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Determinants of blood telomere length in antiretroviral treatment‐naïve HIV‐positive participants enrolled in the NEAT 001/ANRS 143 clinical trial

Objectives Our aim was to investigate factors associated with baseline blood telomere length in participants enrolled in NEAT 001/ANRS 143, a randomized, open‐label trial comparing ritonavir‐boosted darunavir (DRV/r) plus raltegravir (RAL) with DRV/r plus tenofovir disoproxil fumarate/emtricitabine...

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Published in:HIV medicine 2019-11, Vol.20 (10), p.691-698
Main Authors: Alejos, B, Stella‐Ascariz, N, Montejano, R, Rodriguez‐Centeno, J, Schwimmer, C, Bernardino, JI, Rodes, B, Esser, S, Goujard, C, Sarmento‐Castro, R, De Miguel, R, Esteban‐Cantos, A, Wallet, C, Raffi, F, Arribas, JR
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cited_by cdi_FETCH-LOGICAL-c3881-570f664bf47c5fed4cbd56a06889d0f0625d44b11bcfee8949c5d925eabad0c93
cites cdi_FETCH-LOGICAL-c3881-570f664bf47c5fed4cbd56a06889d0f0625d44b11bcfee8949c5d925eabad0c93
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container_issue 10
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container_title HIV medicine
container_volume 20
creator Alejos, B
Stella‐Ascariz, N
Montejano, R
Rodriguez‐Centeno, J
Schwimmer, C
Bernardino, JI
Rodes, B
Esser, S
Goujard, C
Sarmento‐Castro, R
De Miguel, R
Esteban‐Cantos, A
Wallet, C
Raffi, F
Arribas, JR
description Objectives Our aim was to investigate factors associated with baseline blood telomere length in participants enrolled in NEAT 001/ANRS 143, a randomized, open‐label trial comparing ritonavir‐boosted darunavir (DRV/r) plus raltegravir (RAL) with DRV/r plus tenofovir disoproxil fumarate/emtricitabine (TDF/FTC) in antiretroviral therapy (ART)‐naïve HIV‐positive adults. Methods A cross‐sectional study of 201 randomly selected participants who had stored samples available was carried out. We measured telomere length (i.e. the relative telomere length, calculated as the telomere to single copy gene ratio) at baseline with monochrome quantitative multiplex polymerase chain reaction (PCR). We used multivariable predictive linear regression to calculate mean differences and 95% confidence intervals (CIs) for the association between baseline telomere length and baseline characteristics. Results The baseline characteristics of the 201 participants did not differ from those of the 805 participants in the parent trial population: 89% were male, the mean age was 39 years, 83.6% were Caucasian, 93% acquired HIV infection via sexual transmission, the mean estimated time since HIV diagnosis was 2.1 years, the mean HIV‐1 RNA load was 4.7 log10 HIV‐1 RNA copies/mL, the mean nadir and baseline CD4 counts were 301 and 324 cells/μL, respectively, and the mean CD4:CD8 ratio was 0.4. In the univariate analysis, shorter telomere length was associated with older age (per 10 years) (P 
doi_str_mv 10.1111/hiv.12791
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Methods A cross‐sectional study of 201 randomly selected participants who had stored samples available was carried out. We measured telomere length (i.e. the relative telomere length, calculated as the telomere to single copy gene ratio) at baseline with monochrome quantitative multiplex polymerase chain reaction (PCR). We used multivariable predictive linear regression to calculate mean differences and 95% confidence intervals (CIs) for the association between baseline telomere length and baseline characteristics. Results The baseline characteristics of the 201 participants did not differ from those of the 805 participants in the parent trial population: 89% were male, the mean age was 39 years, 83.6% were Caucasian, 93% acquired HIV infection via sexual transmission, the mean estimated time since HIV diagnosis was 2.1 years, the mean HIV‐1 RNA load was 4.7 log10 HIV‐1 