Age-related clonal hematopoiesis and HIV infection are associated with geriatric outcomes: The ARCHIVE study

Win Min Han, Hossain M.S. Sazzad, Mark Bloch, David A. Baker, Norman Roth, Ellen Bowden-Reid, Don Smith, Jennifer F. Hoy, Ian Woolley, Robert Finlayson, David J. Templeton, Gail Matthews, Jane Costello, Mark A. Dawson, Sarah Jane Dawson, Mark N. Polizzotto, Kathy Petoumenos, Paul Yeh, Nila J. Dharan, The ARCHIVE Study Group

Research output: Contribution to journalArticleResearchpeer-review

Abstract

While HIV infection and clonal hematopoiesis (CH) have been linked with inflammatory dysregulation and an increased risk of aging-related comorbidities, their relationship with clinical geriatric syndromes has not been well defined. In the Age-related Clonal Haematopoiesis in an HIV Evaluation Cohort (ARCHIVE) study (NCT04641013), we measure associations between HIV and CH and geriatric syndromes. Of 345 participants (176 with HIV and 169 without HIV), 23% had at least one mutation associated with CH: 27% with HIV and 18% without HIV (p = 0.048). In adjusted analyses, HIV infection is independently associated with increased phenotypic age acceleration (coefficient 1.73, 95% confidence interval [CI] 0.3, 3.16) and CH is independently associated with being frail (vs. pre-frail/robust; odds ratio 2.38, 95% CI 1.01, 5.67) and with having reduced quality of life (coefficient −2.18, 95% CI −3.92, −0.44). Our findings suggest that HIV is associated with increased biological age and that CH may be used as a biomarker for adverse geriatric outcomes.

Original languageEnglish
Article number101835
Number of pages15
JournalCell Reports Medicine
Volume5
Issue number12
DOIs
Publication statusPublished - 17 Dec 2024

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • aging-related comorbidities
  • clonal hematopoiesis
  • frailty
  • geriatric syndromes
  • HIV
  • multimorbidity
  • phenotypic age acceleration
  • quality of life

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