CROI 2023: Metabolic and Other Complications of HIV Infection

Sudipa Sarkar1, Todd T Brown1

  • 1Johns Hopkins University, Baltimore, Maryland, USA.

Topics in Antiviral Medicine
|September 13, 2023
PubMed

Insights

Comorbidities significantly impact aging individuals with HIV, affecting health and survival. Research at CROI 2023 explored cardiovascular disease, cancer, and obesity, focusing on treatment impacts.

Area of Science:

  • HIV/AIDS research
  • Cardiovascular disease (CVD)
  • Cancer epidemiology
  • Obesity and metabolic disorders

Background:

  • Comorbid conditions significantly affect the health, quality of life, and survival of aging people with HIV.
  • The 2023 Conference on Retroviruses and Opportunistic Infections (CROI) highlighted critical research on comorbidities in this population.

Approach:

  • Review of scientific abstracts presented at CROI 2023 focusing on cardiovascular disease, cancer, and obesity in people with HIV.
  • Analysis of studies investigating contributing factors to CVD, including mental health, antiretroviral therapies (ART), and hormonal pathways.
  • Examination of research on the epidemiology of non-AIDS-defining cancers and the impact of ART on weight gain.

Key Points:

  • CVD research explored links to mental health, ART, and hormonal factors.
  • Epidemiology of non-AIDS-defining cancers in people with HIV was a key focus.
  • Weight gain associated with ART and potential weight reduction after ART discontinuation were significant themes.

Conclusions:

  • CROI 2023 showcased critical advancements in understanding and managing comorbidities in aging people with HIV.
  • The findings have significant clinical implications for improving long-term health outcomes and quality of life.

Related Concept Videos

Pulmonary Tuberculosis I01:29

Pulmonary Tuberculosis I

Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
262
Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
581
Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
29
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
41
Immunodeficiency Diseases01:25

Immunodeficiency Diseases

Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
973
Sexually Transmitted Infections01:26

Sexually Transmitted Infections

Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
347