Inflammatory markers associated with subclinical coronary artery disease: The multicenter AIDS cohort study

Hossein Bahrami, Matthew Budoff, Sabina A. Haberlen, Pantea Rezaeian, Kerunne Ketlogetswe, Russell Tracy, Frank Palella, Mallory D. Witt, Michael V. McConnell, Lawrence Kingsley, Wendy S. Post

Research output: Contribution to journalArticlepeer-review

Abstract

Background-Despite evidence for higher risk of coronary artery disease among HIV+ individuals, the underlying mechanisms are not well understood. We investigated associations of inflammatory markers with subclinical coronary artery disease in 923 participants of the Multicenter AIDS Cohort Study (575 HIV+ and 348 HIV- men) who underwent noncontrast computed tomography scans for coronary artery calcification, the majority (n=692) also undergoing coronary computed tomography angiography. Methods and Results-Outcomes included presence and extent of coronary artery calcification, plus computed tomography angiography analysis of presence, composition, and extent of coronary plaques and severity of coronary stenosis. HIV+ men had significantly higher levels of interleukin-6 (IL-6), intercellular adhesion molecule-1, C-reactive protein, and soluble-tumor necrosis factor-a receptor (sTNFαR) I and II (all P < 0.01) and a higher prevalence of noncalcified plaque (63% versus 54%, P=0.02) on computed tomography angiography. Among HIV+ men, for every SD increase in log-interleukin-6 and log intercellular adhesion molecule-1, there was a 30% and 60% increase, respectively, in the prevalence of coronary stenosis ≥50% (all P < 0.05). Similarly, sTNFαR I and II in HIV+ participants were associated with an increase in prevalence of coronary stenosis ≥70% (P < 0.05). Higher levels of interleukin-6, sTNFαR I, and sTNFαR II were also associated with greater coronary artery calcification score in HIV+ men (P < 0.01). Conclusions-Higher inflammatory marker levels are associated with greater prevalence of coronary stenosis in HIV+ men. Our findings underscore the need for further study to elucidate the relationships of inflammatory pathways with coronary artery disease in HIV+ individuals.

Original languageEnglish (US)
Article numbere003371
JournalJournal of the American Heart Association
Volume5
Issue number6
DOIs
StatePublished - Jun 1 2016

Keywords

  • Atherosclerosis
  • Cardiac biomarkers
  • Cardiac computed tomography
  • Coronary artery calcium
  • Coronary artery disease
  • Coronary computed tomography scan
  • Epidemiology
  • HIV
  • HIV infection
  • Inflammation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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