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 PMID:29679637  

Recent stimulant use and leukocyte gene expression in methamphetamine users with treated HIV infection.

Adam W Carrico | Annesa Flentje | Kord Kober | Sulggi Lee | Peter Hunt | Elise D Riley | Steven Shoptaw | Elena Flowers | Samantha E Dilworth | Savita Pahwa | Bradley E Aouizerat
Brain, behavior, and immunity | 2018

Stimulant use may accelerate HIV disease progression through biological and behavioral pathways. However, scant research with treated HIV-positive persons has examined stimulant-associated alterations in pathophysiologic processes relevant to HIV pathogenesis. In a sample of 55 HIV-positive, methamphetamine-using sexual minority men with a viral load less than 200 copies/mL, we conducted RNA sequencing to examine patterns of leukocyte gene expression in participants who had a urine sample that was reactive for stimulants (n = 27) as compared to those who tested non-reactive (n = 28). Results indicated differential expression of 32 genes and perturbation of 168 pathways in recent stimulant users. We observed statistically significant differential expression of single genes previously associated with HIV latency, cell cycle regulation, and immune activation in recent stimulant users (false discovery rate p < 0.10). Pathway analyses indicated enrichment for genes associated with inflammation, innate immune activation, neuroendocrine hormone regulation, and neurotransmitter synthesis. Recent stimulant users displayed concurrent elevations in plasma levels of tumor necrosis factor - alpha (TNF-α) but not interleukin 6 (IL-6). Further research is needed to examine the bio-behavioral mechanisms whereby stimulant use may contribute to HIV persistence and disease progression.

Pubmed ID: 29679637

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Associated grants

  • Agency: NCATS NIH HHS, United States
    Id: UL1 TR001872
  • Agency: NIGMS NIH HHS, United States
    Id: K23 GM112526
  • Agency: NIDA NIH HHS, United States
    Id: K24 DA039780
  • Agency: NIMH NIH HHS, United States
    Id: P30 MH058107
  • Agency: NIH HHS, United States
    Id: S10 OD018174
  • Agency: NIAID NIH HHS, United States
    Id: P30 AI073961
  • Agency: NIAID NIH HHS, United States
    Id: P30 AI027763
  • Agency: NIDA NIH HHS, United States
    Id: K23 DA039800
  • Agency: NIDA NIH HHS, United States
    Id: T32 DA007250
  • Agency: NIDA NIH HHS, United States
    Id: R01 DA033854

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RRID:SCR_002344

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RRID:SCR_002473

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