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Updated: May 10, 2026

Prediction and Validation of Gene Regulatory Elements Activated During Retinoic Acid Induced Embryonic Stem Cell Differentiation
Published on: June 21, 2016
RXRγ gene variants are associated with HIV lipodystrophy
Sudeep P Pushpakom1, Andrew Owen, David J Back
1NIHR Biomedical Research Centre, Royal Liverpool Hospital, Liverpool, UK. sudeepp@liv.ac.uk
Genetic variations in RXRγ may increase the risk of developing HIV lipodystrophy (HIVLD) in patients undergoing combination antiretroviral therapy (cART). This finding highlights potential genetic predispositions to therapy-related metabolic complications.
Area of Science:
- Genetics
- Pharmacogenomics
- Metabolic Diseases
Background:
- HIV lipodystrophy (HIVLD) is a metabolic complication linked to combination antiretroviral therapy (cART).
- Nuclear receptors are crucial for lipid metabolism and drug processing, and their genetic variations may influence HIVLD development.
Purpose of the Study:
- To investigate the association between genetic variations in nuclear receptor genes and the incidence of HIV lipodystrophy (HIVLD) in HIV-positive patients receiving cART.
Main Methods:
- Genotyping of 77 single nucleotide polymorphisms (SNPs) across nine nuclear receptor genes in HIV-positive patients with and without HIVLD.
- Statistical analysis using Haploview and logistic regression to identify significant genetic associations.
Main Results:
- Three SNPs in the RXRγ gene (rs2134095, rs113471, rs2194899) and its haplotypes were significantly associated with HIVLD (P=0.02).
- Multivariate analysis confirmed that time since diagnosis and carriage of the RXRγ haplotype were independent predictors of HIVLD.
Conclusions:
- Genetic variation in RXRγ may contribute to the pathogenesis of HIV lipodystrophy in patients treated with cART.
- These findings suggest a potential role for RXRγ in modulating lipid homeostasis and drug disposition, influencing HIVLD risk.
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