Pneumoproteins and biomarkers of inflammation and coagulation do not predict rapid lung function decline in people living with HIV

Abstract Chronic obstructive pulmonary disease (COPD) is among the leading causes of death worldwide and HIV is an independent risk factor for the development of COPD. However, the etiology of this increased risk and means to identify persons with HIV (PWH) at highest risk for COPD have remained elu...

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Autores principales: David M. MacDonald, Sarah Samorodnitsky, Chris H. Wendt, Jason V. Baker, Gary Collins, Monica Kruk, Eric F. Lock, Roger Paredes, Selvamuthu Poongulali, Danielle O. Weise, Alan Winston, Robin Wood, Ken M. Kunisaki, INSIGHT START Pulmonary Substudy Group, Bitten Aagaard, Paul Jansson, Mary Pearson, Abdel G. Babiker, Alejandro Arenas‐Pinto, Nafisah B Atako, Edward A. Dennis, S. Forcat, Fleur Hudson, B. Jackson, Daphne Maas, Caitlin G. Purvis, C. T. Russell, Sean Emery, Cara Donahue Carey, Megan Clewett, Simone Jacoby, Fred M. Gordin, Michael J. Vjecha, Alejandro Sanchez, Guido Ruggero Loria, Marcela Doldán, André de Moricz, K. Tillmann, V Müller, Giota Touloumi, Vicky Gioukari, Olga Anagnostou, Pablo Herrero, Patricia López, Anchalee Avihingsanon, Patsamon Rerksirikul, Site Investigators by Country and institution, Eliana Loiza, Verónica Mingrone, Sofia Lupo, F Marconi, D. Daniel, Ana Crinejo, Martyn A. French, L. Barba, Diane Rowling, E. Warzywoda, Mark Bloch, Swati Agrawal, Dominic E. Dwyer, Bruce Taylor, Lida van Petersen, Luc Mertens, S De Wit, K. Kabamba, Marcelo Wolff, G Allendes, Matti Ristola, O. Debham, Henrik Jessen, Arne Jessen, S. Wiebecke, Hartwig Klinker, Gerd Fätkenheuer, Clara Lehmann, I. Knaevelsrud, M. Rittweger, Albrecht Stöhr, Karl S. Oláh, Bernhard Schaaf, Martin Hower, Thomas Harrer, Ellen G. Harrer, A. Skoutelis, Vasilios Papastamopoulos, Simeon Metallidis, Οlga Tsachouridou, Sanjay Pujari, Abhishek Chitalikar, N. Kumarasamy, Faith Esther Beulah, Eduardo Shahar, Eynat Kedem, Dan Turner, Juan Sierra Madero, Carlos Madrigal, Kamal Marhoum El Filali, I. Erradey, Ernest Ekong, Nnakelu Eriobu, Javier Valencia, Manuel Garza-León, Esmelda Montalbán, Jorge Alave, Raúl Salazar, Jesús Vega, M. del Portal, Fernando Mendo, Elżbieta Bąkowska, Anna Ignatowska, Marcin Czarnecki, Aleksandra Szymczak, M. Rattley, S. Pillay, Rosie Mngqibisa, Thoko Ndaba, Paradise Madlala, Vicente Estrada, M.E. Rodrigo, M. Gutierrez, José Muñóz, David Dalmau, Cristina Badía, Bonaventura Clotet, Josep M. Llibre, Kiat Ruxrungtham, Sivaporn Gatechompol, Sasisopin Kiertiburanakul, Nutaporn Sanmeema, Chureeratana Bowonwatanuwong, U. Ampunpong, Wisit Prasithsirikul, Supeda Thongyen, Ploenchan Chetchotisakd, Siriluck Anunnatsiri, Winai Ratanasuwan, Peerawong Werarak, Cissy Kityo, H. Mugerwa, Paula Munderi, Joseph Lutaakome, Amanda Clarke, Andrew Bexley, Sayantan Das, Amandip Sahota, C R Emerson, Shannon McKernan, Margaret Johnson, M Youle, Jonathan Ross, J. W. Harding, Stephen Kegg, Tarik