Human T lymphotropic virus type 1 and risk of cardiovascular disease: High-density lipoprotein dysfunction versus

Sara Samadi1,2,3, Samaneh Abolbashari1,2, Zahra Meshkat1

  • 1Department of Modern Sciences and Technologies, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Insights

Human T lymphotropic virus type 1 (HTLV1) infection is linked to higher levels of HDL lipid peroxidation (HDLox), a marker of HDL dysfunction and cardiovascular disease risk. This finding suggests HTLV1 may increase CVD risk through impaired HDL function.

Area of Science:

  • Cardiovascular Disease Research
  • Infectious Diseases
  • Lipid Metabolism

Background:

  • High-density lipoprotein (HDL) is recognized for its protective role against cardiovascular disease (CVD).
  • HDL dysfunction, indicated by HDL lipid peroxidation (HDLox), is increasingly implicated as a CVD risk factor.
  • The relationship between Human T lymphotropic virus type 1 (HTLV1) infection and CVD risk remains largely unexplored.

Purpose of the Study:

  • To investigate the association between HTLV1 infection and HDL dysfunction, using HDLox as a biomarker.
  • To assess whether HTLV1 infection is linked to traditional cardiovascular disease risk factors.

Main Methods:

  • A subgroup of the MASHAD cohort study was analyzed, including 50 HTLV1-positive and 112 HTLV1-negative individuals.
  • Serum HDLox levels were measured, alongside traditional cardiovascular disease risk factors (hs-CRP, lipid profile, fasting blood glucose).
  • Multivariate analyses and logistic regression were employed to determine the association between HTLV1 infection and HDLox.

Main Results:

  • No association was found between HTLV1 infection and traditional CVD risk factors, including HDL-C.
  • Serum HDLox was independently associated with HTLV1 infection.
  • HTLV1-positive subjects exhibited significantly higher HDLox levels (OR 9.35, P < 0.001), with an approximate 20% increase compared to uninfected individuals.

Conclusions:

  • Serum HDLox is elevated in individuals with HTLV1 infection.
  • HTLV1 infection is associated with HDL dysfunction, suggesting a potential mechanism for increased cardiovascular disease risk.

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