Poor Sleep and Inflammation in HIV-Infected Adults
NCT03848325 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 20
Last updated 2023-11-29
Summary
People living with HIV (PLWH) often have poor sleep, which may put them at a higher risk for many chronic diseases, including cardiovascular disease. One of the mechanisms by which this may occur is via chronic inflammation and endothelial dysfunction. Adenosine plays an important role in sleep homeostasis, with levels increasing in the CSF in response to sleep deprivation and falling with sleep. Peripherally, adenosine, via its signaling pathway, plays an important role in immunoregulation by suppressing the inflammatory response. PLWH, even on antiretroviral therapy, have suppressed peripheral adenosine levels which are predictive of adverse cardiovascular outcomes. The hypothesis underlying this study is that acute sleep deprivation in PLWH does not result in a compensatory increase in extracellular adenosine and its signaling peripherally, and this failure to appropriately compensate, leads to an increase in systemic inflammation and endothelial dysfunction.
Conditions
- HIV-1-infection
- Sleep Deprivation
- Inflammation
Interventions
- BEHAVIORAL
-
Sleep deprivation
Eight hour opportunity for sleep followed by 24 hours of sleep deprivation.
Sponsors & Collaborators
-
National Heart, Lung, and Blood Institute (NHLBI)
collaborator NIH -
University of Pittsburgh
lead OTHER
Principal Investigators
-
Sanjay R Patel, MD · University of Pittsburgh
-
Bernard J Macatangay, MD · University of Pittsburgh
Study Design
- Allocation
- NA
- Purpose
- BASIC_SCIENCE
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-11-09
- Primary Completion
- 2022-07-31
- Completion
- 2022-07-31
Countries
- United States
Study Locations
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