Inflammation-associated Lipidomic Signatures Prior to Carotid Artery Atherosclerosis in People Living With HIV

J Clin Endocrinol MetabPublished Nested case-control study

Authors' conclusion

Our findings underscore specific lipidomic-inflammatory networks that may underlie the heightened risk of atherosclerosis in HIV infection. The differential involvement of IL-18 suggests a central role of NLRP3 inflammasome activation in HIV-associated vascular inflammation. The observed alterations in lysophospholipid and short-chain fatty acyl metabolism warrant further mechanistic investigation as potential mediators of HIV-related atherogenesis.

Study context

Population
People living with HIV, Comparative HIV and Aging Research Cohort, Taizhou, China
Participants
115 / 112 / 117
Comparison
HIV-positive incident subclinical carotid atherosclerosis (SCA) cases vs HIV-positive normal controls vs HIV-negative normal controls
  • SCA casesn = 115
  • HIV-positive normal controlsn = 112
  • HIV-negative normal controlsn = 117reference
Outcome
Baseline lipidomic signatures (649 lipid species, 20 inflammatory markers)
Follow-up
Baseline
Methodological detailsUntargeted lipidomic profiling and inflammatory marker assessments at baseline and follow-up
  • Untargeted lipidomic profiling and inflammatory marker assessments at baseline and follow-up

Main finding

As reported in the abstract

Three distinct baseline lipidomic signatures: 1 upregulated in HIV infection, 1 downregulated, 1 upregulated in HIV-associated SCA
3

Observational data: associations, not effects.

Original publication

Inflammation-associated Lipidomic Signatures Prior to Carotid Artery Atherosclerosis in People Living With HIV. J Clin Endocrinol Metab. Published 9 June 2025. doi:10.1210/clinem/dgaf331

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