Clinical Epigenetics

Telomere estimate has stronger health links in people with HIV

A cross-sectional comparison in 160 untreated and 143 long-term treated people with HIV found stronger links using an estimate based on DNA chemical marks.

Cross-sectional study of people living with HIVBiomarkers

160 participants

Limit: Future health outcomes were not measured

Stake: Gilead Sciences funded the study.

Edited by Boris Djordjevic · AgingResearch.News

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The cross-sectional study compared blood measures in 160 people with HIV who had never received HIV medicines and 143 long-term treated people with sustained viral suppression. Researchers estimated the length of telomeres, protective caps at chromosome ends, from DNA methylation, chemical marks on DNA. They compared this with a standard DNA-amplification test.

The measures were moderately correlated. Older age was linked to shorter telomere measures, more strongly with the DNA-mark estimate. The estimate also showed stronger links to female sex and ethnicity. Among never-treated participants, shorter estimates remained linked to higher blood virus levels and a lower ratio of two types of immune cells after adjustment for other factors. Among treated participants, shorter estimates remained linked to active hepatitis C coinfection and type 2 diabetes. The standard test showed no links to those conditions.

Why it matters

Telomere length is used as a marker of biological aging, making the choice of measurement important for research on how people with HIV age.

Caveats

This cross-sectional study measured associations, not causes or future health outcomes. The findings need validation and do not establish how well the estimate works in people without HIV.