antiretroviral exposure in utero and insulin levels in the neonate

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Inpharma 1488 - 21 May 2005 In utero exposure to combination antiretroviral therapy may be associated with elevated insulin levels in the neonate, according to the results of a prospective cohort study. The study comprised women who received zidovudine (n = 20), zidovudine, lamivudine and nelfinavir (25) or no antiretroviral treatment (controls; 12) during pregnancy. The median insulin level among neonates in the triple therapy group was 2.9 (range 1.8–4.8) compared with 4.8 (0.8–9) in the zidovudine group and 6.5 (3–9.5) in the control group. The study researchers say that these results may suggest "an early damaging effect of the antiretroviral drugs on fetal pancreatic function". El Beitune P, et al. Effect of maternal use of antiretroviral agents on serum insulin levels of the newborn infant. Diabetes Care 28: 856-859, No. 4, Apr 2005 801009781 1 Inpharma 21 May 2005 No. 1488 1173-8324/10/1488-0001/$14.95 Adis © 2010 Springer International Publishing AG. All rights reserved

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Inpharma 1488 - 21 May 2005

■ In utero exposure to combination antiretroviraltherapy may be associated with elevated insulin levelsin the neonate, according to the results of aprospective cohort study. The study comprisedwomen who received zidovudine (n = 20),zidovudine, lamivudine and nelfinavir (25) or noantiretroviral treatment (controls; 12) duringpregnancy. The median insulin level among neonatesin the triple therapy group was 2.9 (range 1.8–4.8)compared with 4.8 (0.8–9) in the zidovudine groupand 6.5 (3–9.5) in the control group. The studyresearchers say that these results may suggest "anearly damaging effect of the antiretroviral drugs on fetalpancreatic function".El Beitune P, et al. Effect of maternal use of antiretroviral agents on seruminsulin levels of the newborn infant. Diabetes Care 28: 856-859, No. 4, Apr2005 801009781

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Inpharma 21 May 2005 No. 14881173-8324/10/1488-0001/$14.95 Adis © 2010 Springer International Publishing AG. All rights reserved