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Distinct lipidomic signatures in persons living with HIV: Combined analysis of ACTG 5260s and MACS/WIHS

Journal of Clinical Endocrinology and Metabolism Sep 13, 2021

Jao J, Balmert LC, Sun S, et al. - The effect of untreated HIV infection as well as different antiretroviral therapy (ART) on the metabolome/lipidome was described.

  • Researchers performed widely-targeted plasma metabolomic and lipidomic profiling on HIV-seronegative individuals and persons living with HIV (PLHIV) prior to and following the initiation ART [tenofovir/emtricitabine plus atazanavir/ritonavir (ATV/r) or darunavir/ritonavir (DRV/r) or raltegravir (RAL)].

  • ART-naïve PLHIV showed increased lipogenesis relative to HIV-seronegative individuals.

  • There was increased triaclyglycerols (TAGs) turnover for RAL vs ATV/r or DRV/r; this altered metabolome/lipidome after initiating ART linked with increased inflammation.

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