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Adiponectin and interleukin-6, but not adipose tissue, are associated with worse neurocognitive function in HIV-infected men

Generalized obesity has been associated with cognitive decline, a process potentially mediated by adipocytokines. The effects of regional adipose tissue (AT) on cognition, however, are not well understood. We explored cross-sectional relationships between regional AT, adipocytokines, inflammatory ma...

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Published in:Antiviral therapy 2015-01, Vol.20 (2), p.235-244
Main Authors: Lake, Jordan E, Vo, Quynh T, Jacobson, Lisa P, Sacktor, Ned, Miller, Eric N, Post, Wendy S, Becker, James T, Palella, Jr, Frank J, Ragin, Ann, Martin, Eileen, Munro, Cynthia A, Brown, Todd T
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cited_by cdi_FETCH-LOGICAL-c402t-4e04bd4616371c22e4ab5d6493c6458beb7c5f061a0f755a77c35115e24ec8683
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container_title Antiviral therapy
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creator Lake, Jordan E
Vo, Quynh T
Jacobson, Lisa P
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Palella, Jr, Frank J
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Martin, Eileen
Munro, Cynthia A
Brown, Todd T
description Generalized obesity has been associated with cognitive decline, a process potentially mediated by adipocytokines. The effects of regional adipose tissue (AT) on cognition, however, are not well understood. We explored cross-sectional relationships between regional AT, adipocytokines, inflammatory markers and neuropsychological (NP) test scores among HIV+ and HIV- men enrolled in the Multicenter AIDS Cohort Study. Visceral, subcutaneous abdominal and subcutaneous thigh AT areas were quantified by computed tomography (CT). NP tests (Trail Making Test parts A and B, and Symbol-Digit Modalities) obtained within 2 years of CT screened for psychomotor speed and executive function. Adiponectin, leptin, interleukin-6 (IL-6) and high-sensitivity C-reactive protein (hs-CRP) were measured. Of 509 HIV+ and 271 HIV- participants, HIV+ men (98% on antiretroviral therapy, 81% HIV-1 RNA
doi_str_mv 10.3851/IMP2952
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The effects of regional adipose tissue (AT) on cognition, however, are not well understood. We explored cross-sectional relationships between regional AT, adipocytokines, inflammatory markers and neuropsychological (NP) test scores among HIV+ and HIV- men enrolled in the Multicenter AIDS Cohort Study. Visceral, subcutaneous abdominal and subcutaneous thigh AT areas were quantified by computed tomography (CT). NP tests (Trail Making Test parts A and B, and Symbol-Digit Modalities) obtained within 2 years of CT screened for psychomotor speed and executive function. Adiponectin, leptin, interleukin-6 (IL-6) and high-sensitivity C-reactive protein (hs-CRP) were measured. Of 509 HIV+ and 271 HIV- participants, HIV+ men (98% on antiretroviral therapy, 81% HIV-1 RNA&lt;50 copies/ml) had lower median subcutaneous AT and adiponectin levels and higher hs-CRP levels, but visceral AT, body mass index, IL-6 and NP scores did not vary by HIV serostatus. In multivariable analysis, older age, ≤ high school education and African American race, but not AT area or site, were associated with worse NP test scores among all participants. In HIV+ only, higher adiponectin and IL-6 were associated with worse cognitive function independent of AT area. No HIV-specific factors were associated with NP test scores. Demographic factors were associated with NP test performance, but regional adiposity was not. 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In multivariable analysis, older age, ≤ high school education and African American race, but not AT area or site, were associated with worse NP test scores among all participants. In HIV+ only, higher adiponectin and IL-6 were associated with worse cognitive function independent of AT area. No HIV-specific factors were associated with NP test scores. Demographic factors were associated with NP test performance, but regional adiposity was not. 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In multivariable analysis, older age, ≤ high school education and African American race, but not AT area or site, were associated with worse NP test scores among all participants. In HIV+ only, higher adiponectin and IL-6 were associated with worse cognitive function independent of AT area. No HIV-specific factors were associated with NP test scores. Demographic factors were associated with NP test performance, but regional adiposity was not. In HIV+ only, higher adiponectin and IL-6 were associated with worse NP test scores, supporting a role for chronic inflammation and adipocytokine imbalance in neurocognitive decline in HIV+ persons.</abstract><cop>England</cop><pmid>25810377</pmid><doi>10.3851/IMP2952</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Adiponectin - blood
Adipose Tissue - pathology
Adipose Tissue - virology
Age Factors
Anti-HIV Agents - therapeutic use
Antiretroviral Therapy, Highly Active
Biomarkers - blood
C-Reactive Protein - metabolism
Cognitive Dysfunction - complications
Cognitive Dysfunction - drug therapy
Cognitive Dysfunction - psychology
Cognitive Dysfunction - virology
Cohort Studies
Disease Progression
Educational Status
Executive Function
HIV Infections - complications
HIV Infections - drug therapy
HIV Infections - psychology
HIV Infections - virology
HIV-1 - drug effects
HIV-1 - physiology
Humans
Interleukin-6 - blood
Lentivirus
Leptin - blood
Male
Middle Aged
Multivariate Analysis
Neuropsychological Tests
Obesity - complications
Obesity - drug therapy
Obesity - psychology
Obesity - virology
Psychomotor Performance
Retroviridae
RNA, Viral - antagonists & inhibitors
RNA, Viral - blood
Viral Load - drug effects
title Adiponectin and interleukin-6, but not adipose tissue, are associated with worse neurocognitive function in HIV-infected men
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