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Increased Systemic Inflammation and Gut Permeability Among Women With Treated HIV Infection in Rural Uganda
- Siedner, Mark J;
- Zanni, Markella;
- Tracy, Russell P;
- Kwon, Douglas S;
- Tsai, Alexander C;
- Kakuhire, Bernard;
- Hunt, Peter W;
- Okello, Samson
Published Web Location
https://doi.org/10.1093/infdis/jiy244Abstract
In a cohort of human immunodeficiency virus (HIV)-infected individuals and age- and sex-matched HIV-uninfected comparators, we assessed soluble CD14 (sCD14), sCD163, interleukin 6, intestinal fatty acid binding protein (IFAPB), and high-sensitivity C-reactive protein (hs-CRP) levels. The median age was 51 years. Among HIV-positive individuals, the median antiretroviral therapy (ART) duration was 7 years, the median CD4+ T-cell count was 433 cells/μL, and 86% had an undetectable viral load. Although HIV-positive individuals had higher sCD14, IFABP, and hs-CRP levels, we found evidence of interaction by sex, such that HIV-positive women had greater differences from HIV-negative women, compared with differences between HIV-positive men and HIV-negative men. In models restricted to HIV-positive individuals, women had higher levels of all 5 biomarkers than men.
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