DBP rs7041 and DHCR7 rs3829251 are Linked to CD4 + Recovery in HIV Patients on Antiretroviral Therapy.

Background: The lack of the recovery of CD4 ⁺ T-cells (CD4 ⁺ recovery) among immunodeficiency virus (HIV)-infected patients on antiretroviral therapy (ART) is not well known. We aimed to analyze the association between single nucleotide polymorphisms (SNPs) underlying vitamin D metabolism and the CD4 ⁺ recovery in naïve HIV-infected patients who started ART with low baseline CD4 ⁺ . Methods: We conducted a retrospective study in 411 naïve individuals with plasma HIV load >200 copies/mL and CD4 ⁺ <200 cells/mm ³ . During 24 months of follow-up, all patients had plasma HIV load <50 copies/mL. DNA genotyping was performed using the Sequenom MassARRAY platform. The outcome variable was the change in CD4 ⁺ during the study. Results: CD4 ⁺ recovery was higher in patients carrying DBP rs7041 AA genotype (AA versus CC/AC) and DHCR7 rs3829251 AA genotype (AA versus GG/AG) ( p -value < 0.05). DBP rs7041 AA genotype was linked to increase in CD4 ⁺ (adjusted arithmetic mean ratio (aAMR) = 1.22; q -value = 0.011), increase in CD4 ⁺ ≥P75th [adjusted odds ratio (aOR) = 2.31; q -value = 0.005], slope of CD4 ⁺ recovery (aAMR = 1.25; q -value = 0.008), slope of CD4 ⁺ recovery ≥ P75th (aOR = 2.55; q -value = 0.005) and achievement of CD4 ⁺ ≥500 cells/mm ³ (aOR = 1.89; q -value = 0.023). Besides, DHCR7 rs3829251 AA genotype was related to increase in CD4 ⁺ (aAMR = 1.43; q -value = 0.031), increase in CD4 ⁺ ≥P75th (aOR = 3.92; q -value = 0.030), slope of CD4 ⁺ recovery (aAMR = 1.40; q -value = 0.036), slope of CD4 ⁺ recovery ≥ P75th (aOR = 3.42; q -value = 0.031) and achievement of CD4 ⁺ ≥500 cells/mm ³ (aOR = 5.68; q -value = 0.015). Conclusion: In summary, DHCR7 rs3829251 and DBP rs7041 polymorphisms were associated with CD4 ⁺ recovery in HIV-infected patients who started cART with low CD4 ⁺ T-cell counts.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2022 Resino, Jiménez-Sousa, Blanco, Pacheco, del Romero, Peraire, Virseda-Berdices, Muñoz-Gómez, Galera-Peñaranda, García-Fraile, Benito and Rallón.)