Abstract | OBJECTIVES: SETTINGS: Prospective cohort study. METHODS: Men living with HIV were recruited. Arterial inflammation and leukopoietic activity (ie, bone marrow activity) were measured using 18F-fluorodeoxyglucose positron emission tomography/computed tomography. Zip code-level SES measures were derived from the US Census Bureau. Linear regression and mediation analyses were used to assess associations between SES, arterial inflammation, leukopoietic activity, C-reactive protein (CRP), and interleukin-6. RESULTS: Thirty-nine virologically suppressed men living with HIV were studied (mean ± SD age 50.5 ± 11.1 years). The median CD4 count was 663 cells/mm3 (interquartile range: 399-922); 82% were receiving antiretroviral therapies. Local median income inversely associated with arterial inflammation [standardized β (95% confidence interval): -0.42 (-0.76 to -0.08)] after adjusting for age, Framingham risk score, statin use, antiretroviral use, and nadir CD4 count. The high-school graduation rate independently associated with arterial inflammation [-0.45 (-0.78 to -0.12)] and CRP [-0.49 (-0.86 to -0.012)]. Mediation analysis demonstrated the impact of SES on arterial inflammation was partially mediated by heightened circulating inflammatory levels: ↓SES (as high school graduation rate) →↑CRP →↑arterial inflammation accounting for 44% of the total effect (P < 0.05). CONCLUSION:
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Authors | Lili Zhang, Shady Abohashem, Michael T Osborne, Nicki Naddaf, Rebecca Park, Kelvin Moore Jr, Tomas Patrich, Steven G Deeks, Priscilla Y Hsue, Ahmed A Tawakol |
Journal | Journal of acquired immune deficiency syndromes (1999)
(J Acquir Immune Defic Syndr)
Vol. 87
Issue 1
Pg. 706-710
(05 01 2021)
ISSN: 1944-7884 [Electronic] United States |
PMID | 33492022
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved. |
Chemical References |
- Biomarkers
- Interleukin-6
- C-Reactive Protein
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Topics |
- Adult
- Arteritis
(complications, diagnostic imaging)
- Biomarkers
- C-Reactive Protein
- CD4 Lymphocyte Count
- HIV Infections
(complications)
- Humans
- Income
- Inflammation
(complications)
- Interleukin-6
- Male
- Middle Aged
- Positron Emission Tomography Computed Tomography
- Prospective Studies
- Risk Factors
- Social Class
- United States
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