Document 0297 DOCN M9620297 TI HIV and the cortisol connection: a feasible concept of the process of AIDS. DT 9602 AU Corley PA SO Med Hypotheses. 1995 Jun;44(6):483-9. Unique Identifier : AIDSLINE MED/96038373 AB Recent evidence suggests that HIV infection and the clinical and laboratory manifestations of acquired immunodeficiency syndrome (AIDS) are a result of the genetic influence of the virus on cellular adrenocorticotrophic hormone (ACTH) and cortisol metabolism. Recent genetic studies substantiate this view with the observation that the HIV-1 genome is linked to glucocorticoid inducibility and to glucocorticoid receptor binding, and may explain the strong ability of cortisol to enhance HIV replication. Adrenocortical hyperactivity observed in HIV-infected individuals has been found to be independent of the hypothalamic-pituitary axis, and is apparently a result of increased ACTH production by HIV. It is proposed that the HIV-induced cortisol excess is the foundation of the immunosuppression seen in AIDS, and is the basis for alternative avenues of treatment, including the use of ascorbic acid. DE Acquired Immunodeficiency Syndrome/*PHYSIOPATHOLOGY Ascorbic Acid/PHARMACOLOGY/THERAPEUTIC USE Corticotropin/PHYSIOLOGY Genome, Viral Glucocorticoids/BIOSYNTHESIS/PHYSIOLOGY Human Hydrocortisone/PHARMACOLOGY/*PHYSIOLOGY HIV/GENETICS/*PHYSIOLOGY/*PATHOGENICITY HIV-1/GENETICS/PHYSIOLOGY/PATHOGENICITY Lupus Erythematosus, Systemic/PHYSIOPATHOLOGY Models, Biological Pituitary Hormones/PHYSIOLOGY Receptors, Glucocorticoid/PHYSIOLOGY Virus Replication/DRUG EFFECTS JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).