Concerns about HAART (Highly Active Anti-Retroviral Therapy)

Alberta Reappraising AIDS Society

David Crowe, President
Phone: +1-403-289-6609
Fax: +1-403-206-7717
Email: David.Crowe@aras.ab.ca

Roger Swan, Treasurer
Box 61037, Kensington Postal Outlet
Calgary, Alberta T2N 4S6
Canada
Office
Phone: +1-403-220-0129
Email: aras@aras.ab.ca
Web: noaids.ca

Concerns about HAART (Highly Active Anti-Retroviral Therapy)

Non-HIV Benefits of HAART

There is some evidence that so-called AIDS drugs have benefits against fungal and bacterial infections.

“KS[Kaposi’s Sarcoma]-derived cell lines underwent apoptosis [cell death] in vitro after treatment with [the AIDS protease inhibitor drug] ritonavir at concentrations that are obtained in clinical therapy…these data suggest that ritonavir has antineoplastic [anti-cancer] effects that are independent from its ability to inhibit the HIV protease”
Pati S et al. Antitumorigenic effects of HIV protease inhibitor ritonavir: inhibition of Kaposi sarcoma. Blood. 2002 May 15;99(10):3771-9.
“We studied the HIV aspartyl PIs [Protease Inhibitors] indinavir, ritonavir, nelfinavir and saquinavir, at clinically achievable concentrations, for their ability to inhibit P. carinii [causative factor of AIDS-defining pneumonia PCP]...We found a partial, dose-dependent antipneumocystis effect [i.e. perhaps the benefits of this therapy that are sometimes found are because they directly target PCP, and not HIV]
Atzori C et al. In Vitro Activity of Human Immunodeficiency Virus Protease Inhibitors against Pneumocystis carinii. J Infect Dis. 2000 May;181(5):1629-34.
“our data demonstrate that indinavir and ritonavir [both protease inhibitors (PI)], two major components of HAART regimens, have direct anticandidal effects in vitro and in vivo...Thus, we are tempted to speculate that this novel effect of PI on Candida virulence might concur with and possibly also favor immunoreconstitution in explaining the unprecedented beneficial activity of HAART on candidiasis in persons with AIDS [i.e. these drugs may have beneficial effects due to their activity on this fungal infection, and not from their activity against HIV]
Cassone A et al. In vitro and in vivo anticandidal activity of Human Immunodeficiency Virus protease inhibitors. J Infect Dis. 1999 Aug;180(2):448-53.

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© Copyright August 10, 2011: Alberta Reappraising AIDS Society