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The Emerging Role of Interleukin-32 in HIV-Associated Cardiovascular Comorbidities: A Mini Review
Lina Chen1, Jie Zhou2, Mingjian Ni3
1The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China.
Insights
Interleukin-32 (IL-32) is a key driver of cardiovascular disease (CVD) in people living with HIV (PLWH). Targeting IL-32 may offer new strategies for diagnosing and treating heart conditions in this population.
Area of Science:
- Immunology
- Cardiology
- Infectious Diseases
Background:
- Antiretroviral therapy (ART) has improved life expectancy for people living with HIV (PLWH).
- Cardiovascular disease (CVD) incidence and risk are significantly higher in PLWH, becoming a leading non-AIDS cause of mortality.
- Pathogenesis involves HIV proteins, immune activation, chronic inflammation, ART side effects, and traditional risk factors.
Purpose of the Study:
- To review recent advances in understanding the role of Interleukin-32 (IL-32) in HIV-associated CVD.
- To explore IL-32 as a potential biomarker and therapeutic target for CVD in PLWH.
Main Methods:
- Literature review summarizing current research on IL-32 and HIV-associated CVD.
- Analysis of IL-32's multifunctional properties, including cytokine release, endothelial dysfunction, and monocyte migration.
Main Results:
- IL-32 is a multifunctional pro-inflammatory cytokine implicated in HIV-associated CVD.
- IL-32 promotes inflammatory cytokine release, endothelial dysfunction, and monocyte migration.
- IL-32 is closely associated with the development of CVD in PLWH.
Conclusions:
- IL-32 plays a critical role in the pathogenesis of HIV-associated CVD.
- IL-32 presents potential as a novel biomarker for CVD risk stratification in PLWH.
- Targeting IL-32 may offer new therapeutic avenues for managing CVD in people living with HIV.
Abstract:
With the widespread use of antiretroviral therapy (ART), the life expectancy of people living with HIV (PLWH) has significantly improved. However, the incidence of cardiovascular disease (CVD) in this population has progressively increased. PLWH exhibit a significantly higher risk of cardiovascular diseases compared to the general population. Consequently, CVD has become one of the leading contributors to mortality not related to AIDS. The pathogenesis may involve several factors: HIV-related proteins exacerbating endothelial injury and inflammation; immune activation and chronic inflammation; adverse effects of ART; and traditional cardiovascular risk factors. Although multiple inflammatory cytokines are implicated in HIV-associated CVD, interleukin-32 (IL-32) stands out due to its distinctive multifunctional properties. Compared with other cytokines, Interleukin-32 (IL-32), a multifunctional pro-inflammatory cytokine, plays key roles in inducing the release of inflammatory cytokines, promoting endothelial dysfunction, and driving monocyte migration. IL-32 is closely associated with the development of HIV-associated CVD and shows potential as a novel biomarker and therapeutic target. This review aims to summarize recent advances in understanding the role of IL-32 in HIV-associated CVD. It also provides new insights for the diagnosis and treatment of CVD in PLWH.
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