Brief Report: No Evidence for an Association Between Statin Use and Lower Biomarkers of HIV Persistence or Immune Activation/Inflammation During Effective ART.

BACKGROUND: Statins exert pleiotropic anti-inflammatory and immune-modulatory effects, which might translate into antiviral activity. We evaluated whether reported current statin exposure is associated with lower levels of markers of HIV persistence and immune activation/inflammation. METHODS: We compared levels of markers of HIV viral persistence [cell-associated HIV RNA (CA-RNA), CA-DNA, and single copy assay plasma HIV RNA] and immune activation/inflammation (IL-6, IP-10, neopterin, sCD14, sCD163, and TNF-alpha) between statin users and nonusers among participants of ACTG A5321 who initiated antiretroviral therapy (ART) during chronic infection and maintained virologic suppression (HIV-1 RNA levels ≤50 copies/mL) for ≥3 years. RESULTS: A total of 303 participants were analyzed. Median time on the current statin was 2.9 years (1.2-5.1). There were no differences between statin users and nonusers in levels of CA-DNA (median 650 vs. 540 copies/10 CD4 T cells; P = 0.58), CA-RNA (53 vs. 37 copies/10 CD4 T cells; P = 0.12), or single copy assay (0.4 vs. 0.4 copies/mL; P = 0.45). Similarly, there were no significant differences between statin users and nonusers in markers of inflammation/activation, except for IP-10 (137 vs. 118 pg/mL; P = 0.028). Findings were unchanged after adjustment for factors including pre-ART CD4 and HIV RNA, and years on ART. CONCLUSIONS: In this cohort of persons on long-term suppressive ART, current statin use was not associated with lower levels of HIV persistence or immune activation/inflammation. These results do not support a major role for statins in reducing HIV persistence, although an early transient effect cannot be excluded. Prospective, randomized studies are needed to confirm these findings.

Comparison of columnar water-vapor measurements from solar transmittance methods.

In the fall of 1997 the Atmospheric Radiation Measurement program conducted a study of water-vapor-abundance-measurement at its southern Great Plains site. The large number of instruments included four solar radiometers to measure the columnar water vapor (CWV) by measuring solar transmittance in the 0.94-mum water-vapor absorption band. At first, no attempt was made to standardize our procedures to the same radiative transfer model and its underlying water-vapor spectroscopy. In the second round of comparison we used the same line-by-line code (which includes recently corrected H(2)O spectroscopy) to retrieve CWV from all four solar radiometers, thus decreasing the mean CWV by 8-13%. The remaining spread of 8% is an indication of the other-than-model uncertainties involved in the retrieval.

Monotonic responses from monochromatic optical particle counters.

Mie theory is used to investigate the degree to which a response from an optical particle counter (OPC) can be made monotonic when sizing particles of a given refractive index. This investigation is restricted to OPC designs that use monochromatic illumination and have coaxial light-collection optics. By systematically exploring the angular limits of the collection optics, it is found that, for certain limits, a very nearly monotonic response can be achieved for a nonresonont cavity OPC for a range of refractive indicea. In contrast, for a resonant cavity instrument, this investigation did not reveal any angular limits where the response is close to being monotonic, unless the refractive index of the particles being sized has a large imaginary component.