GLUTAMINE AND ITS DERIVATIVES FOR CORRECTION OF METABOLICDISORDERS IN HIV PATIENTS



Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Glutamine content is decreased in HIV patients because of its increased metabolizing by cells of the immune system. The progression of HIV infection is associated with body weight loss in patients. This loss is aggravated by opportunistic infections associated with fever, anorexia, diarrhea and malabsorption and correlates with decreased glutamine content. Glutamine deficiency facilitates the initial immunity-mediated multiplication of HIV and may lead to perpetual (chronic) activation of the immune system even after the complete suppression of HIV. Treating HIV patients with glutamine preparations results in improved cenesthesia, decreased neurotoxic phenomena, and increased motor activity.

About the authors

V M Luft

I. I. Dzhanelidze Research Institute of Emergency Care

I. I. Dzhanelidze Research Institute of Emergency Care

A V Dmitriyev

Regional Northwest Association of parenteral and enteral nutrition

Regional Northwest Association of parenteral and enteral nutrition

N V Sizova

I. P. Pavlov First State Medical University of St. Petersburg

I. P. Pavlov First State Medical University of St. Petersburg

N A Belyakov

St. Petersburg center for the prevention and control of AIDS and infectious diseases

St. Petersburg center for the prevention and control of AIDS and infectious diseases

