Infección por el virus de inmunodeficiencia humana tipo 1 (VIH-1) y su asociación con manifestaciones orales
Resumen
Las manifestaciones orales en pacientes infectados por VIH son múltiples, variadas y a veces constituyen la primera evidencia de que albergan el virus. La variabilidad interindividual en la progresión a SIDA se relaciona con factores que modifican la relación Virus-Paciente. Algunos mecanismos inmunológicos estarían involucrados con la infección y contribuirían al deterioro progresivo de la función inmune y a la progresión de la enfermedad hasta el SIDA, así como factores virológicos asociados a las altas tasas replicativa y mutacional virales, que desencadenan la elevada variabilidad del virus, con infecciones más severas y notables manifestaciones orales. Los pacientes infectados con variantes virales con tasa de replicación y carga viral bajas manifiestan lenta progresión a la enfermedad y disminución en la severidad de las enfermedades asociadas. En este artículo se revisan aspectos relacionados con los pacientes VIH y su relación con factores ambientales, virales, genéticos y la respuesta inmune efectiva en la mucosa oral, que influyen en la progresión a SIDA.
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Mindel A, Tenant-Flowers M. ABC of AIDS: Natural history and management ofearly HIV infection BMJ. 2001; 322:1290-1293
Blanco JL, Mallolas J, Pérez-Cuevas JB y Gatell JM. Historia natural, clasificación y pronóstico de la infección por el VIH-1. En J.M. Gatell, B. Clotet, D. Podzamczer, J.M. Miró y J. Mallolas. Guía práctica del SIDA. Clínica, diagnóstico y tratamiento. Barcelona: Masson S.A.; 2002. p. 47-58.
Soriano V, González-Lahoz J. Manual del Sida. Barcelona: Permanyer S.A.; 2001. p. 146-57.
Scully C y Porter S.. ABC of oral health: Swellings and red, white, and pigmented lesions. B M J. 2000; 321:225-228.
Chapple I L C y Hamburger J. The significance of oral health in HIV disease. Sex. Transm Inf. 2000; 76:236-243
Soriano V, Benito J, Martín R, Del Romero J. Cofactores. Progresores rápidos y lentos. En V. Soriano y J. González-Lahoz. Manual del SASDA. Barcelona: Permanyer S.A. 2001. p. 146-57.
Easterbrook PJ. Long term non-progression in HIV infection: definitions and epidemiological issues. J Infect. 1999; 38(2):71-73).
Migueles SA, Laborico AC, Shupert WL. HIV-specific CD8+ T cell proliferation is coupled to perforin expression and is maintained in nonprogressors. Nat Immunol 2002;3:1061–1068.
Schneider-Schaulies S, Dittmer U. Silencing T cells or T-cell silencing: concepts in irus-induced immunosuppression. J. Gen. Virol. 2006; 87:1423–1438.
Carrie D, Lisa MD. Clinical Significance of Human Immunodeficiency Virus Type 1 Replication Fitness. Clin. Microbiol. Rev. 2007; 20 (4):550–578.
Essex M. State of the HIV pandemic. J HumVirol. 1998; 1:427–9.
Domingo, E., E. Martinez-Salas, F. Sobrino, J. C. de la Torre, A. Portela, J. Ortin, C. Lopez-Galindez, P. Perez-Brena, N. Villanueva, R. Najera. The quasispecies (extremely heterogeneous) nature of viral RNA genome populations: biological relevance a review. Gene 40:1–8. Agent Chem. 1985; 48:3552–3555.
Spira S, Wainberg MA, Loemba H, Turner D y Brenner BG. Impact of clade diversity on HIV-1 virulence, antiretroviral drug sensitivity and drug resistance. J.Antimicrob. Chem. 2003; 51:229–240.
Birnbaum W, Hodgson TA, Reichart PA, Sherson W, Nittayannanta SW,Axéll TE. Prognostic significance of HIV-associated oral lesions and their relation to therapy. Oral Dis 82002 (Suppl 2):110-114.
Badri M, Maartens G, Wood R. Predictors and prognostic value of oral hairy leukoplakia and oral candidiasis in South African HIVinfected patients. S Afr Dent J 2001;56:592-596.
Baqui AA, Meiller T, Jabra-Rizk M, Zhang M, Kelley J, Falkler W.Association of HIV viral load with oral diseases. Oral Dis 1999; 5:294-298.
Begg MD, Lamster IB, Panageas KS, Mitchell-Lewis D, Phelan JA, Grbic JT. A prospective study of oral lesions and their predictive value for progression of HIV disease. Oral Dis 1997; 3:176-183.
