Interleukin-17 regulates visceral obesity in HIV-1-infected patients

Objective: The aim of the study was to evaluate the interleukin-17 (IL-17) plasma level in HIV-1-infected patients and its relation to central obesity. Methods: Eighty-four HIV-1-infected patients [42 with visceral obesity (group A) and 42 without visceral obesity (group B)] and 46 HIV-negative subjects [23 with visceral obesity (group C) and 23 without visceral obesity (group D)] were enrolled in the study. Sonographic measurements of perirenal fat diameter/body mass index (PRFD/BMI) were used to assess visceral adipose tissue thickness. Results: HIV-1-infected patients had higher plasma levels of IL-17 than HIV-negative subjects [837.8±260pg/mL (mean ± standard deviation) vs. 395.3±138.6pg/mL, respectively; P<0.001]. Furthermore, HIV-1-infected patients with a diagnosis of visceral obesity had lower levels of IL-17 than HIV-infected lean patients (756.9±282.9pg/mL vs. 918.7±208.4pg/mL, respectively; P<0.01). IL-17 (r=-0.21; P=0.03) and waist circumference (r=0.48; P<0.001) were significantly associated with visceral adipose tissue thickness. A negative correlation of IL-17 (r=-0.23; P<0.001) with PRFD/BMI was found. Conclusions: This study suggests a linear negative association between IL-17 and visceral adipose tissue thickness. © 2012 British HIV Association.