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Asymptomatic Human Immunodeficiency Virus-1 Infection with High CD4+ T Cell Count Does Not Alter Iron Metabolism or Hepcidin Levels: The Pilot Study.
- Source :
- Infectious Diseases & Therapy; Feb2022, Vol. 11 Issue 1, p265-275, 11p
- Publication Year :
- 2022
-
Abstract
- Introduction: The purpose of the study was to assess hepcidin levels and iron metabolism in otherwise healthy human immunodeficiency virus-1 (HIV-1)-infected males and the influence of antiretroviral therapy on hepcidin production, as data in this group are scarce. Methods: A total of 89 HIV-1-infected males, 42 on effective antiretroviral therapy (ART)—group A, 47 treatment-naïve—group B, and 27 healthy controls—group C, were enrolled. Erythrocytes parameters, iron metabolism parameters, hepcidin, highly sensitive C-reactive protein (hsCRP), interleukin 6 (IL-6), and soluble transferrin receptor (sTfR) levels were assessed. Conditions related to inflammatory activity, systemic metabolic diseases and iron supplementation were exclusion criteria. Convenience sampling was used. Results: Median age in HIV-1 group was 33 years, and 27 years in the control group. Median CD4<superscript>+</superscript> T-cell count was 724 cells/μl in group A, and 488 cells/μl in group B (p = 0.0000). Nadir CD4<superscript>+</superscript> T-cell count was 397 cells/μl in group A and 475 cells/μl in group B (p = 0.0001). Median value of HIV-1 viral load (VL) in group B was 16 900 copies/mL. The hepcidin value was lower in group A than in groups B (p = 0.0008) or C (p = 0.0004), without differences between groups B and C. The hepcidin value correlated with ferritin in groups A (r<superscript>2</superscript> = 0.16; p = 0.008) and B (r<superscript>2</superscript> = 0.39; p = 0.000), but not in group C (r<superscript>2</superscript> = 0.11; p = 0.09). In group A, the hepcidin value correlated with current CD4<superscript>+</superscript> count (r = 0.48, p = 0.0012), but there was no correlation in group B. There were no correlations of hepcidin values with CD4<superscript>+</superscript> T cell nadir in group A (p = 0.371) or in group B (p = 0.477); ART period (p = 0.614); VL in group B (p = 0.71). No abnormalities of iron metabolism, hsCRP, IL-6, or sTfR were noted. Conclusions: Asymptomatic HIV-1 infection does not cause clinically important iron metabolism alterations or increased hepcidin production. Hepcidin values decrease on effective antiretroviral therapy. [ABSTRACT FROM AUTHOR]
- Subjects :
- IRON metabolism
HEPCIDIN
T cells
TRANSFERRIN receptors
PILOT projects
Subjects
Details
- Language :
- English
- ISSN :
- 21938229
- Volume :
- 11
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Infectious Diseases & Therapy
- Publication Type :
- Academic Journal
- Accession number :
- 155261953
- Full Text :
- https://doi.org/10.1007/s40121-021-00560-1