Switching from boosted PIs to dolutegravir decreases soluble CD14 and adiponectin in high cardiovascular risk people living with HIV - Sorbonne Université
Journal Articles Journal of Antimicrobial Chemotherapy Year : 2021

Switching from boosted PIs to dolutegravir decreases soluble CD14 and adiponectin in high cardiovascular risk people living with HIV

Ana González-Cordón (1) , Lambert Assoumou (2) , Graeme Moyle (3) , Laura Waters (4) , Margaret Johnson (5) , Pere Domingo (6) , Julie Fox (7) , Hans-Jürgen Stellbrink (8) , Giovanni Guaraldi (9) , Mar Masiá (10) , Mark Gompels (11) , Stephane de Wit (12) , Eric Florence (13) , Stefan Esser (14) , François Raffi (15) , Georg Behrens (16) , Anton Pozniak (3) , José Gatell (1, 17) , Esteban Martínez (1) , Linos Vandekerckhove , Els Caluwé , Stephane de Wit , Coca Necsoi , Eric Florence , Maartje van Frankenhuijsen , François Raffi , Clotilde Allavena , Véronique Reliquet , David Boutoille , Morane Cavellec , Elisabeth André-Garnier , Audrey Rodallec , Thierry Le Tourneau , Jérôme Connault , Jean-Michel Molina , Samuel Ferret , Miresta Previlon , Yazdan Yazdanpanah , Roland Landman , Véronique Joly , Adriana Pinto , Christine Katlama , Fabienne Caby , Nadine Ktorza , Luminita Schneider , Christoph Stephan , Timo Wolf , Gundolf Schüttfort , Juergen Rockstroh , Jan-Christian Wasmuth , Carolynne Schwarze-Zander , Christoph Boesecke , Hans-Jurgen Stellbrink , Christian Hoffmann , Michael Sabranski , Stephan Esser , Robert Jablonka , Heidi Wiehler , Georg Behrens , Matthias Stoll , Gerrit Ahrenstorf , Giovanni Guaraldi , Giulia Nardini , Barbara Beghetto , Antonella D’arminio Montforte , Teresa Bini , Viola Cogliandro , Massimo Di Pietro , Francesco Maria Fusco , Massimo Galli , Stefano Rusconi , Andrea Giacomelli , Paola Meraviglia , Esteban Martinez , Ana González-Cordón , José Maria Gatell , Berta Torres , Pere Domingo , Gracia Mateo , Mar Gutierrez , Joaquin Portilla , Esperanza Merino , Sergio Reus , Vicente Boix , Mar Masia , Félix Gutiérrez , Sergio Padilla , Bonaventura Clotet , Eugenia Negredo , Anna Bonjoch , José Casado , Sara Bañón-Escandell , Jose Saban , Africa Duque , Daniel Podzamczer , Maria Saumoy , Laura Acerete , Juan Gonzalez-Garcia , José Ignacio Bernardino , José Ramón Arribas , Victor Hontañón , Graeme Moyle , Nicole Pagani , Margherita Bracchi , Jaime Vera , Amanda Clarke , Tanya Adams , Celia Richardson , Alan Winston , Borja Mora-Peris , Scott Mullaney , Laura Waters , Nahum de Esteban , Ana Milinkovic , Sarah Pett , Julie Fox , Juan Manuel Tiraboschi , Margaret Johnson , Mike Youle , Chloe Orkin , Simon Rackstraw , James Hand , Mark Gompels , Louise Jennings , Jane Nicholls , Sarah Johnston
Pere Domingo
Mar Masiá
Linos Vandekerckhove
  • Function : Author
Els Caluwé
  • Function : Author
Stephane de Wit
  • Function : Author
Coca Necsoi
  • Function : Author
Eric Florence
  • Function : Author
Maartje van Frankenhuijsen
  • Function : Author
François Raffi
  • Function : Author
Clotilde Allavena
  • Function : Author
Véronique Reliquet
  • Function : Author
David Boutoille
  • Function : Author
Morane Cavellec
  • Function : Author
Elisabeth André-Garnier
  • Function : Author
Audrey Rodallec
  • Function : Author
Thierry Le Tourneau
  • Function : Author
Jérôme Connault
  • Function : Author
Jean-Michel Molina
  • Function : Author
Samuel Ferret
  • Function : Author
Miresta Previlon
  • Function : Author
Yazdan Yazdanpanah
  • Function : Author
Roland Landman
  • Function : Author
Véronique Joly
  • Function : Author
Adriana Pinto
  • Function : Author
Christine Katlama
  • Function : Author
Fabienne Caby
  • Function : Author
Nadine Ktorza
  • Function : Author
Luminita Schneider
  • Function : Author
Christoph Stephan
  • Function : Author
Timo Wolf
  • Function : Author
Gundolf Schüttfort
  • Function : Author
Juergen Rockstroh
  • Function : Author
Jan-Christian Wasmuth
  • Function : Author
Carolynne Schwarze-Zander
  • Function : Author
Christoph Boesecke
  • Function : Author
Hans-Jurgen Stellbrink
  • Function : Author
Christian Hoffmann
  • Function : Author
Michael Sabranski
  • Function : Author
Stephan Esser
  • Function : Author
Robert Jablonka
  • Function : Author
Heidi Wiehler
  • Function : Author
Georg Behrens
  • Function : Author
Matthias Stoll
  • Function : Author
Gerrit Ahrenstorf
  • Function : Author
Giovanni Guaraldi
  • Function : Author
Giulia Nardini
  • Function : Author
Barbara Beghetto
  • Function : Author
Teresa Bini
  • Function : Author
Viola Cogliandro
  • Function : Author
Massimo Di Pietro
  • Function : Author
Francesco Maria Fusco
  • Function : Author
Massimo Galli
  • Function : Author
Stefano Rusconi
  • Function : Author
Andrea Giacomelli
  • Function : Author
Paola Meraviglia
  • Function : Author
Esteban Martinez
  • Function : Author
Ana González-Cordón
  • Function : Author
José Maria Gatell
  • Function : Author
Berta Torres
  • Function : Author
Pere Domingo
  • Function : Author
Gracia Mateo
  • Function : Author
Mar Gutierrez
  • Function : Author
Joaquin Portilla
  • Function : Author
Esperanza Merino
  • Function : Author
Sergio Reus
  • Function : Author
Vicente Boix
  • Function : Author
Mar Masia
  • Function : Author
Félix Gutiérrez
  • Function : Author
Sergio Padilla
  • Function : Author
Bonaventura Clotet
  • Function : Author
Eugenia Negredo
  • Function : Author
Anna Bonjoch
  • Function : Author
José Casado
  • Function : Author
Sara Bañón-Escandell
  • Function : Author
Jose Saban
  • Function : Author
Africa Duque
  • Function : Author
Daniel Podzamczer
  • Function : Author
Maria Saumoy
  • Function : Author
Laura Acerete
  • Function : Author
Juan Gonzalez-Garcia
  • Function : Author
José Ignacio Bernardino
  • Function : Author
José Ramón Arribas
  • Function : Author
Victor Hontañón
  • Function : Author
Graeme Moyle
  • Function : Author
Nicole Pagani
  • Function : Author
Margherita Bracchi
  • Function : Author
Jaime Vera
  • Function : Author
Amanda Clarke
  • Function : Author
Tanya Adams
  • Function : Author
Celia Richardson
  • Function : Author
Alan Winston
  • Function : Author
Borja Mora-Peris
  • Function : Author
Scott Mullaney
  • Function : Author
Laura Waters
  • Function : Author
Nahum de Esteban
  • Function : Author
Ana Milinkovic
  • Function : Author
Sarah Pett
  • Function : Author
Julie Fox
  • Function : Author
Juan Manuel Tiraboschi
  • Function : Author
Margaret Johnson
  • Function : Author
Mike Youle
  • Function : Author
Chloe Orkin
  • Function : Author
Simon Rackstraw
  • Function : Author
James Hand
  • Function : Author
Mark Gompels
  • Function : Author
Louise Jennings
  • Function : Author
Jane Nicholls
  • Function : Author
Sarah Johnston
  • Function : Author

