Low-dose injections with human growth
hormone can reverse some of the abnormal fat distribution caused by HIV
therapy, researchers said in a new study released in conjunction with the
International AIDS Conference Meeting. But the treatment has negative
consequences as well, such as the fact that it produces an unnecessary risk for
those with early stages of diabetes.
The hormone treatment produces good
results, reducing fat deposits around internal abdominal organs by about 10
percent, but it would have to be used very carefully to avoid inducing
diabetes, said study co-author Dr. Steven Grinspoon of Massachusetts General Hospital.
“Even low-dose growth hormone, albeit
effective in reducing cardiovascular risk factors and better tolerated than
high-dose growth hormone, may increase specific glucose parameters,” Dr.
Grinspoon said.
Growth hormone (GH) secretion is reduced in
patients with HIV and abdominal fat accumulation. HIV patients who take
cocktails of anti-AIDS drugs for their infections develop deposits of visceral
fat in their stomach, neck and cheeks. The abnormal fat distribution caused by
HIV therapy is associated with higher levels of cholesterol, triglycerides and
blood sugar, which put them at risk of heart problems.
The researchers enrolled 55 patients with
the AIDS virus who also had low levels of naturally occurring human growth
hormone.
Half were given daily doses of about 0.33
milligrams of the hormone and the other received a placebo. The researchers
found that abdominal fat decreased significantly in the first group compared
with the placebo group, with a percentage change in those that were given the
growth hormone of −8.5 percent and −1.6 percent in the placebo group. Lower
dose guaranteed fewer side-effects and researchers suggested that hormone
treatment has limited use for treating fat deposits around internal abdominal
organs caused by HIV. But the experimental treatment is “not a panacea,” Dr.
Grinspoon said.
The experimental treatment with human
growth hormone could be useful for those with abdominal fat accumulations, but
it should include a diabetes drug, to minimize side-effects.
The study appears in the Aug. 6 issue of
the “Journal of the American Medical Association” and was among reports
prepared for presentation Sunday at the International AIDS Conference in Mexico City.
About 56,000 people became infected with
HIV in the past year, according to the revised estimate of HIV’s toll in the United States.
CDS’s estimates reveal that the HIV epidemic is worse than previously known.
The number of new infections is 40 percent higher than earlier projections. The
rate of HIV infection is progressively rising among black Americans and among
“men who have sex with men,” the report said.
A key topic at the International Day
Conference, beside HIV prevention, was preventing homophobia. Thousands of
people marched to the streets holding banners with slogans that encouraged
people to fight against gay people discrimination. They showed their support to
gay people, who represent one fourth of the percentage of HIV/AIDS
infections.
Kevin Robert Frost, chief executive officer
of the American Foundation for AIDS Research said emphasized the need to
develop programs that target those racial-social-sexual categories that are at
risk. African Americans, Hispanics, and men who have sex with men are the most
exposed male human beings to HIV infection.