Changes in RANKL during the first two years after cART initiation in HIV-infected cART naïve adults
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Changes in RANKL during the first two years after cART initiation in HIV-infected cART naïve adults. / Mathiesen, Inger Hee Mabuza; Salem, Mohammad; Gerstoft, Jan; Gaardbo, Julie Christine; Obel, Niels; Pedersen, Court; Ullum, Henrik; Nielsen, Susanne Dam; Hansen, Ann-Brit Eg.
In: B M C Infectious Diseases, Vol. 17, 262, 11.04.2017.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Changes in RANKL during the first two years after cART initiation in HIV-infected cART naïve adults
AU - Mathiesen, Inger Hee Mabuza
AU - Salem, Mohammad
AU - Gerstoft, Jan
AU - Gaardbo, Julie Christine
AU - Obel, Niels
AU - Pedersen, Court
AU - Ullum, Henrik
AU - Nielsen, Susanne Dam
AU - Hansen, Ann-Brit Eg
PY - 2017/4/11
Y1 - 2017/4/11
N2 - BACKGROUND: By assessing the changes in concentration of soluble receptor activator of nuclear factor κ B ligand (RANKL) and osteoprotegrin (OPG) after initiation of combination antiretroviral therapy (cART) in treatment-naïve HIV-infected patients we aimed to evaluate whether the initial accelerated bone loss could be mediated by increased soluble RANKL (sRANKL) levels associated with CD4+ T cell recovery.METHODS: We used multiplex immunoassays to determine sRANKL and OPG concentrations in plasma from 48 HIV patients at baseline and 12, 24, 48 and 96 weeks after cART initiation.RESULTS: Soluble RANKL changed significantly over time (overall p = 0.02) with 25% decrease (95% CI: -42 to -5) at week 24 compared to baseline and stabilized at a lower level thereafter. We found no correlation between CD4+ T cell count increment and changes in sRANKL or between percentage change in BMD and changes in sRANKL.CONCLUSION: In this study there was no indication that the accelerated bone loss after cART initiation was mediated by early changes in sRANKL due to CD4+ T cell recovery. Future studies should focus on the initial weeks after initiation of cART.TRIAL REGISTRATION: Clinical-Trial.gov . id NCT00135460 , August 25, 2005. The study was approved by the Danish Data Protection Agency, Danish Medicines Agency and Regional Ethics Committee.
AB - BACKGROUND: By assessing the changes in concentration of soluble receptor activator of nuclear factor κ B ligand (RANKL) and osteoprotegrin (OPG) after initiation of combination antiretroviral therapy (cART) in treatment-naïve HIV-infected patients we aimed to evaluate whether the initial accelerated bone loss could be mediated by increased soluble RANKL (sRANKL) levels associated with CD4+ T cell recovery.METHODS: We used multiplex immunoassays to determine sRANKL and OPG concentrations in plasma from 48 HIV patients at baseline and 12, 24, 48 and 96 weeks after cART initiation.RESULTS: Soluble RANKL changed significantly over time (overall p = 0.02) with 25% decrease (95% CI: -42 to -5) at week 24 compared to baseline and stabilized at a lower level thereafter. We found no correlation between CD4+ T cell count increment and changes in sRANKL or between percentage change in BMD and changes in sRANKL.CONCLUSION: In this study there was no indication that the accelerated bone loss after cART initiation was mediated by early changes in sRANKL due to CD4+ T cell recovery. Future studies should focus on the initial weeks after initiation of cART.TRIAL REGISTRATION: Clinical-Trial.gov . id NCT00135460 , August 25, 2005. The study was approved by the Danish Data Protection Agency, Danish Medicines Agency and Regional Ethics Committee.
KW - Adult
KW - Anti-HIV Agents
KW - CD4-Positive T-Lymphocytes
KW - Drug Therapy, Combination
KW - Female
KW - HIV Infections
KW - Humans
KW - Lymphocyte Count
KW - Male
KW - Middle Aged
KW - RANK Ligand
KW - Journal Article
U2 - 10.1186/s12879-017-2368-y
DO - 10.1186/s12879-017-2368-y
M3 - Journal article
C2 - 28399815
VL - 17
JO - B M C Infectious Diseases
JF - B M C Infectious Diseases
SN - 1471-2334
M1 - 262
ER -
ID: 180569955