References

  1. Roth E. Immune and cell modulation by amino acids // Clin. Nutr.- 2007.- Vol. 26.- P. 535-544.
  2. Roth E. Nonnutritive Effects of Glutamine // J. of Nutrition. 7th Amino Acid Assessment Workshop.- 2008.- Vol. 138.- P. 2025-2031.
  3. Crothers K. Critical Care of Patients with HIV. Comprehensive, up-to-date information on HIV/AIDS treatment, prevention, and policy from the University of California San Francisco // HIV InSite. May.- 2006.
  4. Беляков Н. А., Багненко С. Ф, Дубикайтис П. А., Алимова Р. Р, Виноградова Т. Н. Результаты десятилетнего выявления ВИЧ-инфекции в стационаре скорой медицинской помощи // Медицинский академический журнал.- 2014.- Т. 14, № 2.- С. 48-54.
  5. Drain P. K., Kupka R., Mugusi F., Fawzi W. W. Micronutrients in HIV-positive persons receiving highly active antiretroviral therapy // Am. J. Clin. Nutr.- 2007.- Vol. 85.- P. 333-345.
  6. Hsu J. W-C., Pencharz P. B., Macallan D., Tomkins A. Macronutrients and HIV/AIDS: a review of current evidence // WHO. Department of Nutrition.- 2005.- 19 p.
  7. Soares R. L. S., Coura L. C., Magalhaes L. F. et at. Study of the correlation between nutritional status and histomorphometrical abnormalitites in the jejunal mucosa in HIV infected patients // Gastroenterol. Endosc. Dig.- 1996.- Vol. 15.- P. 1-6.
  8. Leite R. D., Lima N. L., Leite C. A. C. et al. Improvement of intestinal permeability with Alanyl-Glutamine in HIV patients: a randomized, double blinded, placebo-controlled clinical trial // Arq. Gastroenterol.- 2013.- Vol. 50 (1), Sao Paulo Jan. / Mar.
  9. Shabert J. K., Wilmore D. W. Glutamine deficiency as a cause of human immunodeficiency virus wasting // Med. Hypotheses.- 1996.- Vol. 46.- P. 252-256.
  10. Macintosh H. D. The Importance of Glutamine and Antioxidant Vitamin Supplementation in HIV. Nemechek Health Renewal // Dedicated HIV Care.- 2007. 11.
  11. Вирус иммунодефицита человека - медицина. Руководство для врачей / под ред. Н. А. Белякова, А. Г. Рахмановой.- СПб.: Балтийский медицинский образовательный центр, 2010.- 752 с.
  12. Беляков Н. А. Головной мозг как мишень для ВИЧ.- СПб.: Балтийский медицинский образовательный центр, 2011.- 48 с.
  13. Трофимова Т. Н., Беляков Н. А. Многоликая нейрорадиология ВИЧ-инфекции // Лучевая диагностика и терапия.- 2010.- Т. 1, № 3.- С. 3-11.
  14. Гайсина А. В., Рассохин В. В., Дементьева Н. Е., Беляков Н. А. Патофизиология ВИЧ-ассоциированных нейрокогнитивных расстройств // ВИЧ-инфекция и иммуносупрессии.- 2014.- Т. 6, № 2.- С. 25-40.
  15. Ferrari S., Vento S., Monaco S., Cavallaro T., Cainelli F., Rizzuto N., Temesgen Z. Human immunodeficiency virus-associated peripheral neuropathies // Mayo Clin. Proc.- 2006.- Vol. 81 (2).- Р. 213-219. 16.
  16. ВИЧ-инфекция и центральная нервная система / под ред. Н. А. Белякова, Т. Н. Трофимовой и В. В. Рассохина // Медицинский тематический архив.- 2013.- № 4.- 122 с.
  17. Garvey L., Winston A., Walsh J., Post F., Porter K., Gazzard B., Fisher M., Leen C., Pillay D., Hill T., Johnson M., Gilson R., Anderson J., Easterbrook P., Bansi L., Orkin C., Ainsworth J., Phillips A. N., Sabin C. A. HIV-associated central nervous system diseases in the recent combination antiretroviral therapy era // Eur. J. Neurol.- 2011.- Vol. 18 (3).- P. 527-534.
  18. Monsuez J. J., Goujon C., Wyplosz B. et al. Cerebrovascular diseases in HIV-infected patients // Curr. HIV Res.- 2009.- Vol. 7 (5).- P. 475-480.
  19. Wright E. Neurocognitive impairment and neuroCART // Curr Opin HIV AIDS.- 2011.- Vol. 6 (4).- P. 303-308.
  20. Daikhin Y. Yudkoff M. Compartmentation of Brain Glutamate Metabolism in Neurons and Glia // J. Nutr.- 2000.- Vol. 130.- P. 1026-1031.
  21. Erecinska M., Zaleska M. M., Nelson D., Nissim I., Yudkoff M. Neuronal glutamine utilization: glutamine/glutamate homeostasis in synapto- somes // J. Neurochem.- 1990.- Vol. 54.- P. 2057-2069.
