Effects of antiretroviral agents during pregnancy on liver enzymes and amylase in HIV-exposed, uninfected newborn infants

This study assessed the effect of antiretroviral drugs administered to pregnant women on amylase and liver enzymes of the neonate. A prospective study was conducted on 52 neonates divided into three groups: infants born to HIV-infected mothers taking zidovudine (ZDV group, n = 18), infants born to m...

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Main Authors: Patrícia El Beitune, Geraldo Duarte, Oona Campbell, Silvana Maria Quintana, Laura C. Rodrigues
Format: Article
Language:English
Published: Elsevier
Series:Brazilian Journal of Infectious Diseases
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702007000300003&lng=en&tlng=en
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author Patrícia El Beitune
Geraldo Duarte
Oona Campbell
Silvana Maria Quintana
Laura C. Rodrigues
author_facet Patrícia El Beitune
Geraldo Duarte
Oona Campbell
Silvana Maria Quintana
Laura C. Rodrigues
author_sort Patrícia El Beitune
collection DOAJ
description This study assessed the effect of antiretroviral drugs administered to pregnant women on amylase and liver enzymes of the neonate. A prospective study was conducted on 52 neonates divided into three groups: infants born to HIV-infected mothers taking zidovudine (ZDV group, n = 18), infants born to mothers taking zidovudine + lamivudine + nelfinavir (TT group, n = 22) and infants born to normal women (control group, n = 12). Umbilical cord blood from the newborn infant was used to determine liver transaminases and amylase. Data were analyzed statistically by nonparametric tests, with the level of significance set at p<0.05. The median levels for TT group newborns were 33.3 U/L for oxaloacetic transaminase, 21.5 U/L for pyruvic transaminase, 1.9 mg/dL for total bilirubin, 153 mg/dL for alkaline phosphatase, and 9.6 U/L for amylase. These results did not differ from those obtained for Control newborns or newborns exposed to ZDV alone. No association was observed between the use of antiretroviral drugs during pregnancy and adverse effects on neonatal amylase and hepatic parameters at birth.
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spelling doaj.art-b6d245acb12941c9af63a638b7811cee2022-12-21T17:58:21ZengElsevierBrazilian Journal of Infectious Diseases1678-439111331431710.1590/S1413-86702007000300003S1413-86702007000300003Effects of antiretroviral agents during pregnancy on liver enzymes and amylase in HIV-exposed, uninfected newborn infantsPatrícia El Beitune0Geraldo Duarte1Oona Campbell2Silvana Maria Quintana3Laura C. Rodrigues4Universidade de São PauloUniversidade de São PauloLondon School of Hygiene & Tropical MedicineUniversidade de São PauloLondon School of Hygiene & Tropical MedicineThis study assessed the effect of antiretroviral drugs administered to pregnant women on amylase and liver enzymes of the neonate. A prospective study was conducted on 52 neonates divided into three groups: infants born to HIV-infected mothers taking zidovudine (ZDV group, n = 18), infants born to mothers taking zidovudine + lamivudine + nelfinavir (TT group, n = 22) and infants born to normal women (control group, n = 12). Umbilical cord blood from the newborn infant was used to determine liver transaminases and amylase. Data were analyzed statistically by nonparametric tests, with the level of significance set at p<0.05. The median levels for TT group newborns were 33.3 U/L for oxaloacetic transaminase, 21.5 U/L for pyruvic transaminase, 1.9 mg/dL for total bilirubin, 153 mg/dL for alkaline phosphatase, and 9.6 U/L for amylase. These results did not differ from those obtained for Control newborns or newborns exposed to ZDV alone. No association was observed between the use of antiretroviral drugs during pregnancy and adverse effects on neonatal amylase and hepatic parameters at birth.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702007000300003&lng=en&tlng=enCombination antiretroviral therapyhypothesis generationinfant toxicityumbilical cord blood
spellingShingle Patrícia El Beitune
Geraldo Duarte
Oona Campbell
Silvana Maria Quintana
Laura C. Rodrigues
Effects of antiretroviral agents during pregnancy on liver enzymes and amylase in HIV-exposed, uninfected newborn infants
Brazilian Journal of Infectious Diseases
Combination antiretroviral therapy
hypothesis generation
infant toxicity
umbilical cord blood
title Effects of antiretroviral agents during pregnancy on liver enzymes and amylase in HIV-exposed, uninfected newborn infants
title_full Effects of antiretroviral agents during pregnancy on liver enzymes and amylase in HIV-exposed, uninfected newborn infants
title_fullStr Effects of antiretroviral agents during pregnancy on liver enzymes and amylase in HIV-exposed, uninfected newborn infants
title_full_unstemmed Effects of antiretroviral agents during pregnancy on liver enzymes and amylase in HIV-exposed, uninfected newborn infants
title_short Effects of antiretroviral agents during pregnancy on liver enzymes and amylase in HIV-exposed, uninfected newborn infants
title_sort effects of antiretroviral agents during pregnancy on liver enzymes and amylase in hiv exposed uninfected newborn infants
topic Combination antiretroviral therapy
hypothesis generation
infant toxicity
umbilical cord blood
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702007000300003&lng=en&tlng=en
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