Chattopadhyay A, Caplan DJ, Slade GD, Shugars DC, Tien HC, Patton LL. Incidence of oral candidiasis and oral hairy leukoplakia in HIV-infected adults in North Carolina. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 99:39-47.
Mosam A, Hurkchand H P, Cassol E, Page T, Cassol S, Bodasing U, Aboobaker J, Dawood H, Friedland G H y Coovadia H M. Characteristics of HIV-1-associated Kaposi's sarcoma among women and men in South Africa. Int J STD AIDS. 2008; 19:400-405.
Goedert JJ, Coté TR, Virgo P, Scoppa SM, Kingma DW, Gail MH, et al. Spectrum of AIDSassociated malignant disorders. Lancet 1998; 351:18339.
Campo J, Del Romero J, Castilla J, García S, Rodríguez C, Bascones A. Oral candidiasis as a clinical marker related to viral load, CD4 lymphocyte count and CD4 lymphocyte percentage in HIV-infected patients. J Oral Pathol Med 2002; 31:5-10.
Casariego Z, Micinquevich S, Gomez MA. HPV in "carcinoma in situ" associated with HIV/AIDS infection: a case report. Med Oral 2002; 7:84-88.
Robinson PG, Sheiham A, Challacombe SJ. Gingival ulceration in HIV infection. A case series and case control study. J Periodontol 1998; 25:260–7.
Navazesh M, Mulligan R, Barron Y, Redford M, Greenspan D, Alves M, et al. A 4-year longitudinal evaluation of xerostomia and salivary gland hypofunction in the Women's Interagency HIV Study participants. Pathol Oral Radiol Endod. 2003; 95:693-698.
Walling DM, Ling PD, Gordadze AV, Montes-Walters M, Flaitz CM, Nichols CM. Expression of Epstein-Barr virus latent genes in oral epithelium: determinants of the pathogenesis of oral hairy leukoplakia. J Infect Dis 2004; 190:396-399.
Webster-Cyriaque J., J. Middeldorp, y N. Raab-Traub Hairy Leukoplakia: an Unusual Combination of Transforming and Permissive Epstein-Barr Virus Infections. J Virol 2000; 74: 7610 - 7618.
Pegtel DM, Jaap Middeldorp, David A. Thorley-Lawson Epstein-Barr Virus Infection in Ex Vivo Tonsil Epithelial Cell Cultures of Asymptomatic Carriers. J Virol 2004; 78:12613 - 12624.
Antman K., y Chang Y.. Kaposi’s sarcoma. N Engl J Med. 2000; 342:1027–1038.
Pauk J, Huang M-L, Scott JB, Wald A, Koelle DM. Timothy Schacker, Connie Celum, Stacy Selke, Lawrence Corey Mucosal Shedding of Human Herpesvirus 8 in Men. N Engl J Med. 2000; 343: 1369-1377.
Webster-Cyriaque J, Duus K, Cooper C, Duncan M.
Oral EBV and KSHV Infection in HIV. Adv Dent Res. 2006; 19:91 - 95.
Fakhari FD, Dittmer D P. Charting Latency Transcripts in Kaposi's Sarcoma-Associated Herpesvirus by Whole-Genome Real-Time Quantitative PCR
J. Virol 2002; 76:6213 - 6223.
Cerimele F, Curreli F, Ely S, Friedman-Kien AE, Cesarman E, Flore O. Kaposi's Sarcoma-Associated Herpesvirus Can Productively Infect Primary Human Keratinocytes and Alter Their Growth Properties. J Virol 2001; 75: 2435-2443.
Delecluse HJ, Anagnostopoulos I, Dallenback F. Plasmablastic lymphomas of the oral cavity: a new entity associated with the human immunodeficiency virus infection Blood .1997; 89:1413–14.
Ezzat H, Filipinko D, Vickars LM, Galbraith PF, Li CH, Murphy K,.et al. Improved Survival of Patients with HIV-Related Systemic B-Cell Non-Hodgkin’s Lymphoma (NHL) Expressing the Epstein-Barr Virus (EBV) in Malignant Cells Provided Patients Received HAART with Lymphoma Therapy.
Blood (ASH Annual Meeting Abstracts). 2006; 108: 4666.
Capoluango ED, Moretto AG, Belardi M, Prignano G, Crescimbeni E, Cordiali P-F, et al. Heterogeneity of oral isolates of Candida albicans in HIV-positive patients: correlation between candidal carriage, karyotype and disease stage J Med Microbiol. 2000; 49: 985 - 991.