  22. Hertz L. Functional interactions between neurons and astrocytes I. Turnover and metabolism of putative amino acid transmitters // Prog. Neurobiol.- 1979.- Vol. 13.- P. 277-323.
  23. Shank R. P., Aprison M. H. Present status and significance of the glutamine cycle in neural tissues // Life Sci.- 1977.- Vol. 28.- P. 837-842.
  24. Fillenz M. Physiological release of excitatory amino acids // Behav. Brain Res.- 1995.- Vol. 71.- P. 51-67.
  25. Danbolt N. C. The high affinity uptake system for excitatory amino acids in the brain // Prog. Neurobiol.- 1994.- Vol. 44.- P. 377-396.
  26. Takahashi M., Billups B., Rossi D. Sarantis M., Hamann M, Attwell D. The role of glutamate transporters in glutamate homeostasis in the brain // J. Exp. Biol.- 1977.- Vol. 200.- P. 401-409.
  27. Martinez-Hernandez A., Bell K. P., Norenberg M. D. Glutamine synthetase: glial localization in brain. Science (Washington, DC).- 1977.- Vol. 195.- P. 1356-1358.
  28. Ramaharobandro N., Borg J., Mandel P., Mark J. Glutamine and glutamate transport in cultured neuronal and glial cells // Brain Res.- 1982.- Vol. 244.- P. 113-121.
  29. Yudkoff M., Zaleska M. M., Nissim I., Nelson D., Erecinska M. Neuronal glutamine utilization: pathways of nitrogen transfer studied with [15N] glutamine // J. Neurochem.- 1989.- Vol. 53.- P. 632-640.
  30. Gras G., Porcheray F., Samah B., Leone C. The glutamate-glutamine cycle as an inducible, protective face of macrophage activation // J. of Leukocyte Biology.- 2006.- Vol. 80.- P. 1067-1075.
  31. Breitbart W. A Clinical Guide to Supportive and Palliative Care for HIV/AIDS. Chapter 4: Pain', HIV/AIDS Bureau, Health Resources and Services Administration, U. S. Department of Health and Human Services.- 2003.
  32. Рассохин В. В., Беляков Н. А., Розенталь В. В., Леонова О. Н. Пантелеева О. В. Вторичные и соматические заболевания при ВИЧ-инфекции // ВИЧ-инфекция и иммуносупрессии.- 2014.- Т. 6, № 1.- С. 7-18.
  33. Amara S. Oral Glutamine for the prevention of chemotherapy-induced peripheral neuropathy // Ann. Pharmacother.- 2008.- Aug 12.
  34. Krashin D. L., Merrill J. O., Trescot A. M. Opioids in the Management of HIV-Related Pain // Pain Physician.- 2012.- Vol. 15.- P. 157-168.
  35. Cavun S., Goktalay G., Millington W. R. Glycyl-Glutamine, an Endogenous В-Endorphin-Derived Peptide, Inhibits Morphine-Induced Conditioned Place Preference, Tolerance, Dependence, and Withdrawal // J. Pharmacol. Experim. Ther.- 2005.- Vol. 315 (2).- P. 949-958.
  36. Zou S., Fitting S., Hahn Y-K., Welch S. P. et al. Morphine potentiates neurodegenerative effects of HIV-1 Tat through actions at m-opioid receptor-expressing glia // Brain. J. Neurol.- 2011.- Vol. 134.- P. 3616-3631.
  37. Бобкова М. Р. Лекарственная устойчивость ВИЧ.- М.: Человек, 2014.- 288 с.
  38. Cohen J., West A. B., Bini E. J. Infectious diarrhea in HIV // Gastroenterol Clin North Am.- 2001.- Vol. 30.- P. 637-664.
  39. Fellay J., Boubaker K., Ledergerber B., Bernasconi E., Furrer H., Battegay M., Hirschel B., Vernazza P., Francioli P., Greub G., Flepp M., Telenti A. Prevalence of adverse events associated with potent antiretroviral treatment: Swiss HIV Cohort Study // Lancet.- 2001.- Vol. 358.- P. 1322-1327.
  40. Heiser C. R., Ernst J. A., Barrett J. T., French N., Schutz M., Dube M. P. Probiotics, soluble fiber, and L-Glutamine (GLN) reduce nelfinavir (NFV) - or lopinavir/ritonavir (LPV/r)-related diarrhea // J. Int. Assoc Physicians AIDS Care (Chic).- 2004.- Vol. 3 (4).- P. 121-129.
  41. Huffman F. G., Walgren M. E. L-glutamine supplementation improves nelfinavir-associated diarrhea in HIV-infected individuals // HIV Clin. Trials.- 2003.- Vol. 4 (5).- P. 324-329.
  42. Bushen O. Y., Davenport J. A., Lima A. B., Piscitelli S. C., Uzgiris A. J., Silva T. M., Leite R., Kosek M., Dillingham R. A., Girao A., Lima A. A., Guerrant R. L. Diarrhea and Reduced Levels of Antiretroviral Drugs: Improvement with Glutamine or Alanyl-Glutamine in a Randomized Controlled Trial in Northeast Brazil // Clin. Infect Dis.- 2004.- Vol. 38 (12).- P. 1764-1770.