Abstract

Background: Switching from boosted PIs to dolutegravir in people living with HIV (PLWH) with high cardiovascular risk improved plasma lipids at 48 weeks in the NEAT022 trial. Whether this strategy may have an impact on cardiovascular biomarkers is unknown. Methods: We assessed 48 week changes in biomarkers associated with inflammation, endothelial dysfunction, monocyte immune activation, oxidation, insulin resistance, hypercoagulability, heart failure, myocardial injury, and glomerular and tubular kidney injury. Results: Of 415 PLWH randomized in the NEAT022 study, 313 (75.4%) remained on allocated therapy and had paired samples available. Soluble CD14 (-11%, P < 0.001) and adiponectin (-11%, P < 0.001) significantly declined and high-sensitive C-reactive protein (-13%, P = 0.069) and oxidized LDL (-13%, P = 0.084) tended to decrease with dolutegravir. Switching to dolutegravir remained significantly associated with soluble CD14 and adiponectin reductions after adjustment for baseline variables. There were inverse correlations between soluble CD14 and CD4 count changes (P = 0.05), and between adiponectin and BMI changes (P < 0.001). Conclusions: Switching from boosted PIs to dolutegravir in PLWH with high cardiovascular risk led to soluble CD14 and adiponectin reductions at 48 weeks. While decreasing soluble CD14 may entail favourable health effects in PLWH, adiponectin reduction may reflect less insulin sensitivity associated with weight gain.
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Dates and versions

hal-03732525 , version 1 (21-07-2022)

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Cite

Ana González-Cordón, Lambert Assoumou, Graeme Moyle, Laura Waters, Margaret Johnson, et al.. Switching from boosted PIs to dolutegravir decreases soluble CD14 and adiponectin in high cardiovascular risk people living with HIV. Journal of Antimicrobial Chemotherapy, 2021, 76 (9), pp.2380-2393. ⟨10.1093/jac/dkab158⟩. ⟨hal-03732525⟩
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