RNA copies/mL, the mean nadir and baseline CD4 counts were 301 and 324 cells/μL, respectively, and the mean CD4:CD8 ratio was 0.4. In the univariate analysis, shorter telomere length was associated with older age (per 10 years) (P &lt; 0.001), HIV‐1 RNA ≥ 100 000 copies/mL (P = 0.001), CD4 count &lt; 200 cells/μL (P = 0.037), lower CD4:CD8 ratio (P = 0.018), statin treatment (P = 0.004), and current alcohol consumption (P = 0.035). In the multivariable analysis, older age (P &lt; 0.001) and HIV RNA ≥ 100 000 copies/mL (P = 0.054) were independently associated with shorter telomere length. Conclusions Both age and HIV RNA viral load correlated with shorter blood telomere length in untreated persons living with HIV. These results suggest that HIV infection and age have synergistic and independent impacts upon immunosenescence.</description><identifier>ISSN: 1464-2662</identifier><identifier>EISSN: 1468-1293</identifier><identifier>DOI: 10.1111/hiv.12791</identifier><identifier>PMID: 31532902</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Age ; Aged ; aging ; Alcoholic beverages ; Anti-Retroviral Agents - therapeutic use ; Antiretroviral agents ; Antiretroviral drugs ; Antiretroviral therapy ; Blood ; CD4 antigen ; CD8 antigen ; Confidence intervals ; Cross-Sectional Studies ; Darunavir - therapeutic use ; Disease transmission ; Emtricitabine ; Emtricitabine - therapeutic use ; Female ; HIV ; HIV infection ; HIV Infections - drug therapy ; HIV Infections - genetics ; Human immunodeficiency virus ; Humans ; Immunosenescence ; Infections ; Logistic Models ; Male ; Mathematical analysis ; Middle Aged ; Polymerase chain reaction ; Raltegravir Potassium - therapeutic use ; Regression analysis ; Ribonucleic acid ; Ritonavir ; Ritonavir - therapeutic use ; RNA ; RNA, Viral - analysis ; Sexual transmission ; Sexually transmitted diseases ; Statistical analysis ; STD ; Telomere ; telomere length ; Tenofovir ; Tenofovir - therapeutic use ; viral load ; Yeast</subject><ispartof>HIV medicine, 2019-11, Vol.20 (10), p.691-698</ispartof><rights>2019 British HIV Association</rights><rights>2019 British HIV Association.</rights><rights>HIV Medicine © 2019 British HIV Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3881-570f664bf47c5fed4cbd56a06889d0f0625d44b11bcfee8949c5d925eabad0c93</citedby><cites>FETCH-LOGICAL-c3881-570f664bf47c5fed4cbd56a06889d0f0625d44b11bcfee8949c5d925eabad0c93</cites><orcidid>0000-0001-9571-6471</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31532902$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alejos, B</creatorcontrib><creatorcontrib>Stella‐Ascariz, N</creatorcontrib><creatorcontrib>Montejano, R</creatorcontrib><creatorcontrib>Rodriguez‐Centeno, J</creatorcontrib><creatorcontrib>Schwimmer, C</creatorcontrib><creatorcontrib>Bernardino, JI</creatorcontrib><creatorcontrib>Rodes, B</creatorcontrib><creatorcontrib>Esser, S</creatorcontrib><creatorcontrib>Goujard, C</creatorcontrib><creatorcontrib>Sarmento‐Castro, R</creatorcontrib><creatorcontrib>De Miguel, R</creatorcontrib><creatorcontrib>Esteban‐Cantos, A</creatorcontrib><creatorcontrib>Wallet, C</creatorcontrib><creatorcontrib>Raffi, F</creatorcontrib><creatorcontrib>Arribas, JR</creatorcontrib><creatorcontrib>NEAT 001/ANRS 143 Study Group</creatorcontrib><creatorcontrib>the NEAT 001/ANRS 143 Study Group</creatorcontrib><title>Determinants of blood telomere length in antiretroviral treatment‐naïve HIV‐positive participants enrolled in the NEAT 001/ANRS 143 clinical trial</title><title>HIV medicine</title><addtitle>HIV Med</addtitle><description>Objectives Our aim was to investigate factors associated with baseline blood telomere length in participants enrolled in NEAT 001/ANRS 143, a randomized, open‐label trial comparing ritonavir‐boosted darunavir (DRV/r) plus raltegravir (RAL) with DRV/r plus tenofovir disoproxil fumarate/emtricitabine (TDF/FTC) in antiretroviral therapy (ART)‐naïve HIV‐positive adults. Methods A cross‐sectional study of 201 randomly selected participants who had stored samples available was carried out. We measured telomere length (i.e. the relative telomere length, calculated as the telomere to single copy gene ratio) at baseline with monochrome quantitative multiplex polymerase chain reaction (PCR). We used multivariable predictive linear regression to calculate mean differences and 95% confidence intervals (CIs) for the association between baseline telomere length and baseline characteristics. Results The baseline characteristics of the 201 participants did not differ from those of the 805 participants in the parent trial population: 89% were male, the mean age was 39 years, 83.6% were Caucasian, 93% acquired HIV infection via sexual transmission, the mean estimated time since HIV diagnosis was 2.1 years, the mean HIV‐1 RNA load was 4.7 log10 HIV‐1 RNA copies/mL, the mean nadir and baseline CD4 counts were 301 and 324 cells/μL, respectively, and the mean CD4:CD8 ratio was 0.4. In the univariate analysis, shorter telomere length was associated with older age (per 10 years) (P &lt; 0.001), HIV‐1 RNA ≥ 100 000 copies/mL (P = 0.001), CD4 count &lt; 200 cells/μL (P = 0.037), lower CD4:CD8 ratio (P = 0.018), statin treatment (P = 0.004), and current alcohol consumption (P = 0.035). In the multivariable analysis, older age (P &lt; 0.001) and HIV RNA ≥ 100 000 copies/mL (P = 0.054) were independently associated with shorter telomere length. Conclusions Both age and HIV RNA viral load correlated with shorter blood telomere length in untreated persons living with HIV. These results suggest that HIV infection and age have synergistic and independent impacts upon immunosenescence.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>aging</subject><subject>Alcoholic beverages</subject><subject>Anti-Retroviral Agents - therapeutic use</subject><subject>Antiretroviral agents</subject><subject>Antiretroviral drugs</subject><subject>Antiretroviral therapy</subject><subject>Blood</subject><subject>CD4 antigen</subject><subject>CD8 antigen</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Darunavir - therapeutic use</subject><subject>Disease transmission</subject><subject>Emtricitabine</subject><subject>Emtricitabine - therapeutic use</subject><subject>Female</subject><subject>HIV</subject><subject>HIV infection</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - genetics</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Immunosenescence</subject><subject>Infections</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Mathematical analysis</subject><subject>Middle Aged</subject><subject>Polymerase chain reaction</subject><subject>Raltegravir Potassium - therapeutic use</subject><subject>Regression analysis</subject><subject>Ribonucleic acid</subject><subject>Ritonavir</subject><subject>Ritonavir - therapeutic use</subject><subject>RNA</subject><subject>RNA, Viral - analysis</subject><subject>Sexual transmission</subject><subject>Sexually transmitted diseases</subject><subject>Statistical analysis</subject><subject>STD</subject><subject>Telomere</subject><subject>telomere length</subject><subject>Tenofovir</subject><subject>Tenofovir - therapeutic use</subject><subject>viral load</subject><subject>Yeast</subject><issn>1464-2662</issn><issn>1468-1293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1kU1uFDEQRlsIREJgwQWQJTaw6Iz_2t1ejkIgkaJECoFty21XM47cdmN7BmXHEdhxjBwiN-EkODOBBRK1qSrp6alUX1W9JPiQlFqs7OaQ0FaSR9U-4aKrCZXs8XbmNRWC7lXPUrrGmLRM4qfVHiMNoxLT_ernO8gQJ-uVzwmFEQ0uBIMyuDBBBOTAf8krZD0qgI2QY9jYqBzKEVSewOdf3394dXe7AXRy-rksc0g227LOKmar7bw1g4_BOTD3prwCdH68vELloMXy_PIjIpwh7ay3emu2yj2vnozKJXjx0A-qT--Pr45O6rOLD6dHy7Nas64jddPiUQg-jLzVzQiG68E0QmHRddLgEQvaGM4HQgY9AnSSS90YSRtQgzJYS3ZQvdl55xi-riHlfrJJg3PKQ1innpZPylZwxgv6-h_0OqyjL9f1lGHWNhJzVqi3O0rHkFKEsZ-jnVS86Qnu79PqS1r9Nq3CvnowrocJzF_yTzwFWOyAb9bBzf9NfXn9Tvkbi92iHw</recordid><startdate>201911</startdate><enddate>201911</enddate><creator>Alejos, B</creator><creator>Stella‐Ascariz, N</creator><creator>Montejano, R</creator><creator>Rodriguez‐Centeno, J</creator><creator>Schwimmer, C</creator><creator>Bernardino, JI</creator><creator>Rodes, B</creator><creator>Esser, S</creator><creator>Goujard, C</creator><creator>Sarmento‐Castro, R</creator><creator>De