Samaranayake Y.H, Samaranayake L.P, Dassanayake R.S, Yau J.Y.Y, Tsang W.K, Cheung B.P. K y Yeung K.W. S.Genotypic shuffling’ of sequential clones of Candida albicans in HIV-infected individuals with and without symptomatic oral candidiasis. J Med Microbiol 2003; 52:349 - 359.
Swindells S, Durham T, Johansson SL, et al. Oral histoplasmosis in a patient infected with HIV. A case report. Oral Surg Oral Med Oral Pathol 1994;77:126–30.
Schmidt-Westhausen A, Grunewald TH, Reichart PA. Oral cryptococcosis in a patient with AIDS. A case report. Oral Dis 1995; 1:77–9.
Hodgson TA, Rachanis CC. Oral fungal and bacterial infections in HIV-infected individuals: an overview in Africa. Oral Dis. 2002; 8(2):80-87.
Schoelch ML, Sekandari N, Regezi JA, Silverman S. Laser management of oral leukoplakias: a followup study of 70 patients. Laryngoscope 1999;109:94953
MacPhail L, Hilton J, Heinic G. Direct immunofluorescence vs culture for detecting HSV in oral ulcers: a comparison. JADA. 1995; 126:74–8.
Regezi J, Eversole R, Barker B, et al. Herpes simplex and cytomegalovirus co-infected oral ulcers in HIV-positive patients. Oral Surg Oral Med Oral Pathol, Oral Radiol 1996; 81:55–62.
Robinson P, Farthing P, Scott GM, et al. Oral Mycobacterium avium complex infection in a patient with HIV-related disease. A case report. Oral Surg Oral Med Oral Pathol 1996; 81:177–9.
Grbic JT, Mitchell-Lewis DA, Fine JB, et al. The relationship of candidosis to linear gingival erythema in HIV-infected homosexual men and parenteral drug users. J Periodontol 1995; 66:30–7.
Glick M, Muzyka BC, Salkin LM, Lurie D. Necrotizing ulcerative periodontitis: a marker for immune deterioration and a predictor for the diagnosis of AIDS. J Periodontol 1994; 65:393-7.
Wanzala P, Riviere G, Lukehart S, Kreiss J, DeRouen T, Ndinya A. Site specific relationship between oral spirochetes and periodontal disease in human immunodeficiency infection [Abstract]. In: Tenth International Conference on AIDS. Yokohama, Japan: International Conference on AIDS. 1994; 182.
Hodgson TA, Greenspan D, Greenspan JS. Oral Lesions of HIV Disease and HAART in Industrialized Countries. Adv Dent Res 2006; 19:57-62.
Schinazi RF, Larder BA, Mellors JW. Mutations in retroviral genes associated with drug resistance. Int Antiviral News 1997; 5:2–14.
Condra J. Virological and clinical implications of resistance to HIV-1 protease inhibitors. Drug Res Updates 1998; 1:292–9.
Fätkenheuer G, Romer K, Kamps R, Salzberger B, Burger D. Pharmacokinetics of amprenavir and lopinavir in combination with nevirapine in highly pretreated HIV-infected patients. AIDS. 2001; 15: 2334-5.
Arts EJ, Hazuda DJ. HIV-1 Antiretroviral Drug Therapy. Cold Spring Harb Perspect Med, Apr 2012; 2: a007161
King MD, Reznik DA, O'Daniels CM, Larsen NM, Osterholt D, Blumberg HM. Human papillomavirus-associated oral warts among human immunodeficiency virus-seropositive patients in the era of highly active antiretroviral therapy: an emerging infection. Clin Infect Dis .2002; 34:641-648.
McNeely MC, Yarchoan R, Broder S, Lawley TJ. Dermatologic complications associated with administration of 2 ,3 - dideoxycytidine in patients with human immunodeficiency virus infection. J Am Acad Dermatol 1989; 21:1213-1217.
Allan JD, Connolly KJ, Fitch H, Jackson-Pope L, McLaren C, Canetta R, et al.. Long-term follow-up of didanosine administered orally twice daily to patients with advanced human immunodeficiency virus infection and hematologic intolerance of zidovudine. Clin Infect Dis 1993; 16(1):S46-S51.
Navazesh M, Mulligan R, Komaroff E, Redford M, Greenspan D, Phelan J. The prevalence of xerostomia and salivary gland hypofunction in a cohort of HIV-positive and at-risk women. J Dent Res 2000; 79:1502-1507.
Greenberg RG, Berger TG. Nail and mucocutaneous hyperpigmentation with azidothymidine therapy. J Am Acad Dermatol 1990; 22:327-330.
Wetterwald E, Le Cleach L, Michel C, David F, Revuz J. Nevirapine-induced overlap Stevens-Johnson syndrome/toxic epidermal necrolysis. Br J Dermatol 1999; 140:980-982.
