Impact of plasma IP-10/CXCL10 and RANTES/CCL5 levels on neurocognitive function in HIV treatment naïve patients.

Abstract:

BACKGROUND:Immune activation, which is accompanied by the production of proinflammatory cytokines, is a strong predictor of disease progression in HIV infection. Inflammation is critical in neuronal damage linked to HIV-associated neurocognitive disorders. METHODS:We examined the relationship between plasma cytokine levels and deficits in neurocognitive function. Multiplex profiling by Luminex ® technology was used to quantify 27 cytokines/chemokines from 139 plasma samples of PLWH. The relationship of plasma cytokine markers, clinical parameters and cognitive impairment, was assessed using Spearman correlations. Partial least squares (PLS) regression and Variable importance in projection (VIP) scores were used for further evaluation of the association. RESULTS:Forty-nine (35.3%) participants exhibited neurocognitive impairment based on a GDS of at least 0.5 and 90 (64.7%) were classified as non-impaired. 23 (16.5%) initiated on cART for 4 weeks prior to cognitive assessment and 116 (83.5%) were not on treatment. We identified 5 proinflammatory cytokines that were significant predictors of GDS namely, IP10 (β = 0.058; p = 0.007), RANTES (β = 0.049; p = 0.005), IL2 (β = 0.047, p = 0.006), Eotaxin (β = 0.042, p = 0.003), and IL7 (β = 0.039, p = 0.003). IP10 and RANTES were the strongest predictors of GDS. Both cytokines correlated with plasma viral load and lymphocyte proviral load and were inversely correlated with CD4+ T cell counts. IP-10 and RANTES formed a separate cluster with highest proximity Conclusion: Study findings describe novel associations between IP-10, RANTES, cognitive status, plasma viral load and cell-associated viral load.

authors

Ruhanya V,Jacobs GB,Naidoo S,Paul RH,Joska J,Seedat S,Nyandoro G,Engelbrecht S,Glashoff R

doi

10.1089/AID.2020.0203

subject

Has Abstract

pub_date

2021-01-20 00:00:00

eissn

0889-2229

issn

1931-8405

pub_type

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