Document Detail


Multiple ways that drug abuse might influence AIDS progression: clues from a monkey model.
MedLine Citation:
PMID:  14741423     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Whether opiates and other drugs of abuse affect AIDS progression has been an unresolved issue for two decades. Credible evidence has suggested that opiates may exacerbate, retard or have 'no effect' on progression of AIDS. Differences may exist in AIDS-progression outcomes after opiate exposures that relate to neural versus, strictly, somatic AIDS; but it is also likely that conditional variables inherent to drug dependency and the nature of the infectious agents involved allow for differing outcomes. Data from epidemiological studies, and from in vitro and basic immunological studies regarding opiate effects on AIDS progression must be interpreted in light of the conditionality of opiate effects. Caution is sounded, also, about interpreting common depressive immunological effects of opiates as indicators of influence over AIDS progression. Current evidence from the monkey model of AIDS indicates that opiates can, under certain defined conditions, retard AIDS progression. The clinical relevance of these data remains to be defined. Importantly, such data imply that opioids and the endogenous opioid system may represent therapeutic tools and targets for altering AIDS progression.
Authors:
Robert M Donahoe
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of neuroimmunology     Volume:  147     ISSN:  0165-5728     ISO Abbreviation:  J. Neuroimmunol.     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-01-26     Completed Date:  2004-03-15     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8109498     Medline TA:  J Neuroimmunol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  28-32     Citation Subset:  IM    
Affiliation:
Department of Psychiatry and Behavioral Sciences, Emory University, School of Medicine, Briarcliff Campus, Atlanta, GA 30306, USA. rdonaho@emory.edu
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MeSH Terms
Descriptor/Qualifier:
Acquired Immunodeficiency Syndrome* / complications,  epidemiology,  pathology,  physiopathology
Animals
Disease Models, Animal*
Disease Progression
Haplorhini
Humans
Stress, Physiological / complications
Substance-Related Disorders* / complications,  epidemiology,  pathology,  physiopathology
Grant Support
ID/Acronym/Agency:
DA010440/DA/NIDA NIH HHS; DA12324/DA/NIDA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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