Document 0001 DOCN M9460001 TI Studies on lipoate effects on blood redox state in human immunodeficiency virus infected patients. DT 9404 AU Fuchs J; Schofer H; Milbradt R; Freisleben HJ; Buhl R; Siems W; Grune T; Department of Dermatology, University Hospital, Frankfurt/Main,; Fed. Rep. of Germany. SO Arzneimittelforschung. 1993 Dec;43(12):1359-62. Unique Identifier : AIDSLINE MED/94190328 AB Several investigators have implicated that human immunodeficiency virus (HIV) infected patients have a compromised antioxidant defense system. Blood antioxidants are decreased and peroxidation products of lipids and proteins are increased in the patients. This may have pathophysiological implications, because antioxidants, such as glutathione, and reactive oxidants are involved in the regulation of the human immunodeficiency virus. Consequently it was suggested that HIV infected patients may benefit from antioxidant supplementation therapy. In a open and unblinded pilot study the short term effect of the natural antioxidant lipoate (Thioctacid) on blood antioxidants and peroxidation products was investigated in HIV positive patients (CDC IV). In the majority of the patients, lipoate increased plasma ascorbate (9 of 10 patients) total glutathione (7 of 7 patients), total plasma thiol groups (8 of 9 patients); T helper lymphocytes and T helper/suppressor cell ratio (6 of 10 patients), while the lipid peroxidation products malondialdehyde (8 of 9 patients) and 4-hydroxynonenal (7 of 9 patients) were decreased. The results of this pilot study indicate that lipoate supplementation changes the blood redox state of HIV infected patients. A prospective and longitudinal therapy study is warranted to investigate the long term effects of lipoate therapy on blood redox state, disease progression and incidence of opportunistic infections in HIV infected patients. DE Adult Antioxidants/*PHARMACOLOGY Human HIV Infections/*BLOOD HIV Seropositivity Lipid Peroxidation/DRUG EFFECTS Male Malondialdehyde/BLOOD Oxidation-Reduction Pilot Projects Thioctic Acid/*PHARMACOLOGY CLINICAL TRIAL JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).