背景:慢性/潜伏病毒感染可能加速免疫老化,特别是艾滋病毒感染者(PLWH)。我们对整个生命周期中的慢性/潜伏病毒感染进行了表征,并研究了它们与白细胞端粒长度(LTL)的关系。
方法:参加CARMA队列研究的参与者被随机选择,包括0至>60岁之间的每个十年的n=15,对于每个性别,和每个艾滋病毒状况。巨细胞病毒(CMV),EB病毒(EBV)人类疱疹病毒8(HHV-8),单纯疱疹病毒1(HSV-1),和HSV-2感染进行血清学测定;HIV,丙型肝炎(HCV),和乙型肝炎(HBV)自我报告。使用单色多重qPCR测量LTL。病毒数量之间的关联,LTL,和社会人口统计学因素使用序数logistic和线性回归模型进行评估。
结果:该研究包括187名PLWH(105名女性/82名男性)和190名HIV阴性参与者(105名女性/84名男性)。年龄从0.7到76.1岁不等。与艾滋病毒一起生活,年纪大了,女性与携带更多慢性/潜伏性非HIV病毒有关。有更多的感染反过来又与较短的LTL相关。在多变量分析中,年龄较大,与艾滋病毒一起生活,女性仍然独立地与感染更多相关,同时有3-4种病毒(vs.0-2)与较短的LTL相关。
结论:我们的结果表明,持续性病毒感染在PLWH和女性中更为普遍,这些可能会导致免疫老化。这是否与以后生活中的合并症有关仍然是一个重要的问题。
Chronic/latent viral infections may accelerate immunological aging, particularly among people living with HIV (PLWH). We characterized chronic/latent virus infections across their lifespan and investigated their associations with leukocyte telomere length (LTL).
Participants enrolled in the CARMA cohort study were randomly selected to include n = 15 for each decade of age between 0 and >60 y, for each sex, and each HIV status. Cytomegalovirus (CMV), Epstein-Barr virus (EBV), human herpesvirus 8 (HHV-8), herpes simplex virus 1 (HSV-1), and HSV-2 infection were determined serologically; HIV, hepatitis C (HCV), and hepatitis B (HBV) were self-reported. LTLs were measured using monochrome multiplex qPCR. Associations between the number of viruses, LTL, and sociodemographic factors were assessed using ordinal logistic and linear regression modeling.
The study included 187 PLWH (105 female/82 male) and 190 HIV-negative participants (105 female/84 male), ranging in age from 0.7 to 76.1 years. Living with HIV, being older, and being female were associated with harbouring a greater number of chronic/latent non-HIV viruses. Having more infections was in turn bivariately associated with a shorter LTL. In multivariable analyses, older age, living with HIV, and the female sex remained independently associated with having more infections, while having 3-4 viruses (vs. 0-2) was associated with a shorter LTL.
Our results suggest that persistent viral infections are more prevalent in PLWH and females, and that these may contribute to immunological aging. Whether this is associated with comorbidities later in life remains an important question.