Table 3.
Associations between plasma biomarkers and myocardial infarction using conditional logistic regression with the imputed dataset, restricted to matched cases and controls whose viral load was <400 copies/mL (<2.60 log10 copies/mL) at the visit on which samples were collected (N=154)
| Biomarker | OR (95% CI) | P value | Model 1: Adjusted for age, race/ethnicity, and sex AOR (95% CI) | P value | Model 2: Adjusted for ASCVD score AOR (95% CI) | P value | Model 3: Adjusted for VACS score AOR (95% CI) | P value |
|---|---|---|---|---|---|---|---|---|
|
| ||||||||
| Log10 viral load a | 0.33 (0.10–1.06) | 0.06 | 0.47 (0.13–1.66) | 0.24 | 0.49 (0.13–1.86) | 0.29 | 0.31 (0.10–1.02) | 0.05 |
| Log10 peak viral load | 1.64 (1.10–2.46) | 0.02 | 1.57 (0.97–2.57) | 0.07 | 1.50 (0.96–2.34) | 0.07 | 1.61 (1.07–2.43) | 0.02 |
| CD4 count, per 100 cells | 0.93 (0.65–1.32) | 0.68 | 0.99 (0.63–1.55) | 0.96 | 1.17 (0.75–1.81) | 0.49 | 1.12 (0.73–1.71) | 0.61 |
| Nadir CD4 count, per 100 cells | 0.64 (0.41–1.00) | 0.05 | 0.64 (0.38–1.07) | 0.09 | 0.79 (0.46–1.34) | 0.38 | 0.68 (0.43–1.08) | 0.10 |
| Angiopoietin-1 b | 1.16 (0.82–1.63) | 0.40 | 1.04 (0.66–1.62) | 0.88 | 1.18 (0.77–1.82) | 0.45 | 1.22 (0.86–1.74) | 0.26 |
| Angiopoietin-2 b | 1.42 (0.98–2.07) | 0.07 | 1.21 (0.79–1.84) | 0.38 | 1.46 (0.95–2.23) | 0.08 | 1.34 (0.90–1.99) | 0.16 |
| C-reactive protein b | 1.51 (1.05–2.16) | 0.03 | 1.42 (0.92–2.20) | 0.11 | 1.43 (0.93–2.21) | 0.11 | 1.48 (1.02–2.13) | 0.04 |
| Interleukin-6 b | 2.04 (1.31–3.17) | 0.002 | 1.50 (0.92–2.47) | 0.11 | 1.73 (1.11–2.71) | 0.02 | 1.97 (1.25–3.10) | 0.003 |
| Plasma activation inhibitor-1 b | 1.15 (0.81–1.62) | 0.44 | 1.00 (0.62–1.62) | 0.99 | 1.13 (0.74–1.74) | 0.57 | 1.24 (0.86–1.79) | 0.25 |
| P-selectin b | 1.24 (0.87–1.76) | 0.24 | 1.06 (0.67–1.68) | 0.81 | 0.96 (0.63–1.48) | 0.86 | 1.22 (0.85–1.75) | 0.27 |
| Soluble ICAM-1 b | 1.16 (0.79–1.69) | 0.44 | 0.96 (0.59–1.57) | 0.88 | 1.18 (0.71–1.96) | 0.52 | 1.09 (0.74–1.61) | 0.66 |
| Soluble VCAM-1 b | 1.27 (0.86–1.88) | 0.23 | 0.92 (0.57–1.51) | 0.75 | 1.23 (0.76–2.00) | 0.41 | 1.13 (0.73–1.77) | 0.58 |
| Serum amyloid A b | 1.36 (0.95–1.95) | 0.09 | 1.34 (0.88–2.06) | 0.17 | 1.35 (0.89–2.07) | 0.16 | 1.34 (0.93–1.93) | 0.12 |
| Soluble CD14 b | 1.34 (0.88–2.04) | 0.18 | 1.03 (0.64–1.67) | 0.89 | 1.12 (0.66–1.90) | 0.68 | 1.22 (0.77–1.95) | 0.40 |
| Apolipoprotein 1 b | 1.29 (0.87–1.93) | 0.21 | 1.30 (0.82–2.06) | 0.26 | 1.03 (0.65–1.62) | 0.92 | 1.25 (0.83–1.88) | 0.28 |
| ADAMTS-13 b | 0.88 (0.60–1.28) | 0.50 | 1.04 (0.66–1.64) | 0.87 | 0.90 (0.57–1.40) | 0.63 | 0.87 (0.60–1.27) | 0.47 |
| Von Willebrand factor b | 1.07 (0.76–1.51) | 0.68 | 1.17 (0.77–1.76) | 0.46 | 0.88 (0.59–1.31) | 0.52 | 1.01 (0.71–1.44) | 0.97 |
ADAMTS-13 = a disintegrin and metalloproteinase with a thrombospondin type 1 motif, member 13, AOR = adjusted odds ratio, ASCVD = Atherosclerotic Cardiovascular Disease, CD4 = cluster of differentiation 4, CI = confidence interval, ICAM-1 = intercellular adhesion molecule 1, OR = odds ratio, VACS = Veterans Aging Cohort Study, VCAM-1 = vascular cell adhesion molecule 1
Plasma viral load ranged from <20 copies/mL to 387 copies/mL in this restricted sample. Of note, some assays used during the study period had a lower limit of detection of 400 copies/mL.
All plasma biomarkers were log2-transformed and standard deviation scaled.