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RESEARCH PRODUCT

Profile of leukocyte-endothelial cell interactions induced in venules and arterioles by nucleoside reverse-transcriptase inhibitors in vivo.

ÁNgeles ÁLvarezJosé E. PerisSamuel OrdenMaria D. BarrachinaJuan V. EspluguesCarmen De Pablo

subject

Anti-HIV AgentsNeutrophilsIntercellular Adhesion Molecule-1Cell CommunicationPharmacologyEmtricitabineNucleoside Reverse Transcriptase InhibitorRats Sprague-DawleyVenulesAbacavirmedicineCell AdhesionImmunology and AllergyAnimalsHumansLeukocyte RollingDidanosineCells CulturedCD11b AntigenChemistryLamivudineEndothelial CellsIntercellular Adhesion Molecule-1VirologyDideoxynucleosidesRatsArteriolesDidanosineInfectious DiseasesCD18 AntigensLeukocytes MononuclearReverse Transcriptase InhibitorsEndothelium VascularNucleosideIntravital microscopymedicine.drug

description

Background There is controversy regarding cardiovascular (CV) toxicity of the nucleoside reverse-transcriptase inhibitors used to treat human immunodeficiency virus infection. Methods We evaluated the effects of nucleoside reverse-transcriptase inhibitors on leukocyte-endothelium interactions, a hallmark of CV diseases, in rat mesenteric vessels using intravital microscopy and in human arterial cells using a flow chamber system. Results Abacavir and didanosine increased rolling, adhesion and emigration in rat vessels. These effects were reversed with antibodies against Macrophage-1 antigen (Mac-1) or intercellular adhesion molecule 1 and were reproduced in human cells. Lamivudine, zidovudine, emtricitabine, and tenofovir had no effects. Conclusions Our results support the association of abacavir and didanosine with CV diseases.

10.1093/infdis/jit340https://pubmed.ncbi.nlm.nih.gov/23908487