. Aging and infectious diseases: workshop on HIV infection and aging: what is known and future research directions.
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Highly active antiretroviral treatment has resulted in dramatically increased life expectancy among patients with HIV infection who are now aging while receiving treatment and are at risk of developing chronic diseases associated with advanced age. Similarities between aging and the courses of human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome suggest that HIV infection compresses the aging process, perhaps accelerating comorbidities and frailty. In a workshop organized by the Association of Specialty Professors, the Infectious Diseases Society of America, the HIV Medical Association, the National Institute on Aging, and the National Institute on Allergy and Infectious Diseases, researchers in infectious diseases, geriatrics, immunology, and gerontology met to review what is known about HIV infection and aging, to identify research gaps, and to suggest high priority topics for future research. Answers to the questions posed are likely to help prioritize and balance strategies to slow the progression of HIV infection, to address comorbidities and drug toxicity, and to enhance understanding about both HIV infection and aging.
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The cumulative burden of HIV-related complications reduces a person's ability to compensate and respond to many events, which collectively results in onset of frailty and other geriatric syndromes.
“The cumulative burden of these complications reduces a person’s ability to compensate and respond to many events, which collectively results in onset of frailty and other geriatric syndromes (15, 17, 48).”
From HIV and Aging: State of Knowledge and Areas of Critical Need for Research. A Report to the NIH Office of AIDS Research by the HIV and Aging Working Group (2012) · cites this paper as [15]
The mechanisms accounting for the excess risk of HANA conditions in long-term treated HIV-infected adults likely include persistent immune dysfunction/inflammation, treatment toxicity, co-infections such as CMV, HCV, and HBV, and traditional risk factors including use of alcohol, tobacco, and psychoactive drugs.
“The mechanisms accounting for this excess risk likely include persistent immune dysfunction/inflammation, treatment toxicity, co-infections such as CMV, HCV and hepatitis B virus (HBV) and traditional risk factors (including use of alcohol, tobacco, and psychoactive drugs) (15,47,48).”
From HIV and Aging: State of Knowledge and Areas of Critical Need for Research. A Report to the NIH Office of AIDS Research by the HIV and Aging Working Group (2012) · cites this paper as [15]
eGFR is an important component in multi-variate models of mortality and hospitalization in HIV-infected persons.
“However, eGFR can be readily obtained from standard blood chemistry panels and is an important component in multi-variate models of mortality and hospitalization in HIV-infected persons (15, 17, 48, 55).”
From HIV and Aging: State of Knowledge and Areas of Critical Need for Research. A Report to the NIH Office of AIDS Research by the HIV and Aging Working Group (2012) · cites this paper as [15]
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- Authors
- Effros, R. B., Fletcher, C. V., Gebo, K., Halter, J. B., Hazzard, W. R., Horne, F. M., Huebner, R. E., Janoff, E. N., Justice, A. C., Kuritzkes, D., Nayfield, S. G., Plaeger, S. F., Schmader, K. E., Ashworth, J. R., Campanelli, C., Clayton, C. P., Rada, B., Woolard, N. F., & High, K. P.
- Affiliations
- University of California, Los Angeles (US)
- University of Nebraska at Omaha (US)
- Johns Hopkins University (US)
- University of Michigan (US)
- VA Puget Sound Health Care System (US)
- National Institutes of Health (US)
- University of Colorado Anschutz (US)
- Yale University (US)
- Brigham and Women's Hospital (US)
- Duke University (US)
- American Geriatrics Society (US)
- Infectious Diseases Society of America (US)
- Wake Forest University Health Sciences (US)
- ORCID
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-08-15
- Volume
- 47
- Issue
- 4
- Pages
- 542-553
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- PMC
- PMC3130308
- OpenAlex
- W2095748010
- Cited by
- 539
- References
- 178
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 11 · 2023: 15 · 2022: 17 · 2021: 11 · 2020: 27 · 2019: 17 · 2018: 18 · 2017: 35 · 2016: 42 · 2015: 51 · 2014: 64 · 2013: 70 · 2012: 49
- FWCI
- 37.33
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (U10AA013566)
- Topics
- Health Sciences › Medicine › Emergency Medicine › HIV-related health complications and treatments
- Life Sciences › Immunology and Microbiology › Virology › HIV Research and Treatment
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- HIV infection, aging, AIDS, highly active antiretroviral therapy, comorbidities, frailty, drug toxicity, research priorities
- MeSH terms
- Adolescent, Adult, Aged, Aging, Child, Humans, Immunity, Kidney Diseases, Liver Diseases, Metabolic Diseases, Middle Aged, Research, HIV-1, HIV Infections, Age Distribution, Antiretroviral Therapy, Highly Active
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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