Mitochondrial toxicity
Mitochondria are small rod-like structures, or organelles, located within cells. They serve as ‘power plants’ that produce the energy cells need to function, by processing fats and sugars from food and combining them with oxygen to create energy-storage molecules called adenosine triphosphate (ATP). This process is known as oxidative phosphorylation or cellular respiration. When needed, ATP is broken down to release this stored energy.
Mitochondria have their own supply of DNA (mtDNA) that is distinct from the normal DNA in the cell’s nucleus. As the mitochondria copy their DNA, errors are often made. As these dysfunctional mutations accumulate, the mitochondria become less able to generate energy efficiently.
latest aidsmap news
- High rate of death amongst patients with HIV diagnosed late
- CD4 cell count increases sustained up to five years in developing-world treatment programmes
- Raltegravir may have role in PEP if exposure involves drug-resistant HIV
- Excellent outcomes from five years of antiretroviral use in Botswana
- Study explores verbal and non-verbal communication in unprotected sex between men
- IL-2 provides quick ‘AIDS rescue’, but effect does not always last
- Once-a-day etravirine should work as first-line treatment
- Second-line combinations fail twice as often as first-line ones in the first year
- If you can't switch, better to stay on failing treatment than stop it, studies show
- Non-nucleoside resistance is efficiently transmitted within infection ‘clusters’