Moussaoui, Fangfang Chen, Sharonann Lynch, Andrew De Burgh-Thomas, W. A. I. P. Karunaratne, David H. Dockrell, C. Bowman, Borja Mora‐Peris, David Chadwick, Peter Lambert, Neeraj Desai, W. Carter, Keith Henry, R. Givot, M. Chow, B. Holloway, Stephen E. Weis, I. Vecino, Richard M. Novak, Gabriel J. Culbert, Aimee Wilkin, Libyadda J. Mosley, Nathan M. Thielman, J. Granholm, Victoria Watson, C. Clark, Joary Vargas Santana, I. Boneta, Indira Brar, Linda Makohon, Rodger D. MacArthur, Marti J. Farrough, M. Frank, Sarah J. Parker, Ellen Tedaldi, Mayra C. Santiago, Susan L. Koletar, Heather Harber, D. Thomas, Ioana Bica, Benjamin Adams, C. VAN DAM, Michael A. Kolber, Karen Moreno, Amanda Brown, B Wade
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Publicado: 2023
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author David M. MacDonald
Sarah Samorodnitsky
Chris H. Wendt
Jason V. Baker
Gary Collins
Monica Kruk
Eric F. Lock
Roger Paredes
Selvamuthu Poongulali
Danielle O. Weise
Alan Winston
Robin Wood
Ken M. Kunisaki
INSIGHT START Pulmonary Substudy Group
Bitten Aagaard
Paul Jansson
Mary Pearson
Abdel G. Babiker
Alejandro Arenas‐Pinto
Nafisah B Atako
Edward A. Dennis
S. Forcat
Fleur Hudson
B. Jackson
Daphne Maas
Caitlin G. Purvis
C. T. Russell
Sean Emery
Cara Donahue Carey
Megan Clewett
Simone Jacoby
Fred M. Gordin
Michael J. Vjecha
Alejandro Sanchez
Guido Ruggero Loria
Marcela Doldán
André de Moricz
K. Tillmann
V Müller
Giota Touloumi
Vicky Gioukari
Olga Anagnostou
Pablo Herrero
Patricia López
Anchalee Avihingsanon
Patsamon Rerksirikul
Site Investigators by Country and institution
Eliana Loiza
Verónica Mingrone
Sofia Lupo
F Marconi
D. Daniel
Ana Crinejo
Martyn A. French
L. Barba
Diane Rowling
E. Warzywoda
Mark Bloch
Swati Agrawal
Dominic E. Dwyer
Bruce Taylor
Lida van Petersen
Luc Mertens
S De Wit
K. Kabamba
Marcelo Wolff
G Allendes
Matti Ristola
O. Debham
Henrik Jessen
Arne Jessen
S. Wiebecke
Hartwig Klinker
Gerd Fätkenheuer
Clara Lehmann
I. Knaevelsrud
M. Rittweger
Albrecht Stöhr
Karl S. Oláh
Bernhard Schaaf
Martin Hower
Thomas Harrer
Ellen G. Harrer
A. Skoutelis
Vasilios Papastamopoulos
Simeon Metallidis
Οlga Tsachouridou
Sanjay Pujari
Abhishek Chitalikar
N. Kumarasamy
Faith Esther Beulah
Eduardo Shahar
Eynat Kedem
Dan Turner
Juan Sierra Madero
Carlos Madrigal
Kamal Marhoum El Filali
I. Erradey
Ernest Ekong
Nnakelu Eriobu
Javier Valencia
Manuel Garza-León
Esmelda Montalbán
Jorge Alave
Raúl Salazar
Jesús Vega
M. del Portal
Fernando Mendo
Elżbieta Bąkowska
Anna Ignatowska
Marcin Czarnecki
Aleksandra Szymczak
Robin Wood
M. Rattley
S. Pillay
Rosie Mngqibisa
Thoko Ndaba
Paradise Madlala
Vicente Estrada
M.E. Rodrigo
M. Gutierrez
José Muñóz
David Dalmau
Cristina Badía
Bonaventura Clotet
Josep M. Llibre
Kiat Ruxrungtham
Sivaporn Gatechompol
Sasisopin Kiertiburanakul
Nutaporn Sanmeema
Chureeratana Bowonwatanuwong
U. Ampunpong
Wisit Prasithsirikul
Supeda Thongyen
Ploenchan Chetchotisakd
Siriluck Anunnatsiri
Winai Ratanasuwan
Peerawong Werarak
Cissy Kityo
H. Mugerwa
