The study shows that the drugs damage DNA in the patients’ mitochondria – the ‘batteries’ that power their cells.
The findings may explain why people with HIV who are treated with antiretroviral drugs sometimes show advanced signs of frailty and age-associated diseases, such as cardiovascular disease and dementia, at an early age.
Nucleoside analogue reverse-transcriptase inhibitors (NRTIs) – of which the most well known is Zidovudine, also known as AZT – were the first class of drug developed to treat HIV. They were a major breakthrough in the treatment of the disease, greatly extending lifespan and causing the condition to be seen as a chronic, rather than terminal, condition.
In high-income areas, such as Europe and North America, the older NRTIs are used less commonly because of concerns over toxicity and side-effects when taken over a long period of time. However, because they are now off-licence and hence relatively cheap, the drugs have proved to be an important lifeline for people infected with HIV in Africa and low-income countries.
Professor Patrick Chinnery, a Wellcome Senior Fellow in Clinical Science from the Institute of Genetic Medicine at Newcastle University, says: “HIV clinics were seeing patients who had otherwise been successfully treated but who showed signs of being much older than their years. This was a real mystery. But colleagues recognised many similarities with patients affected by mitochondrial diseases – conditions that affect energy production in our cells – and referred them to our clinic.”
Mitochondria are the ‘batteries’ in our cells, which provide them with the energy to carry out their functions. During natural human ageing, these mitochondria acquire mutations, although it is unclear whether these mutations are a cause of ageing or a consequence.
In an attempt to understand what was happening at a cellular level, Professor Chinnery and colleagues studied muscle cells from HIV-infected adults, some of whom had previously been given NRTIs.
The researchers found that patients who had been treated with NRTIs – even as long as a decade ago – had damaged mitochondria, which resembled that of a healthy aged person.
“The DNA in our mitochondria gets copied throughout our lifetimes and, as we age, naturally accumulates errors,” explains Professor Chinnery. “We believe that these HIV drugs accelerate the rate at which these errors build up. So over the space of, say, ten years, a person’s mitochondrial DNA may have accumulated the same amount of errors as a person who has naturally aged twenty or thirty years. What is surprising, though, is that patients who came off the medication many years ago may still be vulnerable to these changes.”
Coauthor and HIV specialist, Dr Brendan Payne from the Department of Infection and Tropical Medicine at the Royal Victoria Infirmary, Newcastle, believes that despite the side-effects caused by NRTIs, they are still important drugs and the risks are relative.
“These drugs may not be perfect, but we must remember that when they were introduced they gave people an extra 10 or 20 years when they would otherwise have died,” he says. “In Africa, where the HIV epidemic has hit hardest and where more expensive medications are not an option, they are an absolute necessity.”
Professor Chinnery and colleagues are now looking at ways to repair or stall some of the damage caused by the medication and believe that focusing on exercise – which seems to have a beneficial effect on people with mitochondrial diseases – might help.
The study was funded by the Medical Research Council, the British Infection Society, the Newcastle Healthcare Charity, the UK NIHR Biomedical Research Centre for Aging and Age-related Disease, and the Wellcome Trust.
Image: Three mitochondria (blue), fractured to reveal the internal structure. DNA in mitochondria can be damaged by a class of antiretroviral drugs. Credit: Dr David Furness, Wellcome Images.
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Notes for editors
Payne, BAI et al. Mitochondrial aging is accelerated by anti-retroviral therapy through the clonal expansion of mtDNA mutations. Nat Genet [epub ahead of print]
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