在艾滋病毒和动脉样硬化,动脉炎症和血液形成活动中的克隆性血液形成
medRxiv : the preprint server for health sciences
|February 23, 2026
概括
艾滋病毒感染者 (PWH) 的克隆性血液形成 (CHIP) 与动脉样硬化或动脉炎症无关. 然而,CHIP与血液生成活性增加有关,特别是在淋巴结中,这表明HIV相关心血管疾病的潜在机制.
科学领域:
- 血液学 血液学 血液学
- 免疫学 免疫学 免疫学
- 心血管疾病研究研究
背景情况:
- 不确定潜力的克隆性血液形成 (CHIP) 与一般人群中的心血管疾病 (CVD) 有关.
- CHIP在艾滋病毒感染者 (PWH) 中更为普遍,但其在艾滋病毒相关动脉样硬化中的作用尚不清楚.
研究的目的:
- 调查CHIP与亚临床动脉样硬化,动脉炎症和PWH中的造血活动之间的关联.
- 探索将CHIP与该人群中心血管风险增加相关的潜在机制.
主要方法:
- 对230名PWH (31-74岁) 进行了一项队列研究.
- 使用向测序识别CHIP突变.
- 评估了心动脉内心介质厚度 (IMT),大动脉炎症 (F-FDG-PET),淋巴结活动和炎症生物标志物.
主要成果:
- 在14%的PWH中存在CHIP,其中DNM3TA和TET2是常见的突变. 年龄与CHIP相关.
- CHIP与IMT或动脉炎症没有显著关联.
- CHIP与更高的淋巴结代谢活性有关,但与炎症标志物或病毒持久性无关.
结论:
- 在PWH中CHIP突变与亚临床动脉样硬化,动脉炎症或可溶性炎症标志物无关.
- 在PWH中CHIP与造血活性有关,可能涉及淋巴结,这需要进一步调查其在HIV相关动脉样硬化中的作用.
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