Paula Munderi
Joseph Lutaakome
Amanda Clarke
Andrew Bexley
Sayantan Das
Amandip Sahota
C R Emerson
Shannon McKernan
Margaret Johnson
M Youle
Jonathan Ross
J. W. Harding
Stephen Kegg
Tarik Moussaoui
Fangfang Chen
Sharonann Lynch
Andrew De Burgh-Thomas
W. A. I. P. Karunaratne
David H. Dockrell
C. Bowman
Alan Winston
Borja Mora‐Peris
David Chadwick
Peter Lambert
Neeraj Desai
W. Carter
Keith Henry
R. Givot
M. Chow
B. Holloway
Stephen E. Weis
I. Vecino
Richard M. Novak
Gabriel J. Culbert
Aimee Wilkin
Libyadda J. Mosley
Nathan M. Thielman
J. Granholm
Victoria Watson
C. Clark
Joary Vargas Santana
I. Boneta
Indira Brar
Linda Makohon
Rodger D. MacArthur
Marti J. Farrough
M. Frank
Sarah J. Parker
Ellen Tedaldi
Mayra C. Santiago
Susan L. Koletar
Heather Harber
D. Thomas
Ioana Bica
Benjamin Adams
C. VAN DAM
Michael A. Kolber
Karen Moreno
Amanda Brown
B Wade
author_browse A. Skoutelis
Abdel G. Babiker
Abhishek Chitalikar
Aimee Wilkin
Alan Winston
Albrecht Stöhr
Alejandro Arenas‐Pinto
Alejandro Sanchez
Aleksandra Szymczak
Amanda Brown
Amanda Clarke
Amandip Sahota
Ana Crinejo
Anchalee Avihingsanon
Andrew Bexley
Andrew De Burgh-Thomas
André de Moricz
Anna Ignatowska
Arne Jessen
B Wade
B. Holloway
B. Jackson
Benjamin Adams
Bernhard Schaaf
Bitten Aagaard
Bonaventura Clotet
Borja Mora‐Peris
Bruce Taylor
C R Emerson
C. Bowman
C. Clark
C. T. Russell
C. VAN DAM
Caitlin G. Purvis
Cara Donahue Carey
Carlos Madrigal
Chris H. Wendt
Chureeratana Bowonwatanuwong
Cissy Kityo
Clara Lehmann
Cristina Badía
D. Daniel
D. Thomas
Dan Turner
Danielle O. Weise
Daphne Maas
David Chadwick
David Dalmau
David H. Dockrell
David M. MacDonald
Diane Rowling
Dominic E. Dwyer
E. Warzywoda
Eduardo Shahar
Edward A. Dennis
Eliana Loiza
Ellen G. Harrer
Ellen Tedaldi
Elżbieta Bąkowska
Eric F. Lock
Ernest Ekong
Esmelda Montalbán
Eynat Kedem
F Marconi
Faith Esther Beulah
Fangfang Chen
Fernando Mendo
Fleur Hudson
Fred M. Gordin
G Allendes
Gabriel J. Culbert
Gary Collins
Gerd Fätkenheuer
Giota Touloumi
Guido Ruggero Loria
H. Mugerwa
Hartwig Klinker
Heather Harber
Henrik Jessen
I. Boneta
I. Erradey
I. Knaevelsrud
I. Vecino
INSIGHT START Pulmonary Substudy Group
Indira Brar
Ioana Bica
J. Granholm
J. W. Harding
Jason V. Baker
Javier Valencia
Jesús Vega
Joary Vargas Santana
Jonathan Ross
Jorge Alave
Josep M. Llibre
Joseph Lutaakome
José Muñóz
Juan Sierra Madero
K. Kabamba
K. Tillmann
Kamal Marhoum El Filali
Karen Moreno
Karl S. Oláh
Keith Henry
Ken M. Kunisaki
Kiat Ruxrungtham
L. Barba
Libyadda J. Mosley
Lida van Petersen
Linda Makohon
Luc Mertens
M Youle
M. Chow
M. Frank
M. Gutierrez
M. Rattley
M. Rittweger
M. del Portal
M.E. Rodrigo
Manuel Garza-León
Marcela Doldán
Marcelo Wolff
Marcin Czarnecki
Margaret Johnson
Mark Bloch
Marti J. Farrough
Martin Hower
Martyn A. French
Mary Pearson
Matti Ristola
Mayra C. Santiago
Megan Clewett
Michael A. Kolber
Michael J. Vjecha
Monica Kruk
N. Kumarasamy
Nafisah B Atako
Nathan M. Thielman
Neeraj Desai
Nnakelu Eriobu
Nutaporn Sanmeema
O. Debham
Olga Anagnostou
Pablo Herrero
Paradise Madlala
