Can biomarkers advance HIV research and care in the antiretroviral therapy era

Amy C. Justice, Kristine M. Erlandson, Peter W. Hunt, Alan Landay, Paolo Miotti, Russell P. Tracy

Research output: Contribution to journalReview articlepeer-review


Despite achieving human immunodeficiency virus type 1 (HIV-1) RNA suppression below levels of detection and, for most, improved CD4 + T-cell counts, those aging with HIV experience excess low-level inflammation, hypercoagulability, and immune dysfunction (chronic inflammation), compared with demographically and behaviorally similar uninfected individuals. A host of biomarkers that are linked to chronic inflammation are also associated with HIV-associated non-AIDS-defining events, including cardiovascular disease, many forms of cancer, liver disease, renal disease, neurocognitive decline, and osteoporosis. Furthermore, chronic HIV infection may interact with long-term treatment toxicity and weight gain after ART initiation. These observations suggest that future biomarker-guided discovery and treatment may require attention to multiple biomarkers and, possibly, weighted indices. We are clinical trialists, epidemiologists, pragmatic trialists, and translational scientists. Together, we offer an operational definition of a biomarker and consider how biomarkers might facilitate progress along the translational pathway from therapeutic discovery to intervention trials and clinical management among people aging with or without HIV infection.

Original languageEnglish (US)
Pages (from-to)521-528
Number of pages8
JournalJournal of Infectious Diseases
Issue number4
StatePublished - Feb 15 2018
Externally publishedYes


  • Biomarker
  • HIV
  • Index
  • Inflammation
  • Therapeutic discovery

ASJC Scopus subject areas

  • General Medicine


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