Hi, Im taking 3tc, sustivia, and abacavir. Im experiencing lypo- who isnt it seems. What is mitochondrial toxicity and what caused it. Am I taking any medications which may contribute to it, and if so, some suggestions as to what else I might take.

Thanks

Michael

Lipodystrophy is not precisely defined but includes issues related to fat distribution (too much in some areas and loss of fat in others) and increases in blood fat levels. Some of those conditions are seen in the general population. Lipodystrophy in the setting of HIV has been associated with aging, time with HIV, good response to treatment (viral suppression and good CD4 recovery), and certain drugs. None of the drugs you are on are usually considered the worst offenders. The cause of lipodystrophy is thus not clear. Mitochondrial toxicity refers to disruption of the function of mitocondria by drugs such as nucleosides reverse transcriptase inhibitors (such as the 3TC and abacavir you are on). Mitochondria are intracellular organs that are crucial for cell function and energy generation. No intervention has beens shown to consistentlyh prevent mitochondrial damage (though vitamins B1,B2, vit E, co-enzyme Q, L-carnitine and others have been tried with anecdotal success). We have much to learn about these conditions. Your current regimen is one that hasn't been associated with high levels of mitochondrial damage or lipodystrophy. KH