Cerebrospinal fluid levels of glial marker YKL-40 strongly associated with axonal injury in HIV infection

Autor: Kaj Blennow, Lars Hagberg, Dietmar Fuchs, Markus Axelsson, Magnus Gisslén, Jan Lycke, Linn Hermansson, Henrik Zetterberg, Aylin Yilmaz
Rok vydání: 2019
Předmět:
Zdroj: Journal of Neuroinflammation
Journal of Neuroinflammation, Vol 16, Iss 1, Pp 1-9 (2019)
ISSN: 1742-2094
DOI: 10.1186/s12974-019-1404-9
Popis: Background HIV-1 infects the central nervous system (CNS) shortly after transmission. This leads to a chronic intrathecal immune activation. YKL-40, a biomarker that mainly reflects activation of astroglial cells, has not been thoroughly investigated in relation to HIV. The objective of our study was to characterize cerebrospinal fluid (CSF) YKL-40 in chronic HIV infection, with and without antiretroviral treatment (ART). Methods YKL-40, neopterin, and the axonal marker neurofilament light protein (NFL) were analyzed with ELISA in archived CSF samples from 120 HIV-infected individuals (85 untreated neuroasymptomatic patients, 7 with HIV-associated dementia, and 28 on effective ART) and 39 HIV-negative controls. Results CSF YKL-40 was significantly higher in patients with HIV-associated dementia compared to all other groups. It was also higher in untreated neuroasymptomatic individuals with CD4 cell count
Databáze: OpenAIRE