTS AND METHODS:

In this pilot prospective study, 12 HIV-HCV co-infected patients underwent color-Doppler ultrasonography before and 48 weeks after switching to a dual therapy based on maraviroc plus protease inhibitors boosted with ritonavir. Changes of intima media thickness, inflammatory and endothelial adhesion biomarkers levels, Veterans Aging Cohort Study index and Framingham risk score were evaluated.

RESULTS:

At baseline 11 (91.6%) patients showed pathological ultrasonographic findings. After 48 weeks, two patients showed an amelioration of intima media thickness. Of the remaining patients with plaques, four showed a reduction of the previously diagnosed plaque; no patients worsened.

CONCLUSION:

Our data suggest that CCR5 inhibition could reduce the development of atherosclerosis especially in the non-calcific stage and could play an important role in the blockade of atheromasic plaque progression.

KEYWORDS:

CCR5; HCV; HIV; atheromasic plaques; maraviroc

PMID:
28064231
PMCID:
PMC5354138
DOI:
10.21873/invivo.11035
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for HighWire Icon for PubMed Central
Loading ...
Support Center