Biological and Clinical Implications of the Vascular Endothelial Growth Factor Coreceptor Neuropilin-1 in Human Immunodeficiency Virus

Samuel R. Schnittman, Márton Kolossváry, Gabriele Beck-Engeser, Kathleen V. Fitch, Gabrielle C. Ambayec, Robin M. Nance, Markella V. Zanni, Marissa Diggs, Fay Chan, Sara McCallum, Mabel Toribio, Laura Bamford, Carl J. Fichtenbaum, Joseph J. Eron, Jeffrey M. Jacobson, Kenneth H. Mayer, Carlos Malvestutto, Gerald S. Bloomfield, Richard D. Moore, Triin UmblejaMichael S. Saag, Judith A. Aberg, Judith S. Currier, Joseph A.C. Delaney, Jeffrey N. Martin, Michael T. Lu, Pamela S. Douglas, Heather J. Ribaudo, Heidi M. Crane, Peter W. Hunt, Steven K. Grinspoon

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Plasma vascular endothelial growth factor (VEGF) coreceptor neuropilin-1 (NRP-1) had the largest association with coronary plaque in the Randomized Trial to Prevent Vascular Events in HIV (REPRIEVE) proteomics analysis. With little known about NRP-1 in people with human immunodeficiency virus (PWH), we explored its relation to other proteins in REPRIEVE and validated our findings through a Centers for AIDS Research Network of Integrated Clinical Systems (CNICS) case-cohort study by assessing its relation to host factors and incident cardiovascular disease and cancer. Within REPRIEVE, NRP-1 was associated with proteins involved in angiogenesis, signal transduction, immunoregulation, and cell migration/adhesion. Within CNICS, NRP-1 was associated with key host factors, including older age and male sex. NRP-1 was associated with an increased hazard of multiple cancers but a decreased prostate cancer risk. Finally, NRP-1 was most strongly associated with mortality and type 2 myocardial infarction. These data suggest that NRP-1 is part of a clinically relevant immunoregulatory pathway related to multiple comorbidities in PWH. Clinical Trials Registration. NCT02344290.

Original languageEnglish
JournalOpen Forum Infectious Diseases
Volume10
Issue number10
DOIs
StatePublished - 1 Oct 2023

Keywords

  • HIV
  • VEGF
  • cancer
  • cardiovascular disease
  • neuropilin-1

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