Perinatally acquired HIV infection accelerates epigenetic aging in South African adolescents.

Journal: AIDS (London, England)

Volume: 32

Issue: 11

Year of Publication: 2019

Affiliated Institutions:  Department of Human Genetics, David Geffen School of Medicine. MRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry and Mental Health, University of Cape Town, J-Block, Groote Schuur Hospital, Observatory, Cape Town, South Africa. Centre for Molecular Medicine and Therapeutics, Department of Medical Genetics, British Columbia Children's Hospital Research Institute, Vancouver, British Columbia, Canada. Centre for Infectious Disease Epidemiology and Research. Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital. Department of Neurology, David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, California, USA.

Abstract summary 

Recent studies demonstrate that infection with the HIV-1 is associated with accelerated aging effects in adults according to a highly accurate epigenetic biomarker of aging known as epigenetic clock. However, it is not yet known whether epigenetic age acceleration occurs as early as adolescence in perinatally HIV-infected (PHIV+) youth.Observational study of PHIV and HIV-uninfected adolescents enrolled in the Cape Town Adolescent Antiretroviral Cohort Study.The Illumina EPIC array was used to generate blood DNA methylation data from 204 PHIV and 44 age-matched, uninfected (HIV-) adolescents aged 9-12 years old. The epigenetic clock software and method was used to estimate two measures of epigenetic age acceleration. Each participant completed a comprehensive neuropsychological test battery upon enrollment to Cape Town Adolescent Antiretroviral Cohort.HIV is associated with biologically older blood in PHIV+ adolescents according to both measures of epigenetic age acceleration. One of the measures, extrinsic epigenetic age acceleration, is negatively correlated with measures of cognitive functioning (executive functioning, working memory, processing speed).Overall, our results indicate that epigenetic age acceleration in blood can be observed in PHIV+ adolescents and that these epigenetic changes accompany poorer cognitive functioning.

Authors & Co-authors:  Horvath Steve S Stein Dan J DJ Phillips Nicole N Heany Sarah J SJ Kobor Michael S MS Lin David T S DTS Myer Landon L Zar Heather J HJ Levine Andrew J AJ Hoare Jacqueline J

Study Outcome 

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Citations :  Ruel TD, Boivin MJ, Boal HE, Bangirana P, Charlebois E, Havlir DV, et al. Neurocognitive and motor deficits in HIV-infected Ugandan children with high CD4 cell counts. Clin Infect Dis. 2012;54(7):1001–1009.
Authors :  10
Identifiers
Doi : 10.1097/QAD.0000000000001854
SSN : 1473-5571
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Study Design
Cohort Study,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
England