Brief Report: Circulating Markers of Immunologic Activity Reflect Adiposity in Persons With HIV on Antiretroviral Therapy

Autor: Bryan E. Shepherd, John R. Koethe, Briana D. Furch, Todd Hulgan, Cathy A. Jenkins, Cindy C. Hager, Louise Barnett, Rita M. Smith, Spyros A. Kalams, Jordan E. Lake
Rok vydání: 2018
Předmět:
Zdroj: JAIDS Journal of Acquired Immune Deficiency Syndromes. 79:135-140
ISSN: 1525-4135
DOI: 10.1097/qai.0000000000001768
Popis: BACKGROUND: Obesity alters adipose tissue immunology, and these changes may be reflected in circulating soluble inflammatory biomarker and T cell subset profiles measured in HIV research studies. METHODS: We recruited 70 adults with HIV (50% obese) on efavirenz, tenofovir, and emtricitabine, virologic suppression for >2 years, and no rheumatologic or other known inflammatory conditions. We measured fasting plasma levels of several markers of innate immunity and major CD4(+) and CD8(+) T cell subsets. We assessed relationships between measurements of total adiposity (body mass index [BMI], DEXA fat mass index [FMI], and plasma leptin) and the immunologic parameters using covariate-adjusted Spearman’s rank correlations. RESULTS: The cohort was 43% female, 54% non-white, and median age was 45 years. Higher BMI, FMI and plasma leptin were consistently associated with higher C-reactive protein, serum amyloid A, and interleukin (IL)-6 (p
Databáze: OpenAIRE