We previously reported

a decrease in PON1 activity and an increase in PON1 concentration in HIV-infected patients [27]. The aim of the present study was to investigate, in a cohort of HIV-infected patients, the relationships among the presence of subclinical atherosclerosis (measured as CIMT), individual CVD risk (estimated using the FRS), and the measured circulating levels of inflammation and oxidation biomarkers. The study was observational and cross-sectional. We recruited 187 consecutive HIV-positive patients attending the clinics of the Hospital Universitari de Sant Joan. The exclusion criteria were age <18 years, having an AIDS-related opportunistic disease at the beginning of the study, or having a previous history of clinical CVD. The study was approved by the Ethics Committee of the Hospital and written informed consent was obtained from all the participants in the study. A detailed clinical history was taken Trametinib research buy and a thorough physical examination performed at interview. Anthropometric variables, including body mass index (BMI), gender, age, smoking status and treatment with hypolipidaemic or antiretroviral drugs were recorded. The presence of hypertension

or diabetes was defined according to standard international criteria [8]. Lipodystrophy was defined as the presence of body fat changes that could be clearly recognized by the patient and confirmed by the doctor. Body fat changes included subcutaneous lipoatrophy (hollow cheeks, prominent superficial veins on the limbs, or flattening of the buttocks) and central obesity (increased abdominal girth, breast Idelalisib supplier enlargement, or dorsocervical fat pad) [21,22]. A sample of fasting venous

blood was obtained during the clinical examination. Serum glucose, cholesterol and triglyceride concentrations were measured by standard methods (Beckman-Coulter, Fullerton, CA, USA). HDL cholesterol was analysed using a homogeneous method (Beckman-Coulter). LDL concentrations were calculated using the Friedewald formula [28]. Serum apolipoprotein (apo) A-I and IL-6 concentrations were determined by immunoturbidimetry (Beckman-Coulter). Plasma viral load was measured with the Cobas® TaqMan Methisazone HIV-1 assay (Roche, Basel, Switzerland) and CD4 T-cell count was determined by flow cytometry (Beckman-Coulter). The serum concentration of oxLDL was measured by enzyme-linked immunosorbent assay (ELISA) (Mercodia, Uppsala, Sweden). The serum concentration of CRP was measured using a high-sensitivity method (Beckman-Coulter) [29]. The plasma concentration of MCP-1 was measured by ELISA (Human MCP-1 ELISA Development Kit; Peprotech, London, UK). Serum PON1 activity and concentration were analysed as previously reported [29,30]. The 10-year CVD risk was assessed in all patients by applying the FRS. We categorized individuals on the basis of three levels of CVD risk: low (<10%), moderate (10–20%) and high (>20%).