Schiffman SS, Zervakis J, Heffron S, Heald AE. Effect of protease inhibitors on the sense of taste. Nutrition 1999; 15:767-772.
Calista D, Boschini A. Cutaneous side effects induced by indinavir. Eur J Dermatol 2000; 10:292-296.
Danner SA, Carr A, Leonard JM, Lehman LM, Gudiol F, Gonzales J, et al.. A short-term study of the safety, pharmacokinetics, and efficacy of ritonavir, an inhibitor of HIV-1 protease. European- Australian Collaborative Ritonavir Study Group. N Engl J Med 1995; 333:1528-1533.
Cohen MS, Shugars DC, Fiscus SA. Limits on oral transmission of HIV-1. Lancet. 2000; 356:272.
Shugars DC, Alexander AL, Fu K. Endogenous salivary inhibitors of human immunodeficiency virus. Arch Oral Biol. 1999; 44:445–53.
Moore JS, Rahemtulla F, Kent LW, Hall SD, Ikizler MR, Wright PF et al. Oral epithelial cells are susceptible to cell-free and cell-associated HIV-1 infection in vitro. Virology 2003; 313:343-353.
Ma G, Greenwell-Wild T, Lei K, Jin W, Swisher J, Wahl SM. Secretory leukocyte protease inhibitor binds to annexin II, a cofactor for macrophage HIV-1 infection. J Exp Med 2004; 200:1337-1346.
Liu X, Zha J, Chen H, Nishitani J, Camargo P, Cole SW, et al. Human immunodeficiency virus type 1 infection and replication in normal human oral keratinocytes. J Virol 2003; 77:3470-3476.
Janna NK, Gray LR, Shugars DC. Human immunodeficiency virus Type I stimulates the expression and production of Secretory Leukocyte Protease Inhibitor (SLPI) in Oral Epithelial Cell: a Role for SLPI in Innate Mucosal Immunity. J Virol 2005; 79:6432-6440.
Pillay K, Coutsoudis A, Agadzi-Naqvi AK, Kuhn L, Coovadia HM, Janoff E. N. Secretory leukocyte protease inhibitor in vaginal fluids and perinatal human immunodeficiency virus type 1 transmission. J Infect Dis. 2001; 183:653-656.
Farquhar C, VanCott TC, Mbori-Ngacha DA, Horani L, Bosire RK, Kreiss JK, et al. Salivary secretory leukocyte protease inhibitor is associated with reduced transmission of human immunodeficiency virus type 1 through breast milk. J Infect Dis 2002; 186:1173-1176.
Lin AL, Johnson DA, Stephan KT, Yeh CK. Salivary secretory leukocyte protease inhibitor increases in HIV infection. J Oral Pathol Med. 2004; 33:410-416.
Sørensen OE, Cowland JB, Theilgaard-Mönch K, Liu L, Ganz T,. Borregaard N. Wound healing and expression of antimicrobial peptides/polypeptides in human keratinocytes, a consequence of common growth factors. J Immunol 2003; 170:5583-5589.
Abe T, Kobayashi N, Yoshimura K, Trapnell BC, Kim H, Hubbard RC, et al. Crystal.. Expression of the secretory leukoprotease inhibitor gene in epithelial cells. J. Clin. Investig. 1991; 87:2207-2215.
Sallenave JM, Si-Tahar M, Cox G, Chignard M, Gauldie J. Secretory leukocyte proteinase inhibitor is a major leukocyte elastase in human neutrophils. J Leukoc Biol 1997; 61:695-702.
Hiemstra PS. Novel roles of protease inhibitors in infection and inflammation. Biochem Soc Trans 2002; 30:116-120.
Mulligan MS, Lentsch AB, Huber-Lang M, Guo R-F,.Sarma V, Wright CD, et al. Anti-inflammatory effects of human forms of secretory leukocyte protease inhibitor. Am J Pathol 2000; 156:1033-1039.
Zhang Y, DeWitt DL, McNeely TB, Wahl SM., Wahl LM. Secretory leukocyte protease inhibitor suppresses the production of monocyte prostaglandin H synthase-2, prostaglandin E2, and matrix metalloproteinases. J Clin Investig. 1997; 99:894-900.
Hiemstra PS, Maassen RJ, Stolk J, Heinzel-Wieland R, Steffens GJ, Dijkman J H. Antibacterial activity of antileukoprotease. Infect Immun. 1996; 64:4520-4524.
Tomee JF, Heimstra PS, Heinzel-Wieland R, Kauffman HF. Antileukoprotease: an endogenous protein in the innate mucosal defense against fungi. J Infect Dis. 1997; 176:740-747.
