AI Article Synopsis

  • Apolipoproteins and SCARB1 proteins play a role in HIV-associated lipodystrophy (HIVLD), with specific genetic polymorphisms influencing risk factors for cardiovascular diseases.
  • The study examined 3238C/G, 12669G/A, and 1050C/T polymorphisms in 187 HIV patients and 139 healthy controls, finding specific genotypes linked to severe HIVLD and altered lipid levels.
  • Overall, while the polymorphisms did not directly modify HIVLD risk, they indicated increased susceptibility when combined with unfavorable lipid and glucose levels.

Article Abstract

Apolipoproteins and Scavenger Receptor Class B1 (SCARB1) proteins are involved in the etiology of HIV-associated lipodystrophy (HIVLD). 3238C/G 12669G/A and 1050C/T polymorphisms were linked with increased level of APOB, TG, HDL-C and risk of cardiovascular diseases (CVDs). Hence, we evaluated the genetic variations of 3238C/G, 12669G/A and 1050C/T in 187 patients of HIV (64 with HIVLD, 123 without HIVLD) and 139 healthy controls using PCR-RFLP and expression by . The genotypes of 1050 TT and 12669AA showed a risk to severe HIVLD (P = 0.23, OR = 4.95; P = 0.16, OR = 2.02). The 3238 GG genotype was associated with a lesser risk of severe HIVLD (P = 0.07, OR = 0.22). The 12669 GA genotype was associated with a greater risk of HIVLD severity in patients with impaired LDL, triglyceride (TG), and cholesterol levels (P = 0.34, OR = 4.13; P = 0.25, OR = 3.64; P = 0.26, OR = 5.47). Similarly, 12669AA genotypes in the presence of impaired triglyceride levels displayed the susceptibility to severity of HIVLD (P = 0.77, OR = 2.91). 12669 GA genotype along with impaired HDL and cholesterol levels indicated an increased risk for HIVLD acquisition among patients without HIVLD (P = 0.42, OR = 2.42; P = 0.26, OR = 2.27). In patients with and without HIVLD, 3238CG genotypes having impaired cholesterol and glucose levels had higher risk for severity and development of HIVLD (P = 0.13, OR = 2.84, P = 0.34, OR = 1.58; P = 0.71, OR = 1.86; P = 0.14, OR = 2.30). An increased expression of and genes were observed in patients with HIVLD (+0.51 vs. -0.93; +4.78 vs. +3.29), and decreased expression of gene was observed in patients with HIVLD (-0.35 vs. -1.65). In conclusion, the polymorphisms mentioned above were not associated with the modulation of HIVLD. However, in the presence of impaired triglyceride, HDL, cholesterol and glucose levels, 12669AA and 12669 GA, 3238CG genotypes indicated a risk for the development and severity of HIVLD.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11089352PMC
http://dx.doi.org/10.1016/j.heliyon.2024.e30519DOI Listing

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