1. Association between plasma short-chain fatty acids and inflammation in human immunodeficiency virus-associated neurocognitive disorder: a pilot study.
- Author
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Chen X, Wei J, Zhang L, Wang H, Zhang Y, Li Z, Wang X, Liu L, Zhang Y, and Zhang T
- Subjects
- Humans, Male, Female, Pilot Projects, Middle Aged, Adult, Cytokines blood, HIV Infections blood, HIV Infections complications, HIV Infections virology, Biomarkers blood, Neurocognitive Disorders blood, Neurocognitive Disorders virology, Cognitive Dysfunction blood, Case-Control Studies, ROC Curve, Fatty Acids, Volatile blood, Gastrointestinal Microbiome, Inflammation blood
- Abstract
Background and Aims: Short-chain fatty acids (SCFAs), key metabolites produced by gut microbiota, have neuroprotective effects in neurodegenerative diseases by modulating immune responses. However, their role in human immunodeficiency virus (HIV)-associated neurocognitive disorder (HAND) remains largely unexplored., Methods: We recruited HAND patients, HIV Control, and healthy controls (HC). Plasma SCFAs and SCFA-producing gut microbiota were quantified via gas chromatography-mass spectrometry and fecal metagenomic analysis. Inflammatory cytokine levels were measured using liquid chromatography. Receiver operating characteristic (ROC) curves were generated to evaluate the predictive accuracy of SCFAs for HAND., Results: Plasma SCFAs were significantly reduced in HAND patients, correlating with a decrease in SCFA-producing gut bacteria, such as Prevotella and its related species. Reduced SCFAs were positively correlated with pro-inflammatory cytokines and cognitive impairment, while being negatively correlated with anti-inflammatory cytokines. ROC curve analysis demonstrated that several SCFAs exhibited strong predictive accuracy for HAND status., Conclusions: SCFAs may influence cognitive function by modulating inflammatory responses, and identifies plasma SCFAs as potential biomarkers and therapeutic targets for HAND. Further investigation is needed to delineate the mechanisms that SCFAs influence HAND pathology., Competing Interests: Declarations. Ethics approval and consent to participate: The study was approved by the Beijing Youan hospital’s ethics committee (JYKL 2023–057), and all participants provided signed informed consent. Consent for publication: All authors have read and agreed with the submission of the manuscript to Lipids in Health and Disease. Competing interests: The authors declare no competing interests., (© 2025. The Author(s).)
- Published
- 2025
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