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Ageing in patients with chronic HIV infection: impact of hypercoagulation
Stephen J Kent1,2,3, Charles Flexner4
1Department of Microbiology and Immunology, Peter Doherty Institute for Infection and Immunity, University of Melbourne, Parkville, VIC, 3010, Australia. skent@unimelb.edu.au.
Insights
People living with HIV experience accelerated ageing and age-related diseases. Understanding HIV
Area of Science:
- Gerontology
- Virology
- Immunology
Background:
- Ageing is a natural biological process leading to organ dysfunction and death.
- HIV infection is increasingly perceived to accelerate the ageing process.
- Antiretroviral therapy has improved life expectancy for people with HIV.
Purpose of the Study:
- To provide an overview of ageing in the context of HIV infection.
- To discuss how HIV complications impact the ageing process.
- To explore the relationship between HIV and ageing to inform clinical management.
Main Methods:
- Literature review and synthesis of existing research on HIV and ageing.
- Analysis of the impact of HIV-related comorbidities on ageing.
- Discussion of clinical implications for managing ageing HIV-positive patients.
Main Results:
- People with HIV are ageing faster than the general population.
- Increased life expectancy leads to a higher prevalence of age-related comorbidities in HIV-positive individuals.
- HIV complications significantly influence the ageing trajectory.
Conclusions:
- Effective management of ageing HIV-positive patients requires understanding the interplay between HIV and ageing.
- Further research into HIV-ageing interactions can illuminate 'normal' ageing processes.
- Clinicians need to address age-related comorbidities in the growing population of ageing individuals with HIV.
Abstract:
Ageing is the result of biological events that progressively and irreversibly compromise the function of vital organs and eventually result in death. There is a general perception that ageing is accelerated in people living with HIV, with an increasing body of evidence to support this view. With the introduction of effective antiretroviral therapy, the life expectancy of people living with HIV has improved. Since people with HIV are living longer than previously, while also ageing faster than the general population, there is an increase in HIV-positive patients living with age-related comorbidities. This brief overview of ageing and HIV discusses aspects of the complications of HIV infection as they impact the ageing process. How diseases of age affect patients with HIV provides clues to help unravel the interactions between HIV and ageing that ultimately should help clinicians understand the basis of 'normal' ageing and manage ageing HIV-positive patients more effectively.
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