Is the telomere length associated with neurocognitive disabilities in HIV-1-infected subjects?

Rev Inst Med Trop Sao Paulo. 2018:60:e16. doi: 10.1590/s1678-9946201860016. Epub 2018 Apr 23.

Abstract

Objective: We evaluated the association between cognitive deficits and leukocyte telomere length (LTL) in HIV-1-infected individuals.

Design: 73 HIV-1-infected patients undergoing neuropsychological evaluation and 91 healthy controls were included in this study. Fifteen HIV-1 positive patients did not have cognitive disorders whereas 26 had asymptomatic neurocognitive disorder (ANI), 13 presented mild to moderate neurocognitive disorder (MND), and 10 had HIV-associated dementia (HAD).

Methods: DNA from the peripheral blood of HIV-1-infected patients was used for measurement of telomere length by real-time PCR. HIV-1 viral load was determined in blood.

Results: LTL decreased with age in healthy controls (p=0.0001). Regardless of the HIV status, age-matched LTL from HIV patients, including those with ANI and MND, were shortened in comparison to the healthy control group (p=0.0073); however, no association was found among the HIV-1-infected individuals with cognitive deficits (p=0.01). In addition, no gender-related association with LTL was observed (p=0.80), smoking, physical exercise, and plasma viral load were not correlated to telomere length (p=0.66).

Conclusions: We concluded that leukocyte telomere length may not be a marker of cellular senescence in individuals with HIV infection and neurocognitive disorders.

MeSH terms

  • Age Factors
  • Analysis of Variance
  • Case-Control Studies
  • Female
  • HIV Infections / genetics*
  • HIV Infections / psychology*
  • HIV-1*
  • Humans
  • Leukocytes / virology
  • Male
  • Middle Aged
  • Neurocognitive Disorders / genetics*
  • Neurocognitive Disorders / virology*
  • Neuropsychological Tests
  • Real-Time Polymerase Chain Reaction
  • Reference Values
  • Statistics, Nonparametric
  • Surveys and Questionnaires
  • Telomere / genetics*
  • Telomere Homeostasis / genetics*
  • Viral Load