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@ARTICLE{BarZiv:289206,
author = {O. Bar Ziv and A. Cahn and T. Jansen and V. Istomin and E.
Kedem and K. Olshtain-Pops and S. Israel and Y. Oster and E.
Orenbuch-Harroch and M. Korem and J. Strahilevitz and I.
Levy and R. Valdés-Mas and V. Ivanova and E. Elinav$^*$ and
E. Shahar and H. Elinav},
title = {{D}iagnosis and {R}isk {F}actors of {P}rediabetes and
{D}iabetes in {P}eople {L}iving with {HIV}- {E}valuation of
{C}linical and {M}icrobiome {P}arameters.},
journal = {The journal of infectious diseases},
volume = {230},
number = {2},
issn = {0022-1899},
address = {Oxford [u.a.]},
publisher = {Oxford Univ. Press},
reportid = {DKFZ-2024-00640},
pages = {411-420},
year = {2024},
note = {2024 Aug 16;230(2):411-420},
abstract = {Diabetes is more common among people living with HIV
(PLWH), as compared with healthy individuals. In a
prospective multicenter study (N = 248), we identified
normoglycemic $(48.7\%),$ prediabetic $(44.4\%)$ and
diabetic $(6.9\%)$ PLWH. HbA1c and fasting blood glucose
(FBG) sensitivity in defining dysglycemia was $96.8\%,$
while addition of oral glucose tolerance test led to
reclassification of only 4 patients. Inclusion of 93
additional PLWH with known DM enabled identification of
multiple independent predictors of dysglycemia or diabetes:
older age, higher BMI, Ethiopian origin, HIV duration, lower
integrase inhibitor exposure and advanced disease at
diagnosis. Shotgun metagenomic microbiome analysis revealed
4 species that were significantly expanded with
hyperglycemia/hyperinsulinemia, and 2 species that were
differentially more prevalent in prediabetic/diabetic PLWH.
Collectively, we uncover multiple potential host and
microbiome predictors of altered glycemic status in PLWH,
while demonstrating that FBG and HbA1C likely suffice for
diabetes screening. These potential diabetic predictors
merit future prospective validation.},
keywords = {HIV/AIDS (Other) / Prediction and Prevention (Other) / Type
2 Diabetes (Other) / microbiome (Other) / prediabetes
(Other)},
cin = {F220 / D480},
ddc = {610},
cid = {I:(DE-He78)F220-20160331 / I:(DE-He78)D480-20160331},
pnm = {314 - Immunologie und Krebs (POF4-314)},
pid = {G:(DE-HGF)POF4-314},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:38557867},
doi = {10.1093/infdis/jiae167},
url = {https://inrepo02.dkfz.de/record/289206},
}