Miguel, R</creator><creator>Esteban‐Cantos, A</creator><creator>Wallet, C</creator><creator>Raffi, F</creator><creator>Arribas, JR</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9571-6471</orcidid></search><sort><creationdate>201911</creationdate><title>Determinants of blood telomere length in antiretroviral treatment‐naïve HIV‐positive participants enrolled in the NEAT 001/ANRS 143 clinical trial</title><author>Alejos, B ; Stella‐Ascariz, N ; Montejano, R ; Rodriguez‐Centeno, J ; Schwimmer, C ; Bernardino, JI ; Rodes, B ; Esser, S ; Goujard, C ; Sarmento‐Castro, R ; De Miguel, R ; Esteban‐Cantos, A ; Wallet, C ; Raffi, F ; Arribas, JR</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3881-570f664bf47c5fed4cbd56a06889d0f0625d44b11bcfee8949c5d925eabad0c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>aging</topic><topic>Alcoholic beverages</topic><topic>Anti-Retroviral Agents - therapeutic use</topic><topic>Antiretroviral agents</topic><topic>Antiretroviral drugs</topic><topic>Antiretroviral therapy</topic><topic>Blood</topic><topic>CD4 antigen</topic><topic>CD8 antigen</topic><topic>Confidence intervals</topic><topic>Cross-Sectional Studies</topic><topic>Darunavir - therapeutic use</topic><topic>Disease transmission</topic><topic>Emtricitabine</topic><topic>Emtricitabine - therapeutic use</topic><topic>Female</topic><topic>HIV</topic><topic>HIV infection</topic><topic>HIV Infections - drug therapy</topic><topic>HIV Infections - genetics</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Immunosenescence</topic><topic>Infections</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Mathematical analysis</topic><topic>Middle Aged</topic><topic>Polymerase chain reaction</topic><topic>Raltegravir Potassium - therapeutic use</topic><topic>Regression analysis</topic><topic>Ribonucleic acid</topic><topic>Ritonavir</topic><topic>Ritonavir - therapeutic use</topic><topic>RNA</topic><topic>RNA, Viral - analysis</topic><topic>Sexual transmission</topic><topic>Sexually transmitted diseases</topic><topic>Statistical analysis</topic><topic>STD</topic><topic>Telomere</topic><topic>telomere length</topic><topic>Tenofovir</topic><topic>Tenofovir - therapeutic use</topic><topic>viral load</topic><topic>Yeast</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alejos, B</creatorcontrib><creatorcontrib>Stella‐Ascariz, N</creatorcontrib><creatorcontrib>Montejano, R</creatorcontrib><creatorcontrib>Rodriguez‐Centeno, J</creatorcontrib><creatorcontrib>Schwimmer, C</creatorcontrib><creatorcontrib>Bernardino, JI</creatorcontrib><creatorcontrib>Rodes, B</creatorcontrib><creatorcontrib>Esser, S</creatorcontrib><creatorcontrib>Goujard, C</creatorcontrib><creatorcontrib>Sarmento‐Castro, R</creatorcontrib><creatorcontrib>De Miguel, R</creatorcontrib><creatorcontrib>Esteban‐Cantos, A</creatorcontrib><creatorcontrib>Wallet, C</creatorcontrib><creatorcontrib>Raffi, F</creatorcontrib><creatorcontrib>Arribas, JR</creatorcontrib><creatorcontrib>NEAT 001/ANRS 143 Study Group</creatorcontrib><creatorcontrib>the NEAT 001/ANRS 143 Study Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>HIV medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alejos, B</au><au>Stella‐Ascariz, N</au><au>Montejano, R</au><au>Rodriguez‐Centeno, J</au><au>Schwimmer, C</au><au>Bernardino, JI</au><au>Rodes, B</au><au>Esser, S</au><au>Goujard, C</au><au>Sarmento‐Castro, R</au><au>De Miguel, R</au><au>Esteban‐Cantos, A</au><au>Wallet, C</au><au>Raffi, F</au><au>Arribas, JR</au><aucorp>NEAT 001/ANRS 143 Study