Patricia López
Patsamon Rerksirikul
Paul Jansson
Paula Munderi
Peerawong Werarak
Peter Lambert
Ploenchan Chetchotisakd
R. Givot
Raúl Salazar
Richard M. Novak
Robin Wood
Rodger D. MacArthur
Roger Paredes
Rosie Mngqibisa
S De Wit
S. Forcat
S. Pillay
S. Wiebecke
Sanjay Pujari
Sarah J. Parker
Sarah Samorodnitsky
Sasisopin Kiertiburanakul
Sayantan Das
Sean Emery
Selvamuthu Poongulali
Shannon McKernan
Sharonann Lynch
Simeon Metallidis
Simone Jacoby
Siriluck Anunnatsiri
Site Investigators by Country and institution
Sivaporn Gatechompol
Sofia Lupo
Stephen E. Weis
Stephen Kegg
Supeda Thongyen
Susan L. Koletar
Swati Agrawal
Tarik Moussaoui
Thoko Ndaba
Thomas Harrer
U. Ampunpong
V Müller
Vasilios Papastamopoulos
Verónica Mingrone
Vicente Estrada
Vicky Gioukari
Victoria Watson
W. A. I. P. Karunaratne
W. Carter
Winai Ratanasuwan
Wisit Prasithsirikul
Οlga Tsachouridou
author_facet David M. MacDonald
Sarah Samorodnitsky
Chris H. Wendt
Jason V. Baker
Gary Collins
Monica Kruk
Eric F. Lock
Roger Paredes
Selvamuthu Poongulali
Danielle O. Weise
Alan Winston
Robin Wood
Ken M. Kunisaki
INSIGHT START Pulmonary Substudy Group
Bitten Aagaard
Paul Jansson
Mary Pearson
Abdel G. Babiker
Alejandro Arenas‐Pinto
Nafisah B Atako
Edward A. Dennis
S. Forcat
Fleur Hudson
B. Jackson
Daphne Maas
Caitlin G. Purvis
C. T. Russell
Sean Emery
Cara Donahue Carey
Megan Clewett
Simone Jacoby
Fred M. Gordin
Michael J. Vjecha
Alejandro Sanchez
Guido Ruggero Loria
Marcela Doldán
André de Moricz
K. Tillmann
V Müller
Giota Touloumi
Vicky Gioukari
Olga Anagnostou
Pablo Herrero
Patricia López
Anchalee Avihingsanon
Patsamon Rerksirikul
Site Investigators by Country and institution
Eliana Loiza
Verónica Mingrone
Sofia Lupo
F Marconi
D. Daniel
Ana Crinejo
Martyn A. French
L. Barba
Diane Rowling
E. Warzywoda
Mark Bloch
Swati Agrawal
Dominic E. Dwyer
Bruce Taylor
Lida van Petersen
Luc Mertens
S De Wit
K. Kabamba
Marcelo Wolff
G Allendes
Matti Ristola
O. Debham
Henrik Jessen
Arne Jessen
S. Wiebecke
Hartwig Klinker
Gerd Fätkenheuer
Clara Lehmann
I. Knaevelsrud
M. Rittweger
Albrecht Stöhr
Karl S. Oláh
Bernhard Schaaf
Martin Hower
Thomas Harrer
Ellen G. Harrer
A. Skoutelis
Vasilios Papastamopoulos
Simeon Metallidis
Οlga Tsachouridou
Sanjay Pujari
Abhishek Chitalikar
N. Kumarasamy
Faith Esther Beulah
Eduardo Shahar
Eynat Kedem
Dan Turner
Juan Sierra Madero
Carlos Madrigal
Kamal Marhoum El Filali
I. Erradey
Ernest Ekong
Nnakelu Eriobu
Javier Valencia
Manuel Garza-León
Esmelda Montalbán
Jorge Alave
Raúl Salazar
Jesús Vega
M. del Portal
Fernando Mendo
Elżbieta Bąkowska
Anna Ignatowska
Marcin Czarnecki
Aleksandra Szymczak
Robin Wood
M. Rattley
S. Pillay
Rosie Mngqibisa
Thoko Ndaba
Paradise Madlala
Vicente Estrada
M.E. Rodrigo
M. Gutierrez
José Muñóz
David Dalmau
Cristina Badía
Bonaventura Clotet
Josep M. Llibre
Kiat Ruxrungtham
Sivaporn Gatechompol
Sasisopin Kiertiburanakul
Nutaporn Sanmeema
Chureeratana Bowonwatanuwong
U. Ampunpong
Wisit Prasithsirikul
Supeda Thongyen
Ploenchan Chetchotisakd
Siriluck Anunnatsiri
