Facial biostimulation with PRP in HIV patients

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J Pharm Pharmacogn Res 7(4): 273-287, 2019. DOI: https://doi.org/10.56499/jppres19.604_7.4.273 Original Article Facial biostimulation with PRP activated with ozone resound on cellular redox balance, improves lipoatrophy and quality of life in HIV patients [La bioestimulacion facial con PRP activado con ozono repercute en el balance redox, mejora la lipoatrofia y la calidad de vida de pacientes VIH] Lizette … Continue reading Facial biostimulation with PRP in HIV patients

J Pharm Pharmacogn Res 7(4): 273-287, 2019.

DOI: https://doi.org/10.56499/jppres19.604_7.4.273

Original Article

Facial biostimulation with PRP activated with ozone resound on cellular redox balance, improves lipoatrophy and quality of life in HIV patients

[La bioestimulacion facial con PRP activado con ozono repercute en el balance redox, mejora la lipoatrofia y la calidad de vida de pacientes VIH]

Lizette Gil-del Valle1*, Miguel A. Acosta Suarez2, Carlos L. Rabeiro-Martinez1, Rosario Gravier-Hernández1, María C. Hernández González-Abreu1, Yusimit Bermúdez-Alfonso1, Mayda Rosa-Font2, Jorge Campos-Díaz2, Daymé Hernández-Requejo2, Gregorio Martínez-Sánchez3, Mark T. Weiser4

1Pharmacological Research Department, Institute “Pedro Kourí” (IPK), Autopista Novia del Mediodía km 6 ½, La Habana, Cuba.
 2Hospital, Institute “Pedro Kourí” (IPK), La Habana, Cuba.
3Freelance, Scientific advisor, Ancona, Italy.
4Ozonetherapie group, California, USA.

*E-mail: lgil@ipk.sld.cu

Abstract

Context: Pathogenic impact of high-grade local and systemic oxidative stress in antiretroviral treated HIV patients are recognized factor influencing in lipodystrophy, which is proposed can be ameliorate with platelet rich plasma (PRP).

Aims: To determine the efficacy and safety of ozone and calcium activated PRP application in lipoatrophy- AIDS Cuban individuals.

Methods: Thirty HIV individuals enrolled in quasi experimental prospective study showed lipoatrophy grade from 1 to 3. A mean volume interval of 8 to 22.2 mL of PRP was injected in 5 interventions during a year. The clinical, chemical, oxidative stress and progression indexes determinations were performed prior to injections and at 6 and 12 months after. Also, questionnaires based on Short Form 36, Medical Outcomes Study HIV Health Survey were assessed. Different statistical analyses were done comparing baseline respect final values of variables.

Results: Beneficial improve of lipoatrophy grade (p<0.05) and stabilization in global indexes of damage and antioxidant status at the end of the study was demonstrated. The comparison revealed a significantly smaller damage and higher antioxidant status compared to baseline values (p<0.05). Non-significant modifications were observed in hematological and chemical indexes (p˃0.05), respect quality of life 75% of three dimensions improved and depressive symptoms decreased. Non-adverse reactions were observed during the study period.

Conclusions: These results corroborate that beneficial amelioration of oxidative stress occurs in lipoatrophy AIDS patients during effective and safety PRP-ozone facial bioestimulation. Integral diagnosis would be worthwhile to conduct a more comprehensive study and manage of lipoatrophy.

Keywords: AIDS; HIV; lipoatrophy; oxidative stress; ozone; platelet-rich-plasma.

Resumen

Contexto: El impacto patogénico del estrés oxidativo local y sistémico en pacientes VIH tratados con antirretrovirales ha sido reconocido como un factor que influye en la lipoatrofia, la que puede reducirse con plasma rico en plaquetas (PRP).

Objetivos: Determinar la eficacia y la seguridad de la aplicación de PRP activado con ozono y calcio en la bioestimulación facial de la lipoatrofia de pacientes sida cubanos.

Métodos: Se realizó un estudio cuasi experimental prospectivo, con evaluación antes y después de realizar cinco aplicaciones de PRP con volúmenes de 8 a 22,2 mL durante un año en 30 pacientes VIH/Sida con grados de 1 a 3 de lipoatrofia. Se evaluaron indicadores hematológicos, hemoquímicos, de progresión y de estrés oxidativo. Las reacciones adversas y la calidad de vida de los pacientes fueron evaluadas según cuestionarios con modelos oficiales y el MOS 30 HIV, respectivamente. El análisis estadístico se realizó en correspondencia de las variables analizadas.

Resultados: La evaluación sistemática demostró la eficacia y la seguridad del procedimiento con una mejoría del grado de lipoatrofia (p<0,05) y estabilización de los índices de estrés oxidativo con aumento significativo del 75% de la calidad de vida en tres dimensiones (p<0,05). No se observaron modificaciones en las variables de laboratorio, ni reacciones adversas.

Conclusiones: El presente trabajo aporta evidencias sobre la estabilización del estrés oxidativo en pacientes sida cubanos con lipoatrofia tratados con PRP activado con ozono. El diagnostico integral se propone de utilidad para conducir estudios que mejoren la comprensión y el manejo de la lipoatrofia.

Palabras Clave: estrés oxidativo; lipoatrofia; ozono; plasma-rico-en-plaquetas; SIDA; VIH.

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Citation Format: Gil-del Valle L, Acosta Suarez MA, Rabeiro Martinez CL, Gravier-Hernández R, Hernández González-Abreu MC, Bermúdez-Alfonso Y, Rosa-Font M, Campos-Díaz J, Hernández-Requejo D, Martínez-Sánchez G, Weiser MT (2019) Facial biostimulation with PRP activated with ozone resound on cellular redox balance, improves lipoatrophy and quality of life in HIV patients. J Pharm Pharmacogn Res 7(4): 273–287. DOI: https://doi.org/10.56499/jppres19.604_7.4.273

© 2019 Journal of Pharmacy & Pharmacognosy Research (JPPRes)

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