PMID- 12113287 OWN - NLM STAT- MEDLINE DCOM- 20030703 LR - 20161018 IS - 1434-6621 (Print) IS - 1434-6621 (Linking) VI - 40 IP - 5 DP - 2002 May TI - An evaluation of antiretroviral therapy associated with alpha-tocopherol supplementation in HIV-infected patients. PG - 456-9 AB - In HIV-infected patients, an increase in the production of oxygen-reactive species (ROS) is observed, with a consequent reduction of plasma levels of antioxidants such as alpha-tocopherol. The nuclear transcription factor-kappaB (NF-kappaB) is activated by a prooxidant state in the infected T cells through the release of its inhibitory subunit I-kappaB. The aim of the present work was to evaluate the behavior of hematological parameters and markers of anemia in HIV-infected patients who underwent antiretroviral therapy associated with 800 mg/day alpha-tocopherol supplementation. Blood samples were collected from supplemented (n=9) and not-supplemented (n=9) HIV-seropositive patients (n=18). We observed a decreased viral load in the alpha-tocopherol-supplemented group (p<0.05); other changes, such as an increase in the CD4/CD8 ratio, in the hematocrit and in the hemoglobin concentration were also observed, though lacking statistical significance. We conclude that antiretroviral therapy in association with alpha-tocopherol (800 mg/day) supplementation is more effective in reducing viral load levels and also, possibly, in recovering other hematological parameters after a 60-day period of use. FAU - Spada, Celso AU - Spada C AD - UFSC Clinical Analysis Department, Centro de Ciencias de Saude, Universidade Federal de Santa Catarina, Florianopolis, Brazil. celso@ccs.ufsc.br FAU - Treitinger, Aricio AU - Treitinger A FAU - Reis, Marcellus AU - Reis M FAU - Masokawa, Ivete Y AU - Masokawa IY FAU - Verdi, Julio C AU - Verdi JC FAU - Luiz, Magali C AU - Luiz MC FAU - Silveira, Mariete V S AU - Silveira MV FAU - Oliveira, Osvaldo V AU - Oliveira OV FAU - Michelon, Cleonice M AU - Michelon CM FAU - Avila-Junior, Silvio AU - Avila-Junior S FAU - Gil, lone D O AU - Gil lD FAU - Ostrowsky, Stephanie AU - Ostrowsky S LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PL - Germany TA - Clin Chem Lab Med JT - Clinical chemistry and laboratory medicine JID - 9806306 RN - 0 (Anti-HIV Agents) RN - 0 (Antioxidants) RN - 0 (Hemoglobins) RN - H4N855PNZ1 (alpha-Tocopherol) SB - IM MH - Anemia/blood/diagnosis/drug therapy MH - Anti-HIV Agents/*administration & dosage MH - Antioxidants/*administration & dosage MH - CD4-CD8 Ratio MH - Double-Blind Method MH - Drug Therapy, Combination MH - Female MH - HIV Infections/blood/complications/*drug therapy MH - Hematocrit MH - Hemoglobins/drug effects/metabolism MH - Humans MH - Kinetics MH - Male MH - Viral Load MH - alpha-Tocopherol/*administration & dosage EDAT- 2002/07/13 10:00 MHDA- 2003/07/04 05:00 CRDT- 2002/07/13 10:00 PHST- 2002/07/13 10:00 [pubmed] PHST- 2003/07/04 05:00 [medline] PHST- 2002/07/13 10:00 [entrez] AID - 10.1515/CCLM.2002.078 [doi] PST - ppublish SO - Clin Chem Lab Med. 2002 May;40(5):456-9. doi: 10.1515/CCLM.2002.078.