PMID- 16697654 OWN - NLM STAT- MEDLINE DCOM- 20060814 LR - 20061115 IS - 1043-4666 (Print) IS - 1043-4666 (Linking) VI - 34 IP - 1-2 DP - 2006 Apr TI - HIV-infected patients with lipodystrophy have higher rates of carotid atherosclerosis: the role of monocyte chemoattractant protein-1. PG - 51-5 AB - Individuals with HIV-1 infection are at increased risk for cardiovascular events, and lipodystrophy is generally associated with pro-atherogenic metabolic disturbances. We conducted a case-control study to assess the presence of sub-clinical atherosclerosis in HIV-1-infected patients with or without lipodystrophy (LD) and to evaluate the influence of monocyte chemoattractant protein-1 (MCP-1) on the development of both carotid atherosclerosis and LD. The study population consisted of 43 patients with LD and 86 patients without LD. We determined carotid intima-media thickness (IMT), MCP-1 concentrations in plasma, and MCP-1 genotype (presence or absence of the -2518G allele). HIV-1-infected patients with LD showed increased risk (OR=3.71, 95% CI=1.10-12.47, p=0.03) for sub-clinical atherosclerosis, and MCP-1 plasma concentration was significantly correlated with IMT in these patients (Pearson=0.31, p=0.03). Furthermore, presence of LD was a determinant for MCP-1 plasma concentration (beta=0.18, p=0.05). In summary, HIV-1-infected patients with clinically manifest LD are at higher risk for atherosclerosis and our observations support the relationship between inflammation and atherosclerotic disease. FAU - Coll, Blai AU - Coll B AD - Servei de Medicina Interna, Hospital Universitari Sant Joan, Reus, Spain. bcoll@grupsagessa.com FAU - Parra, Sandra AU - Parra S FAU - Alonso-Villaverde, Carlos AU - Alonso-Villaverde C FAU - de Groot, Eric AU - de Groot E FAU - Aragones, Gerard AU - Aragones G FAU - Montero, Manuel AU - Montero M FAU - Tous, Monica AU - Tous M FAU - Camps, Jordi AU - Camps J FAU - Joven, Jorge AU - Joven J FAU - Masana, Lluis AU - Masana L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20060512 PL - England TA - Cytokine JT - Cytokine JID - 9005353 RN - 0 (Chemokine CCL2) SB - IM MH - Adult MH - Atherosclerosis MH - Carotid Arteries/pathology MH - Carotid Artery Diseases/complications/*pathology MH - Case-Control Studies MH - Chemokine CCL2/*metabolism MH - Female MH - HIV Infections/complications/*pathology MH - Humans MH - Lipodystrophy/complications/*pathology MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Tunica Intima/pathology EDAT- 2006/05/16 09:00 MHDA- 2006/08/15 09:00 CRDT- 2006/05/16 09:00 PHST- 2005/11/15 00:00 [received] PHST- 2006/02/01 00:00 [revised] PHST- 2006/03/29 00:00 [accepted] PHST- 2006/05/16 09:00 [pubmed] PHST- 2006/08/15 09:00 [medline] PHST- 2006/05/16 09:00 [entrez] AID - S1043-4666(06)00134-7 [pii] AID - 10.1016/j.cyto.2006.03.013 [doi] PST - ppublish SO - Cytokine. 2006 Apr;34(1-2):51-5. doi: 10.1016/j.cyto.2006.03.013. Epub 2006 May 12.