Beta-carotene in HIV infection: an extended evaluation. NLM AIDSLINE Important note: Information in this article was accurate in 1997. The state of the art may have changed since the publication date.

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Beta-carotene in HIV infection: an extended evaluation.

AIDS. 1996 Aug;10(9):967-73. Unique Identifier : AIDSLINE MED/97006436
Coodley GO; Coodley MK; Lusk R; Green TR; Bakke AC; Wilson D; Wachenheim D; Sexton G; Salveson C; Division of Internal Medicine, Oregon Health Sciences University,; Portland 97201-3098, USA.


Abstract: OBJECTIVE: Several small short-term intervention studies have suggested that beta-carotene supplementation in HIV-infected patients can increase the number of various immune cells including CD4 cells. This prospective double-blinded study was designed to investigate whether beta-carotene supplementation would result in this immuno-enhancement in a larger number of patients over a longer time period. METHODS: HIV-positive patients were randomly assigned to receive either 60 mg beta-carotene orally three times daily or a matched placebo. In addition, all patients received a multivitamin supplement. Patients were evaluated at baseline, 1 month, and 3 months for T-cell quantitative subsets, natural killer cells, HIV p24 antigen, beta-carotene levels, complete blood counts and chemistry batteries. Body weights and Karnofsky scores were evaluated at each visit. RESULTS: Seventy-two patients signed informed consent forms and entered the study. Except for serum beta-carotene concentration, there were no statistically significant differences (P < 0.05) between the treatment (60 mg beta-carotene three times daily and multivitamins) and placebo (placebo and multivitamins) groups at baseline or after either 1 or 3 months of treatment. DISCUSSION: Earlier studies suggesting that beta-carotene supplementation increased levels of immune cells in HIV-infected patients were not replicated in this study. The addition of a multivitamin supplement to both arms of this study may have masked any difference between the two groups. However, on the basis of the results of this study, we would not recommend supplementation with high doses of beta-carotene for HIV-infected patients.
Keywords: Administration, Oral Beta Carotene/*ADMINISTRATION & DOSAGE Double-Blind Method Human HIV Core Protein p24/*ANALYSIS HIV Infections/BLOOD/*DRUG THERAPY/IMMUNOLOGY HIV-1/*ISOLATION & PURIF Lymphocyte Count Prospective Studies Support, Non-U.S. Gov't T-Lymphocyte Subsets/IMMUNOLOGY/*PATHOLOGY T-Lymphocytes/IMMUNOLOGY/*PATHOLOGY CLINICAL TRIAL JOURNAL ARTICLE RANDOMIZED CONTROLLED TRIALKWDadministration,oralbetacarotene/KWDadministration&dosagedouble-blindmethodhumanhivcoreproteinp24/KWDanalysishivinfections/blood/KWDdrugtherapy/immunologyhiv-1/KWDisolation&puriflymphocytecountprospectivestudiessupport,non-uKWDsKWDgov'tt-lymphocytesubsets/immunology/KWDpathologyt-lymphocytes/immunology/KWDpathologyclinicaltrialjournalarticlerandomizedcontrolledtrial
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Copyright © 1997 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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