Winai Ratanasuwan
Peerawong Werarak
Cissy Kityo
H. Mugerwa
Paula Munderi
Joseph Lutaakome
Amanda Clarke
Andrew Bexley
Sayantan Das
Amandip Sahota
C R Emerson
Shannon McKernan
Margaret Johnson
M Youle
Jonathan Ross
J. W. Harding
Stephen Kegg
Tarik Moussaoui
Fangfang Chen
Sharonann Lynch
Andrew De Burgh-Thomas
W. A. I. P. Karunaratne
David H. Dockrell
C. Bowman
Alan Winston
Borja Mora‐Peris
David Chadwick
Peter Lambert
Neeraj Desai
W. Carter
Keith Henry
R. Givot
M. Chow
B. Holloway
Stephen E. Weis
I. Vecino
Richard M. Novak
Gabriel J. Culbert
Aimee Wilkin
Libyadda J. Mosley
Nathan M. Thielman
J. Granholm
Victoria Watson
C. Clark
Joary Vargas Santana
I. Boneta
Indira Brar
Linda Makohon
Rodger D. MacArthur
Marti J. Farrough
M. Frank
Sarah J. Parker
Ellen Tedaldi
Mayra C. Santiago
Susan L. Koletar
Heather Harber
D. Thomas
Ioana Bica
Benjamin Adams
C. VAN DAM
Michael A. Kolber
Karen Moreno
Amanda Brown
B Wade
author_sort David M. MacDonald
collection Producción científica
description Abstract Chronic obstructive pulmonary disease (COPD) is among the leading causes of death worldwide and HIV is an independent risk factor for the development of COPD. However, the etiology of this increased risk and means to identify persons with HIV (PWH) at highest risk for COPD have remained elusive. Biomarkers may reveal etiologic pathways and allow better COPD risk stratification. We performed a matched case:control study of PWH in the Strategic Timing of Antiretoviral Treatment (START) pulmonary substudy. Cases had rapid lung function decline (> 40 mL/year FEV 1 decline) and controls had stable lung function (+ 20 to − 20 mL/year). The analysis was performed in two distinct groups: (1) those who were virally suppressed for at least 6 months and (2) those with untreated HIV (from the START deferred treatment arm). We used linear mixed effects models to test the relationship between case:control status and blood concentrations of pneumoproteins (surfactant protein-D and club cell secretory protein), and biomarkers of inflammation (IL-6 and hsCRP) and coagulation (d-dimer and fibrinogen); concentrations were measured within ± 6 months of first included spirometry. We included an interaction with treatment group (untreated HIV vs viral suppression) to test if associations varied by treatment group. This analysis included 77 matched case:control pairs in the virally suppressed batch, and 42 matched case:control pairs in the untreated HIV batch (n = 238 total) who were followed for a median of 3 years. Median (IQR) CD4 + count was lowest in the controls with untreated HIV at 674 (580, 838). We found no significant associations between case:control status and pneumoprotein or biomarker concentrations in either virally suppressed or untreated PWH. In this cohort of relatively young, recently diagnosed PWH, concentrations of pneumoproteins and biomarkers of inflammation and coagulation were not associated with subsequent rapid lung function decline. Trial registration: NCT00867048 and NCT01797367.
