Effects of tenofovir on telomeres, telomerase and T cell maturational subset distribution in long-term aviraemic HIV-infected adults

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OBJECTIVES: To evaluate whether the negative impact of tenofovir on telomere length (TL) is due to immune reconstitution interference or inhibition of telomerase.

METHODS: One hundred and twenty-eight long-term aviraemic HIV adults treated with tenofovir-containing (n = 79) or tenofovir-sparing regimens (n = 49) were recruited to compare the following: TL in whole blood, PBMCs, CD4+ T cells and CD8+ T cells by quantitative PCR (qPCR); telomerase activity in PBMCs, CD4+ cells and CD8+ T cells using the TRAPeze RT Telomerase Detection Kit; and T cell maturational subset distribution by flow cytometry.

RESULTS: In an adjusted analysis, participants treated with tenofovir for at least 4 years had shorter TL in CD8+ T cells (P = 0.04) and lower telomerase activity in CD4+ (P = 0.012) and CD8+ T cells (P = 0.023). Tenofovir treatment was also associated with lower proportions of recent thymic emigrant (RTE) CD4+ cells (P = 0.031) and PD1 marker expression (P = 0.013).

CONCLUSIONS: In long-term aviraemic HIV adults, the inhibition of telomerase by tenofovir could explain telomere shortening in CD8+ T cells. There is no telomere shortening in the CD4+ compartment and the decrease in telomerase activity could be explained both by the inhibition by tenofovir and by the lower proportion of RTE CD4+cells.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:77

Enthalten in:

The Journal of antimicrobial chemotherapy - 77(2022), 4 vom: 31. März, Seite 1125-1132

Sprache:

Englisch

Beteiligte Personen:

Rodríguez-Centeno, Javier [VerfasserIn]
Esteban-Cantos, Andrés [VerfasserIn]
Montejano, Rocío [VerfasserIn]
Stella-Ascariz, Natalia [VerfasserIn]
De Miguel, Rosa [VerfasserIn]
Mena-Garay, Beatriz [VerfasserIn]
Saiz-Medrano, Gabriel [VerfasserIn]
Alejos, Belén [VerfasserIn]
Jiménez-González, María [VerfasserIn]
Bernardino, Jose I [VerfasserIn]
Cadiñanos, Julen [VerfasserIn]
Castro-Alvarez, Juan M [VerfasserIn]
Rodés, Berta [VerfasserIn]
Arribas, Jose R [VerfasserIn]

Links:

Volltext

Themen:

99YXE507IL
EC 2.7.7.49
Journal Article
Research Support, Non-U.S. Gov't
Telomerase
Tenofovir

Anmerkungen:

Date Completed 01.04.2022

Date Revised 02.06.2022

published: Print

Citation Status MEDLINE

doi:

10.1093/jac/dkab492

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM335798594