Group</aucorp><aucorp>the NEAT 001/ANRS 143 Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of blood telomere length in antiretroviral treatment‐naïve HIV‐positive participants enrolled in the NEAT 001/ANRS 143 clinical trial</atitle><jtitle>HIV medicine</jtitle><addtitle>HIV Med</addtitle><date>2019-11</date><risdate>2019</risdate><volume>20</volume><issue>10</issue><spage>691</spage><epage>698</epage><pages>691-698</pages><issn>1464-2662</issn><eissn>1468-1293</eissn><abstract>Objectives Our aim was to investigate factors associated with baseline blood telomere length in participants enrolled in NEAT 001/ANRS 143, a randomized, open‐label trial comparing ritonavir‐boosted darunavir (DRV/r) plus raltegravir (RAL) with DRV/r plus tenofovir disoproxil fumarate/emtricitabine (TDF/FTC) in antiretroviral therapy (ART)‐naïve HIV‐positive adults. Methods A cross‐sectional study of 201 randomly selected participants who had stored samples available was carried out. We measured telomere length (i.e. the relative telomere length, calculated as the telomere to single copy gene ratio) at baseline with monochrome quantitative multiplex polymerase chain reaction (PCR). We used multivariable predictive linear regression to calculate mean differences and 95% confidence intervals (CIs) for the association between baseline telomere length and baseline characteristics. Results The baseline characteristics of the 201 participants did not differ from those of the 805 participants in the parent trial population: 89% were male, the mean age was 39 years, 83.6% were Caucasian, 93% acquired HIV infection via sexual transmission, the mean estimated time since HIV diagnosis was 2.1 years, the mean HIV‐1 RNA load was 4.7 log10 HIV‐1 RNA copies/mL, the mean nadir and baseline CD4 counts were 301 and 324 cells/μL, respectively, and the mean CD4:CD8 ratio was 0.4. In the univariate analysis, shorter telomere length was associated with older age (per 10 years) (P &lt; 0.001), HIV‐1 RNA ≥ 100 000 copies/mL (P = 0.001), CD4 count &lt; 200 cells/μL (P = 0.037), lower CD4:CD8 ratio (P = 0.018), statin treatment (P = 0.004), and current alcohol consumption (P = 0.035). In the multivariable analysis, older age (P &lt; 0.001) and HIV RNA ≥ 100 000 copies/mL (P = 0.054) were independently associated with shorter telomere length. Conclusions Both age and HIV RNA viral load correlated with shorter blood telomere length in untreated persons living with HIV. These results suggest that HIV infection and age have synergistic and independent impacts upon immunosenescence.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31532902</pmid><doi>10.1111/hiv.12791</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-9571-6471</orcidid><oa>free_for_read</oa></addata></record>
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source Wiley-Blackwell Read & Publish Collection
subjects Adult
Age
Aged
aging
Alcoholic beverages
Anti-Retroviral Agents - therapeutic use
Antiretroviral agents
Antiretroviral drugs
Antiretroviral therapy
Blood
CD4 antigen
CD8 antigen
Confidence intervals
Cross-Sectional Studies
Darunavir - therapeutic use
Disease transmission
Emtricitabine
Emtricitabine - therapeutic use
Female
HIV
HIV infection
HIV Infections - drug therapy
HIV Infections - genetics
Human immunodeficiency virus
Humans
Immunosenescence
Infections
Logistic Models
Male
Mathematical analysis
Middle Aged
Polymerase chain reaction
Raltegravir Potassium - therapeutic use
Regression analysis
Ribonucleic acid
Ritonavir
Ritonavir - therapeutic use
RNA
RNA, Viral - analysis
Sexual transmission
Sexually transmitted diseases
Statistical analysis
STD
Telomere
telomere length
Tenofovir
Tenofovir - therapeutic use
viral load
Yeast
title Determinants of blood telomere length in antiretroviral treatment‐naïve HIV‐positive participants enrolled in the NEAT 001/ANRS 143 clinical trial
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