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JAC Advance Access originally published online on September 9, 2009
Journal of Antimicrobial Chemotherapy 2009 64(5):901-909; doi:10.1093/jac/dkp316
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© The Author 2009. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Reviews

Mitochondrial toxicity in HIV-infected patients both off and on antiretroviral treatment: a continuum or distinct underlying mechanisms?

Anne Maagaard1,2,3,* and Dag Kvale1,3

1 Ullevål Department of Infectious Diseases, Oslo University Hospital, Kirkeveien 166, 0407 Oslo, Norway 2 Ullevål Department of Microbiology, Oslo University Hospital, Kirkeveien 166, 0407 Oslo, Norway 3 Faculty of Medicine, University of Oslo, Oslo, Norway


* Corresponding author. Tel: +47-22-11-91-00; Fax: +47-22-11-91-81; E-mail: anne.maagaard{at}medisin.uio.no

Mitochondrial toxicity contributes to serious adverse effects observed in HIV-infected individuals treated with nucleoside reverse transcriptase inhibitors (NRTIs). However, similar mitochondrial abnormalities have recently been found even in treatment-naive patients, suggesting that chronic HIV per se could contribute to the toxicity observed in NRTI-exposed individuals. This review gives a current status of the field, with particular focus on recent observations suggesting that distinct mechanisms might cause such toxicity in both NRTI-exposed individuals and those naive to antiretroviral treatment.

Keywords: HIV-1 , mitochondria , DNA polymerase gamma , nucleoside reverse transcriptase inhibitors , persistent immune activation


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