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spelling oai:cris.upeu.edu.pe:20.500.15037/6572026-10-30T16:14:45ZPneumoproteins and biomarkers of inflammation and coagulation do not predict rapid lung function decline in people living with HIVDavid M. MacDonaldSarah SamorodnitskyChris H. WendtJason V. BakerGary CollinsMonica KrukEric F. LockRoger ParedesSelvamuthu PoongulaliDanielle O. WeiseAlan WinstonRobin WoodKen M. KunisakiINSIGHT START Pulmonary Substudy GroupBitten AagaardPaul JanssonMary PearsonAbdel G. BabikerAlejandro Arenas‐PintoNafisah B AtakoEdward A. DennisS. ForcatFleur HudsonB. JacksonDaphne MaasCaitlin G. PurvisC. T. RussellSean EmeryCara Donahue CareyMegan ClewettSimone JacobyFred M. GordinMichael J. VjechaAlejandro SanchezGuido Ruggero LoriaMarcela DoldánAndré de MoriczK. TillmannV MüllerGiota TouloumiVicky GioukariOlga AnagnostouPablo HerreroPatricia LópezAnchalee AvihingsanonPatsamon RerksirikulSite Investigators by Country and institutionEliana LoizaVerónica MingroneSofia LupoF MarconiD. DanielAna CrinejoMartyn A. FrenchL. BarbaDiane RowlingE. WarzywodaMark BlochSwati AgrawalDominic E. DwyerBruce TaylorLida van PetersenLuc MertensS De WitK. KabambaMarcelo WolffG AllendesMatti RistolaO. DebhamHenrik JessenArne JessenS. WiebeckeHartwig KlinkerGerd FätkenheuerClara LehmannI. KnaevelsrudM. RittwegerAlbrecht StöhrKarl S. OláhBernhard SchaafMartin HowerThomas HarrerEllen G. HarrerA. SkoutelisVasilios PapastamopoulosSimeon MetallidisΟlga TsachouridouSanjay PujariAbhishek ChitalikarN. KumarasamyFaith Esther BeulahEduardo ShaharEynat KedemDan TurnerJuan Sierra MaderoCarlos MadrigalKamal Marhoum El FilaliI. ErradeyErnest EkongNnakelu EriobuJavier ValenciaManuel Garza-LeónEsmelda MontalbánJorge AlaveRaúl SalazarJesús VegaM. del PortalFernando MendoElżbieta BąkowskaAnna IgnatowskaMarcin CzarneckiAleksandra SzymczakRobin WoodM. RattleyS. PillayRosie MngqibisaThoko NdabaParadise MadlalaVicente EstradaM.E. RodrigoM. GutierrezJosé MuñózDavid DalmauCristina BadíaBonaventura ClotetJosep M. LlibreKiat RuxrungthamSivaporn GatechompolSasisopin KiertiburanakulNutaporn SanmeemaChureeratana BowonwatanuwongU. AmpunpongWisit PrasithsirikulSupeda ThongyenPloenchan ChetchotisakdSiriluck AnunnatsiriWinai RatanasuwanPeerawong WerarakCissy KityoH. MugerwaPaula MunderiJoseph LutaakomeAmanda ClarkeAndrew BexleySayantan DasAmandip SahotaC R EmersonShannon McKernanMargaret JohnsonM YouleJonathan RossJ. W. HardingStephen KeggTarik MoussaouiFangfang ChenSharonann LynchAndrew De Burgh-ThomasW. A. I. P. KarunaratneDavid H. DockrellC. BowmanAlan WinstonBorja Mora‐PerisDavid ChadwickPeter LambertNeeraj DesaiW. CarterKeith HenryR. GivotM. ChowB. HollowayStephen E. WeisI. VecinoRichard M. NovakGabriel J. CulbertAimee WilkinLibyadda J. MosleyNathan M. ThielmanJ. GranholmVictoria WatsonC. ClarkJoary Vargas SantanaI. BonetaIndira BrarLinda MakohonRodger D. MacArthurMarti J. FarroughM. FrankSarah J. ParkerEllen TedaldiMayra C. SantiagoSusan L. KoletarHeather HarberD. ThomasIoana BicaBenjamin AdamsC. VAN DAMMichael A. KolberKaren MorenoAmanda BrownB WadeMedicineCOPDFibrinogenInternal medicineSpirometryImmunologyLungInflammationGastroenterologyEtiologyAsthmaMedicineCOPDFibrinogenInternal medicineSpirometryImmunologyLungInflammationGastroenterologyEtiologyHumansHumansHumansHumansInflammationInflammationInflammationInflammationLungLungLungLungBiomarkersBiomarkersBiomarkersBiomarkersHIV Infections complicationsHIV Infections complicationsHIV Infections complicationsHIV Infections complicationsHIV Infections drug therapyHIV Infections drug therapyHIV Infections drug therapyHIV Infections drug therapyPulmonary Disease, Chronic ObstructivePulmonary Disease, Chronic ObstructivePulmonary Disease, Chronic ObstructivePulmonary Disease, Chronic ObstructiveHealth Sciences Medicine Epidemiology Pneumocystis jirovecii pneumonia detection and treatmentHealth Sciences Medicine Emergency Medicine HIV-related health complications and treatmentsHealth Sciences Medicine Public Health, Environmental and Occupational Health HIV/AIDS oral health manifestationsAbstract Chronic obstructive pulmonary disease (COPD) is among the leading causes of death worldwide and HIV is an independent risk factor for the development of COPD. However, the etiology of this increased risk and means to identify persons with HIV (PWH) at highest risk for COPD have