  43. Shabert J. K., Winslow C., Lacey J. M., Wilmore D. W. Glutamine-antioxidant supplementation increases body cell mass in AIDS patients with weight loss: a randomized, double-blind controlled trial // Nutrition.- 1999.- Vol. 5.- P. 860-864.
  44. Li C. H. et al. В-Endorphin: Replacement of glutamic acid in position 8 by glutamine increases analgesic potency and opiate receptor-binding activity // Biochemical and Biophysical Research Communications.- 1981.- Vol. 101(1).- P. 118-123.
  45. Parish D. C., Smyth D. G., Normanton J. R., Wolstencroft J. H. Glycyl glutamine, an inhibitory neuropeptide derived from -endorphin // Nature (Lond).- 1983.- Vol. 306.- Р. 267-270.
  46. Smith A. I., Funder J. W. Proopiomelanocortin processing in the pituitary, central nervous system and peripheral tissues // Endocr. Rev.- 1988.- Vol. 9.- P. 159-179.
  47. Owen M. D., Unal C. B., Callahan M. F., Trivedi K., York C., Millington W. R. Glycyl-glutamine inhibits the respiratory depression, but not the antinociception, produced by morphine // Am. J. Physiol.- 2000.- Vol. 279.- Р. 1944-1948.
  48. Clark R. H. et al. Nutritional treatment for acquired immunodeficiency virus-associated wasting using beta-hydroxy beta-methylbutyrate, glutamine, and arginine: a randomized, double-blind, placebo-controlled study // J. Parent. Enteral Nutr.- 2000.- Vol. 24.- P. 133-139.
  49. Serrano-Villar S. et al. Targeting Gut Mucosa in HIV+ Subjects With Prebiotics and Glutamine: A Pilot Clinical Trial. Workshop: Inflammation and chronic hepatitis/HIV infections: who is the driver? Milan. Italy.- 2014.
  50. Patrick L. Nutrients and HIV: Part Three - N-Acetylcysteine, Alpha-Lipoic Acid, L-Glutamine, and L-Carnitine // Alternative Medicine Review.- 2000.- Vol. 5 (4).- P. 290-305.
  51. Noyer C. M., Simon D., Borczuk A. A double-blind placebo-controlled pilot study of glutamine therapy for abnormal intestinal permeability in patients with AIDS // Am. J. Gastroenterol.- 1998.- Vol. 93.- P. 972-975.
  52. Dudgeon W. D. Phillips K. D., Carson J. A. Counteracting muscle wasting in HIV-infected individuals. British HIV Association // HIV Medicine.- 2006.- Vol. 7.- P. 299-310.
  53. Gras G., Porcheray F., Samah B., Leone C. The glutamate-glutamine cycle as an inducible, protective face of macrophage activation // J. Leukoc. Biol.- 2006.- Vol. 80.- P. 1067-1075.
  54. Jain P., Khanna N. K. Evaluation of anti-inflammatory and analgesic properties of L-Glutamine // Agents and Actions.- 1981.- Vol. 11 (3).- P. 243-249.
  55. Nageli M. et al. Prolonged continuous intravenous infusion of the dipeptide L-alanine-L-glutamine significantly increases plasma glutamine and alanine without elevating brain glutamate in patients with severe traumatic brain injury // Critical Care.- 2014.- Vol. 18.- P. 139-150.
  56. Newsholme Ph., Procopio J., Ramos Lima M. M. et al. Glutamine and glutamate - their central role in cell metabolism and function // Cell Biochem Funct.- 2003.- Vol. 21.- Р. 1-9.
  57. Ockenga J., Grimble R., Jonkers-Schuitema C. ESPEN Guidelines on Enteral Nutrition: Wasting in HIV and other chronic infectious diseases // Clinical Nutrition.- 2006.- Vol. 25.- P. 319-329.
  58. Pires V. L, Souza J. R., Guimaraes S. B. et al. Preconditioning with L-alanyl-L-glutamine in a Mongolian gerbil model of acute cerebral ischemia/reperfusion injury // Acta Cir. Bras.- 2011.- Vol. 26(1).- P. 14-20.
  59. Хоффман К., Рокштро Ю. Лечение ВИЧ-инфекции.- М.: Валент, 2012.- 736 с.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2015 Luft V.M., Dmitriyev A.V., Sizova N.V., Belyakov N.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 74760 от 29.12.2018 г.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies