Review Article

The Pathophysiology of HIV-/HAART-Related Metabolic Syndrome Leading to Cardiovascular Disorders: The Emerging Role of Adipokines

Table 1

The main differences between the pathogenesis of MS in HIV-infected patients and other patients.

HIV-infected patientsNon-HIV-infected patients

(A)HAART-induced dyslipidemia, hypertriglyceridemia, HDL reduction, especially if PI usedFat abnormal metabolism leading to hypertriglyceridemia and dyslipidemia

(B)HAART-induced leptin deficiency and hypoadiponectinemia leading to insulin resistanceHypoadiponectinemia leading to insulin resistance and abnormal glucose metabolism

(C)HIV-associated “lipodystrophy” syndrome—body fat abnormalities—fat accumulation around the neck, dorsocervical region as “buffalo hump,” abdomen, and trunkWaist circumference enlargement due to abdominal fat accumulation