Beppu Y, Imamura Y, Tashiro M, Towatari T, Ariga H, Kido H. Human mucus protease inhibitor in airway fluids is a potential defensive compound against infection with influenza A and Sendai viruses. J Biochem 1997; 121:309-316.
Henriksen, PA, Hitt M, Xing Z, Wang J, Haslett C, Riemersma RA, et al. Adenoviral gene delivery of elafin and secretory leukocyte protease inhibitor attenuates NF- ß-dependent inflammatory responses of human endothelial cells and macrophages to atherogenic stimuli. J Immunol 2004; 172:4535-4544.
Mulligan MS, Lentsch AB, Huber-Lang M, Guo RF, Sarma V, Wright CD, et al. Anti-inflammatory effects of human forms of secretory leukocyte protease inhibitor. Am J Pathol. 2000; 156:1033-1039.
Janssens S, Beyaert R. Role of Toll-like receptors in pathogen recognition. Clin Microbiol Rev 2003; 16:637-646.
Vidal, F. Spanish HIV-1-Infected Long-Term Nonprogressors of More Than 15 Years Have an Increased Frequency of the CX3CR1 249I Variant Allele. J Acq Imm Def Syn 2005; 40(5): 527-531.
Mikhail M, Wang B, Saksena, NK.. Mechanisms involved in non-progressive HIV disease. AIDS Rev 2003;5, 230–244..
Koup R, Safrit J, Cao Y, Andrews CA, McLeod G, Borkowsky W et al. Temporal association of cellular immune responses with the initial control of viremia in primary HIV-1 syndrome. J Virol 1994; 68:4650-4655.
Harrer T, Harrer E, Kalams S, Barbosa P, Trocha A, Johnson RP, et al. Cytotoxic T lymphocytes in asymptomatic long-term nonprogressing HIV-1 infection: breadth and specificity of the response and relation to “in vivo” viral quasispecies in a person with prolonged infection and low viral load. J Immunol 1996; 156: 2616-2623.
Migueles SA, Connors M. Long-term Nonprogressive Disease Among Untreated HIV-Infected Individuals: Clinical Implications of Understanding Immune Control of HIV JAMA 2010; 304: 194 - 201.
Bello G, Velasco-de-Castro CA, Bongertz V, Santos Rodrigues CA, Giacoia-Gripp CBW, Pilotto JH, et al. Immune activation and antibody responses in non-progressing elite controller individuals infected with HIV-1. J Med Virol 2009; 81, 1681–1690.
Casartelli N, Di Matteo G, Potesta M, Rossi, P, Doria M . CD4 and major histocompatibility complex class I downregulation by the human immunodeficiency virus type 1 nef protein in pediatric AIDS progression. J Virol 2003; 77: 11536–11545..
Garzino A, De Vico A, Gallo R. The rol of chemokinas in human immunodeficiency virus infection. Inmunol Rev 2000; 177:79-87.
Cashin K, Roche M, Sterjovski J, Ellett A, Gray LR, Cunningham AL, et al. Alternative Coreceptor Requirements for Efficient CCR5- and CXCR4-Mediated HIV-1 Entry into Macrophages J Virol 2011; 85: 10699 - 10709.
Edo-Matas D, Lemey P, Tom JA, Serna-Bolea C, van den Blink AE, van 't Wout AB, et al. Suchard Impact of CCR5delta32 Host Genetic Background and Disease Progression on HIV-1 Intrahost Evolutionary Processes: Efficient Hypothesis Testing through Hierarchical Phylogenetic Models. Mol Biol Evol 2011; 28: 1605 - 1616.
Doranz BJ, Rucker J, Yi Y, Smyth RJ, Samson M, Peiper SC, Parmentier M, Collman RG, and Doms RW: A dual-tropic primary HIV-1 isolates that uses fusin and the beta-chemokine receptors CKR-5, CKR-3, and CKR-2b as fusion cofactors. Cell 1996; 85:1149-1158.
Agrawal L, Maxwell CR, Peters PJ, Clapham PR, Liu SM., Mackay CR, et al. Complexity in human immunodeficiency virus type 1 (HIV-1) co-receptor usage: roles of CCR3 and CCR5 in HIV-1 infection of monocyte-derived macrophages and brain microglia J Gen Virol 2009; 90: 710 - 722.
Poropatich K, Sullivan DJ.Human immunodeficiency virus type 1 long-term non-progressors: the viral, genetic and immunological basis for disease non-progression J Gen Virol 2011; 92: 247 - 268.
DOI: https://doi.org/10.21774/cys.v1i2.126
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