P2.12 THE INTERPLAY OF ENDOTHELIAL FUNCTION, INFLAMMATORY AND OXIDATIVE STATUS IN HIV INFECTION. DOES ANTIRETROVIRAL THERAPY PLAY A ROLE?
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Purpose: HIV infection is linked to heightened cardiovascular risk; this is partly mediated through endothelial dysfunction. We investigated the interplay of endothelial function with markers of inflammatory and oxidation in two groups of HIV infected patients: on ART and naïve to ART.
Methods: We recruited 47 HIV infected patients (46 male, mean age 35±10 years, mean CD4 count: 579±271). All were free from overt cardiovascular disease. 31 patients were naïve to ART; 17 were on ART. FMD of the brachial artery was used as an index of endothelial function. Markers of inflammatory (CRP, IL6), oxidative (ADMA) and functional (CD4, viral load) status were measured. Between groups comparisons (ART vs naïve patients) were performed using the Mann-Whitney U test.
Results: Endothelial function and inflammatory markers did not differ across groups. ART group had higher ADMA levels, lower viral load and higher CD4 count, thereby a favorable oxidative/functional status compared to naïves.
Naïve (n=31) | ART (n=17) | P value | |
---|---|---|---|
FMD (%) | 4.2 (2.3, 7.5) | 5.2 (3.1, 8.2) | 0.740 |
CRP (mg/dL) | 1.37 (0.98, 2.79) | 1.05 (0.28, 3.32) | 0.249 |
IL6 (pg/mL) | 1.65 (0.83, 3.39) | 1.00 (0.77, 1.65) | 0.258 |
ADMA (μmol/L) | 0.63 (0.25, 0.79) | 0.84 (0.78, 1.06) | 0.006 |
Viral load | 19419 (8144, 54025) | 50 (50, 50) | 0.001 |
CD4 count | 450 (378, 627) | 635 (510, 779) | 0.011 |
Conclusion: In HIV infection, ART does not change endothelial function; nevertheless it is linked to a favorable oxidative and functional status.
Cite this article
TY - JOUR AU - P. Xaplanteris AU - C. Vlachopoulos AU - E. Mariolis AU - E. Sambatakou AU - D. Terentes-Printzios AU - N. Ioakeimidis AU - D. Kardara AU - A. Synodinos AU - C. Stefanadis PY - 2011 DA - 2011/11/29 TI - P2.12 THE INTERPLAY OF ENDOTHELIAL FUNCTION, INFLAMMATORY AND OXIDATIVE STATUS IN HIV INFECTION. DOES ANTIRETROVIRAL THERAPY PLAY A ROLE? JO - Artery Research SP - 155 EP - 156 VL - 5 IS - 4 SN - 1876-4401 UR - https://doi.org/10.1016/j.artres.2011.10.033 DO - 10.1016/j.artres.2011.10.033 ID - Xaplanteris2011 ER -