In a reciprocal manner, adipocytes and their precursors interact with the immune system through the release of various cytokines, potentially linking fat and inflammation [2]. Interleukin-17A (IL-17A) is a recently discovered cytokine produced primarily in T-helper 17 (Th17) cells which play a role in a variety of inflammatory conditions [3] and HIV infection [4]. In adipose tissue, IL-17A is
an important regulator of adipogenesis in murine models, and in vitro it acts on preadipocytes and adipocytes to inhibit adipogenesis [5, 6]. However, the relevance of IL-17 to human obesity remains to be established. The pathway regulating the association between IL-17A and obesity remains controversial, and the association between Th17 cells and adipose tissue inflammation remains to be determined. There are no data on the role of IL-17A click here in adipogenesis or obesity in HIV-1-infected subjects. The aim of the study was to assess the correlation between IL-7A plasma level and visceral obesity in HIV-1-infected patients. Eighty-four patients between 18 and 70 years of age with a chronic HIV-1 infection, who had been
on highly active antiretroviral therapy (HAART) for more than 6 months, were consecutively recruited. An in-depth assessment was performed, including HIV disease history, duration of HAART and infection, viral load, metabolic parameters, BMI, abdominal waist circumference, smoking status and blood Z-VAD-FMK solubility dmso pressure. Subjects were excluded from participating if they had any of the following clinical conditions: active AIDS-defining illness, active drug abuse or alcohol abuse. HIV-1-infected patients were divided into two groups. The first group comprised patients with a diagnosis of visceral obesity. The second group included patients for whom a diagnosis of visceral obesity had been excluded. Forty-six subjects (23 with visceral obesity and 23 without) Paclitaxel clinical trial negative for HIV infection were also selected to match HIV-positive patients in terms of age range and gender distribution as a control
group. The diagnosis of central obesity was confirmed by measurement of visceral fat thickness based on ultrasound measurement of the PRFD/BMI ratio according to previously published data [7-9]. For ultrasound measurement, a Logiq 5 ultrasound scanner (General Electric Medical Systems, Wallingford, CT) equipped with a 3.75-MHz convex probe was used. Sonographic evaluation of visceral obesity was performed by a single trained sonographer blinded to the patients’ data. For each subject, an aliquot of serum sample was collected and stored at −80°C. Serum IL-17 was measured by enzyme-linked immunosorbent assay (ELISA; R&D Systems, Abingdon, UK) in duplicate, adding 100 μL of serum per well following the manufacturer’s recommendations.