Ontology highlight
ABSTRACT: Aims
During virally suppressed chronic HIV infection, persistent inflammation contributes to the development of cardiovascular disease (CVD), a major comorbidity in people living with HIV (LWH). Classical blood monocytes (CMs) remain activated during antiretroviral therapy and are a major source of pro-inflammatory and pro-thrombotic factors that contribute to atherosclerotic plaque development and instability.Methods and results
Here, we identify transcriptomic changes in circulating CMs in peripheral blood mononuclear cell samples from participants of the Women's Interagency HIV Study, selected by HIV and subclinical CVD (sCVD) status. We flow-sorted CM from participants of the Women's Interagency HIV Study and deep-sequenced their mRNA (n = 92). CMs of HIV+ participants showed elevated interleukin (IL)-6, IL-1β, and IL-12β, overlapping with many transcripts identified in sCVD+ participants. In sCVD+ participants LWH, those reporting statin use showed reduced pro-inflammatory gene expression to a level comparable with healthy (HIV-sCVD-) participants. Statin non-users maintained an elevated inflammatory profile and increased cytokine production.Conclusion
Statin therapy has been associated with a lower risk of cardiac events, such as myocardial infarction in the general population, but not in those LWH. Our data suggest that women LWH may benefit from statin therapy even in the absence of overt CVD.
SUBMITTER: Ehinger E
PROVIDER: S-EPMC7983000 | biostudies-literature | 2021 Mar
REPOSITORIES: biostudies-literature

Ehinger Erik E Ghosheh Yanal Y Pramod Akula Bala AB Lin Juan J Hanna David B DB Mueller Karin K Durant Christopher P CP Baas Livia L Qi Qibin Q Wang Tao T Buscher Konrad K Anastos Kathryn K Lazar Jason M JM Mack Wendy J WJ Tien Phyllis C PC Cohen Mardge H MH Ofotokun Igho I Gange Stephen S Heath Sonya L SL Hodis Howard N HN Tracy Russell P RP Landay Alan L AL Kaplan Robert C RC Ley Klaus K
Cardiovascular research 20210301 4
<h4>Aims</h4>During virally suppressed chronic HIV infection, persistent inflammation contributes to the development of cardiovascular disease (CVD), a major comorbidity in people living with HIV (LWH). Classical blood monocytes (CMs) remain activated during antiretroviral therapy and are a major source of pro-inflammatory and pro-thrombotic factors that contribute to atherosclerotic plaque development and instability.<h4>Methods and results</h4>Here, we identify transcriptomic changes in circul ...[more]