Insulin resistance in HIV-infected patients: relationship with pro-inflammatory cytokines released by peripheral leukocytes
Objectives. Abnormalities of insulin sensitivity are increasingly reported in HIV infection. Considering that cytokines (particularly TNF-α and IL-1β) can induce insulin resistance in infections, we investigated the relationship between insulin sensitivity and cytokine release from peripheral blood...
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Published in: | The Journal of infection Vol. 47; no. 1; pp. 52 - 58 |
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Abstract | Objectives. Abnormalities of insulin sensitivity are increasingly reported in HIV infection. Considering that cytokines (particularly TNF-α and IL-1β) can induce insulin resistance in infections, we investigated the relationship between insulin sensitivity and cytokine release from peripheral blood mononuclear cells (PBMCs) in HIV-infected patients.
Methods. Fourteen HIV-positive patients treated with dual-NRTI (nucleosidic reverse transcriptase inhibitors) regimens, and fourteen healthy controls were studied. Insulin resistance was assessed by homeostatic model for insulin resistance (HOMA-IR). Cytokine production by PBMCs ex vivo was measured.
Results. Plasma glucose levels did not differ in HIV patients and in controls. Insulin concentrations and HOMA-IR were significantly higher in HIV-infected patients than in controls (respectively, 11.4±4.3 vs. 7.86±1.1
mIU,
P=0.005; 2.27±0.91 vs. 1.6±0.2,
P=0.025). A significant positive linear correlation was observed between HOMA-IR and TNF-α concentrations in the supernatants of unstimulated PBMC cultures in HIV patients (
r=0.771;
P=0.001
), but not in controls.
Conclusions. Our results are in accordance with previous findings showing that insulin resistance may indeed be present in PI-naive HIV patients, and suggest that either TNF-α, or other mediators released in parallel with this cytokine may induce a state of insulin resistance, unrelated to highly active antiviral treatments, in poorly controlled HIV disease. |
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AbstractList | OBJECTIVESAbnormalities of insulin sensitivity are increasingly reported in HIV infection. Considering that cytokines (particularly TNF-alpha and IL-1beta) can induce insulin resistance in infections, we investigated the relationship between insulin sensitivity and cytokine release from peripheral blood mononuclear cells (PBMCs) in HIV-infected patients. METHODSFourteen HIV-positive patients treated with dual-NRTI (nucleosidic reverse transcriptase inhibitors) regimens, and fourteen healthy controls were studied. Insulin resistance was assessed by homeostatic model for insulin resistance (HOMA-IR). Cytokine production by PBMCs ex vivo was measured. RESULTSPlasma glucose levels did not differ in HIV patients and in controls. Insulin concentrations and HOMA-IR were significantly higher in HIV-infected patients than in controls (respectively, 11.4+/-4.3 vs. 7.86+/-1.1mIU, P=0.005; 2.27+/-0.91 vs. 1.6+/-0.2, P=0.025). A significant positive linear correlation was observed between HOMA-IR and TNF-alpha concentrations in the supernatants of unstimulated PBMC cultures in HIV patients (r=0.771;P=0.001), but not in controls. CONCLUSIONSOur results are in accordance with previous findings showing that insulin resistance may indeed be present in PI-naive HIV patients, and suggest that either TNF-alpha, or other mediators released in parallel with this cytokine may induce a state of insulin resistance, unrelated to highly active antiviral treatments, in poorly controlled HIV disease. Abnormalities of insulin sensitivity are increasingly reported in HIV infection. Considering that cytokines (particularly TNF-alpha and IL-1beta) can induce insulin resistance in infections, we investigated the relationship between insulin sensitivity and cytokine release from peripheral blood mononuclear cells (PBMCs) in HIV-infected patients. Fourteen HIV-positive patients treated with dual-NRTI (nucleosidic reverse transcriptase inhibitors) regimens, and fourteen healthy controls were studied. Insulin resistance was assessed by homeostatic model for insulin resistance (HOMA-IR). Cytokine production by PBMCs ex vivo was measured. Plasma glucose levels did not differ in HIV patients and in controls. Insulin concentrations and HOMA-IR were significantly higher in HIV-infected patients than in controls (respectively, 11.4+/-4.3 vs. 7.86+/-1.1mIU, P=0.005; 2.27+/-0.91 vs. 1.6+/-0.2, P=0.025). A significant positive linear correlation was observed between HOMA-IR and TNF-alpha concentrations in the supernatants of unstimulated PBMC cultures in HIV patients (r=0.771;P=0.001), but not in controls. Our results are in accordance with previous findings showing that insulin resistance may indeed be present in PI-naive HIV patients, and suggest that either TNF-alpha, or other mediators released in parallel with this cytokine may induce a state of insulin resistance, unrelated to highly active antiviral treatments, in poorly controlled HIV disease. Objectives. Abnormalities of insulin sensitivity are increasingly reported in HIV infection. Considering that cytokines (particularly TNF-[alpha] and IL-1[beta]) can induce insulin resistance in infections, we investigated the relationship between insulin sensitivity and cytokine release from peripheral blood mononuclear cells (PBMCs) in HIV-infected patients. Methods. Fourteen HIV-positive patients treated with dual-NRTI (nucleosidic reverse transcriptase inhibitors) regimens, and fourteen healthy controls were studied. Insulin resistance was assessed by homeostatic model for insulin resistance (HOMA-IR). Cytokine production by PBMCs ex vivo was measured. Results. Plasma glucose levels did not differ in HIV patients and in controls. Insulin concentrations and HOMA-IR were significantly higher in HIV-infected patients than in controls (respectively, 11.4+/-4.3 vs. 7.86+/-1.1 mIU, P=0.005; 2.27+/-0.91 vs. 1.6+/-0.2, P=0.025). A significant positive linear correlation was observed between HOMA-IR and TNF-[alpha] concentrations in the supernatants of unstimulated PBMC cultures in HIV patients (r=0.771; P=0.001), but not in controls. Conclusions. Our results are in accordance with previous findings showing that insulin resistance may indeed be present in PI-naive HIV patients, and suggest that either TNF-[alpha], or other mediators released in parallel with this cytokine may induce a state of insulin resistance, unrelated to highly active antiviral treatments, in poorly controlled HIV disease. Objectives. Abnormalities of insulin sensitivity are increasingly reported in HIV infection. Considering that cytokines (particularly TNF-α and IL-1β) can induce insulin resistance in infections, we investigated the relationship between insulin sensitivity and cytokine release from peripheral blood mononuclear cells (PBMCs) in HIV-infected patients. Methods. Fourteen HIV-positive patients treated with dual-NRTI (nucleosidic reverse transcriptase inhibitors) regimens, and fourteen healthy controls were studied. Insulin resistance was assessed by homeostatic model for insulin resistance (HOMA-IR). Cytokine production by PBMCs ex vivo was measured. Results. Plasma glucose levels did not differ in HIV patients and in controls. Insulin concentrations and HOMA-IR were significantly higher in HIV-infected patients than in controls (respectively, 11.4±4.3 vs. 7.86±1.1 mIU, P=0.005; 2.27±0.91 vs. 1.6±0.2, P=0.025). A significant positive linear correlation was observed between HOMA-IR and TNF-α concentrations in the supernatants of unstimulated PBMC cultures in HIV patients ( r=0.771; P=0.001 ), but not in controls. Conclusions. Our results are in accordance with previous findings showing that insulin resistance may indeed be present in PI-naive HIV patients, and suggest that either TNF-α, or other mediators released in parallel with this cytokine may induce a state of insulin resistance, unrelated to highly active antiviral treatments, in poorly controlled HIV disease. |
Author | Berardi, Clara Carlo Isaia, Giovanni Paola Servato, Maria Biglino, Alberto Del Rizzo, Paola Pellissetto, Cristina Limone, Paolo Valle, Mauro Degioanni, Maria |
Author_xml | – sequence: 1 givenname: Paolo surname: Limone fullname: Limone, Paolo organization: Department of Internal Medicine, University of Torino, Torino, Italy – sequence: 2 givenname: Alberto surname: Biglino fullname: Biglino, Alberto email: biglino@asl19.asti.it organization: Infectious Diseases Unit, Civil Hospital of Asti, Via Botallo 4, 14100 Asti, Italy – sequence: 3 givenname: Mauro surname: Valle fullname: Valle, Mauro organization: Infectious Diseases Unit, Civil Hospital of Asti, Via Botallo 4, 14100 Asti, Italy – sequence: 4 givenname: Maria surname: Degioanni fullname: Degioanni, Maria organization: Infectious Diseases Unit, Civil Hospital of Asti, Via Botallo 4, 14100 Asti, Italy – sequence: 5 givenname: Maria surname: Paola Servato fullname: Paola Servato, Maria organization: Infectious Diseases Unit, Civil Hospital of Asti, Via Botallo 4, 14100 Asti, Italy – sequence: 6 givenname: Clara surname: Berardi fullname: Berardi, Clara organization: Department of Internal Medicine, University of Torino, Torino, Italy – sequence: 7 givenname: Paola surname: Del Rizzo fullname: Del Rizzo, Paola organization: Department of Internal Medicine, University of Torino, Torino, Italy – sequence: 8 givenname: Cristina surname: Pellissetto fullname: Pellissetto, Cristina organization: Department of Internal Medicine, University of Torino, Torino, Italy – sequence: 9 givenname: Giovanni surname: Carlo Isaia fullname: Carlo Isaia, Giovanni organization: Department of Internal Medicine, University of Torino, Torino, Italy |
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Keywords | HIV infection insulin resistance cytokines Infection Human Immunopathology Target tissue resistance Leukocyte Pathogenesis Viral disease Cytokine AIDS Immune deficiency Insulin |
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Snippet | Objectives. Abnormalities of insulin sensitivity are increasingly reported in HIV infection. Considering that cytokines (particularly TNF-α and IL-1β) can... Abnormalities of insulin sensitivity are increasingly reported in HIV infection. Considering that cytokines (particularly TNF-alpha and IL-1beta) can induce... Objectives. Abnormalities of insulin sensitivity are increasingly reported in HIV infection. Considering that cytokines (particularly TNF-[alpha] and... OBJECTIVESAbnormalities of insulin sensitivity are increasingly reported in HIV infection. Considering that cytokines (particularly TNF-alpha and IL-1beta) can... |
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SubjectTerms | Adult Biological and medical sciences Blood Glucose - analysis cytokines HIV infection HIV Infections - blood HIV Infections - physiopathology Human viral diseases Humans Hydrocortisone - blood Infectious diseases Insulin - blood insulin resistance Insulin Resistance - physiology Interleukin-1 - blood Male Medical sciences Tumor Necrosis Factor-alpha - metabolism Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids |
Title | Insulin resistance in HIV-infected patients: relationship with pro-inflammatory cytokines released by peripheral leukocytes |
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