Altered phosphate metabolism in HIV-1-infected patients with metabolic syndrome

Abstract

Metabolic syndrome (MS) represents a cluster of cardiovascular risk factors that has become a serious problem for HIV-1-infected patients. It has been proposed that disturbance of phosphate metabolism may represent a key feature of MS. Thus, we undertook the present study to investigate the relationship between phosphate levels and the presence of the characteristics of MS. Methods: One hundred and twenty-one HIV-1-infected patients were consecutively enrolled in a prospective, cross-sectional, single-centre study. Kidney tubular function was examined using tubular resorption of phosphate and normalized renal threshold phosphate concentration. Results: Univariate analysis showed that serum phosphate levels correlated negatively with systolic and diastolic blood pressure, glucose values, waist circumference, insulin, and triglycerides. Moreover, there was a positive relationship between phosphate and high-density lipoprotein (HDL) cholesterol. Multivariate analysis showed that insulin levels were correlated with serum phosphate concentration (r = - 0.24, p = 0.01). Conclusions: Our data show that HIV-1-infected patients with MS have lower phosphate levels. © 2012 Informa Healthcare.


Autore Pugliese

Tutti gli autori

  • Grima P.; Guido M.; Chiavaroli R.; Stano F.; Tundo P.; Tana M.; De Donno A.; Zizza A.

Titolo volume/Rivista

Scandinavian journal of infectious diseases


Anno di pubblicazione

2012

ISSN

1651-1980

ISBN

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