remained elusive. Biomarkers may reveal etiologic pathways and allow better COPD risk stratification. We performed a matched case:control study of PWH in the Strategic Timing of Antiretoviral Treatment (START) pulmonary substudy. Cases had rapid lung function decline (> 40 mL/year FEV 1 decline) and controls had stable lung function (+ 20 to − 20 mL/year). The analysis was performed in two distinct groups: (1) those who were virally suppressed for at least 6 months and (2) those with untreated HIV (from the START deferred treatment arm). We used linear mixed effects models to test the relationship between case:control status and blood concentrations of pneumoproteins (surfactant protein-D and club cell secretory protein), and biomarkers of inflammation (IL-6 and hsCRP) and coagulation (d-dimer and fibrinogen); concentrations were measured within ± 6 months of first included spirometry. We included an interaction with treatment group (untreated HIV vs viral suppression) to test if associations varied by treatment group. This analysis included 77 matched case:control pairs in the virally suppressed batch, and 42 matched case:control pairs in the untreated HIV batch (n = 238 total) who were followed for a median of 3 years. Median (IQR) CD4 + count was lowest in the controls with untreated HIV at 674 (580, 838). We found no significant associations between case:control status and pneumoprotein or biomarker concentrations in either virally suppressed or untreated PWH. In this cohort of relatively young, recently diagnosed PWH, concentrations of pneumoproteins and biomarkers of inflammation and coagulation were not associated with subsequent rapid lung function decline. Trial registration: NCT00867048 and NCT01797367.Articlehttps://pubmed.ncbi.nlm.nih.gov/36959289https://www.nature.com/articles/s41598-023-29739-x.pdfhttp://dx.doi.org/10.1038/s41598-023-29739-x10.1038/s41598-023-29739-xhttps://hdl.handle.net/20.500.15037/657W4360613813enScientific Reports2045-23222023-03-232026-06-13T09:29:18Z2026-06-13T09:29:18Z
spellingShingle Medicine
COPD
Fibrinogen
Internal medicine
Spirometry
Immunology
Lung
Inflammation
Gastroenterology
Etiology
Asthma
Medicine
COPD
Fibrinogen
Internal medicine
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Health Sciences Medicine Epidemiology Pneumocystis jirovecii pneumonia detection and treatment
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Pneumoproteins and biomarkers of inflammation and coagulation do not predict rapid lung function decline in people living with HIV
title Pneumoproteins and biomarkers of inflammation and coagulation do not predict rapid lung function decline in people living with HIV
title_full Pneumoproteins and biomarkers of inflammation and coagulation do not predict rapid lung function decline in people living with HIV
title_fullStr Pneumoproteins and biomarkers of inflammation and coagulation do not predict rapid lung function decline in people living with HIV
title_full_unstemmed Pneumoproteins and biomarkers of inflammation and coagulation do not predict rapid lung function decline in people living with HIV
title_short Pneumoproteins and biomarkers of inflammation and coagulation do not predict rapid lung function decline in people living with HIV
title_sort pneumoproteins and biomarkers of inflammation and coagulation do not predict rapid lung function decline in people living with hiv
topic Medicine
COPD
Fibrinogen
Internal medicine
Spirometry
Immunology
Lung
Inflammation
Gastroenterology
Etiology
Asthma
Medicine
COPD
Fibrinogen
Internal medicine
Spirometry
Immunology
Lung
Inflammation
Gastroenterology
Etiology
Humans
Humans
Humans
Humans
Inflammation
Inflammation
Inflammation
Inflammation
Lung
Lung
Lung
Lung
Biomarkers
Biomarkers
Biomarkers
Biomarkers
HIV Infections complications
HIV Infections complications
HIV Infections complications
HIV Infections complications
HIV Infections drug therapy
HIV Infections drug therapy
HIV Infections drug therapy
HIV Infections drug therapy
Pulmonary Disease, Chronic Obstructive
Pulmonary Disease, Chronic Obstructive
Pulmonary Disease, Chronic Obstructive
Pulmonary Disease, Chronic Obstructive
Health Sciences Medicine Epidemiology Pneumocystis jirovecii pneumonia detection and treatment
Health Sciences Medicine Emergency Medicine HIV-related health complications and treatments
