RESEARCH ARTICLE


HIV and HAART-Associated Dyslipidemia



Eoin R Feeney1, *, Patrick W.G Mallon 1, 2
1 HIV Molecular Research Group, School of Medicine and Medical Science, University College Dublin, Dublin, Ireland
2 Department of Infectious Diseases, Mater Misericordiae University Hospital, Dublin, Ireland


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© Feeney and Mallon; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the School of Medicine and Medical Science, University College Dublin, Dublin 2, Ireland; Tel: +353 1 7166518; Fax: +353 1 7166335; E-mail: eoin.feeney@ucd.ie


Abstract

Effective highly active antiretroviral therapy (HAART) for human immunodeficiency virus-1 (HIV) infection has led to marked improvement in life-expectancy for those infected with HIV. Despite reductions in the incidence of AIDS with effective treatment, patients continue to experience considerable morbidity and mortality from non-AIDS illness such as premature cardiovascular disease, liver failure and renal failure. These morbidities, particularly premature cardiovascular disease, are thought to be related to a combination of the effects of an ageing HIV-infected population coupled with long-term effects of HIV infection and antiretroviral therapy (ART). One of the principle drivers behind the well documented increase in the risk of cardiovascular disease in HIV-infected patients is dyslipidemia.

This review will focus on the clinical presentation of HIV and ART-associated dyslipidemia, what is known of its patho-physiology, including associations with use of specific antiretroviral medications, and suggest screening and management strategies.

Keywords: HIV, HAART, dyslipidemia, cholesterol, triglycerides, lipids..