Health Sciences Medicine Public Health, Environmental and Occupational Health HIV/AIDS oral health manifestations
topic_facet Medicine
COPD
Fibrinogen
Internal medicine
Spirometry
Immunology
Lung
Inflammation
Gastroenterology
Etiology
Asthma
Medicine
COPD
Fibrinogen
Internal medicine
Spirometry
Immunology
Lung
Inflammation
Gastroenterology
Etiology
Humans
Humans
Humans
Humans
Inflammation
Inflammation
Inflammation
Inflammation
Lung
Lung
Lung
Lung
Biomarkers
Biomarkers
Biomarkers
Biomarkers
HIV Infections complications
HIV Infections complications
HIV Infections complications
HIV Infections complications
HIV Infections drug therapy
HIV Infections drug therapy
HIV Infections drug therapy
HIV Infections drug therapy
Pulmonary Disease, Chronic Obstructive
Pulmonary Disease, Chronic Obstructive
Pulmonary Disease, Chronic Obstructive
Pulmonary Disease, Chronic Obstructive
Health Sciences Medicine Epidemiology Pneumocystis jirovecii pneumonia detection and treatment
Health Sciences Medicine Emergency Medicine HIV-related health complications and treatments
Health Sciences Medicine Public Health, Environmental and Occupational Health HIV/AIDS oral health manifestations
url https://pubmed.ncbi.nlm.nih.gov/36959289
https://www.nature.com/articles/s41598-023-29739-x.pdf
http://dx.doi.org/10.1038/s41598-023-29739-x
https://hdl.handle.net/20.500.15037/657
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AT waipkarunaratne pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT davidhdockrell pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT cbowman pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT alanwinston pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT borjamoraperis pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT davidchadwick pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT peterlambert pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT neerajdesai pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT wcarter pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT keithhenry pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT rgivot pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT mchow pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT bholloway pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT stepheneweis pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT ivecino pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT richardmnovak pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT gabrieljculbert pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT aimeewilkin pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT libyaddajmosley pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT nathanmthielman pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT jgranholm pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT victoriawatson pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT cclark pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT joaryvargassantana pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT iboneta pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT indirabrar pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT lindamakohon pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT rodgerdmacarthur pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT martijfarrough pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT mfrank pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT sarahjparker pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT ellentedaldi pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT mayracsantiago pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT susanlkoletar pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT heatherharber pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT dthomas pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT ioanabica pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT benjaminadams pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT cvandam pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT michaelakolber pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT karenmoreno pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT amandabrown pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv
AT bwade pneumoproteinsandbiomarkersofinflammationandcoagulationdonotpredictrapidlungfunctiondeclineinpeoplelivingwithhiv