Clinical Study

Urinary Eicosanoid Metabolites in HIV-Infected Women with Central Obesity Switching to Raltegravir: An Analysis from the Women, Integrase, and Fat Accumulation Trial

Table 1

Baseline characteristics of subjects completing 24 weeks of follow-up and included in eicosanoid analyses, total and by study arm.

Total RAL PI/NNRTI

Ethnicity
 African-American22 (59)9 (53)13 (65)
 Hispanic6 (16)4 (24)2 (10)
 White8 (22)3 (18)5 (25)
 Asian1 (3)1 (6)0 (0)
Age in years-median (range)43 (26–57)41 (26–51)46 (31–57)
Weight (kg)81.8 (73.9–105.0)88.7 (81.0–105.0) 77.7 (71.7–97.0)
BMI (kg/m2)32.0 (28.0–36.5)34.7 (28.8–37.6)30.4 (27.7–35.4)
VAT (cm2)138 (100–154)145 (105–154)138 (93–154)
SAT (cm2)432 (343–605)450 (381–687)420 (342–587)
VAT : SAT0.25 (0.21–0.38)0.25 (0.22–0.36)0.25 (0.20–0.42)
Total cholesterol (mg/dL)188.0 (162.0–214.0)179.0 (162.0–206.0)199.0 (164.5–221.5)
Triglycerides (mg/dL)c118.0 (92.0–152.0)116.0 (85.0–144.0)129.0 (101.0–176.0)
LDL (mg/dL)115.8 (93.0–128.0)113.0 (103.0–123.0)116 (89.0–138.1)
HDL (mg/dL)49.0 (40.0–57.0)47.6 (40.2–57.0)49.1 (39.0–55.0)
Glucose (mg/dL)87.0 (78.0–94.0)84.0 (78.0–93.0)88.5 (80.0–97.5)
Tobacco Use (Current)16 (43)4 (24)a12 (60)a
Daily anti-inflammatory useb14 (38)7 (41)7 (35)
CD4 count (cells/uL)558 (422–747)563 (447–747)553 (354–770)
Baseline ART regimen
 PI 23 (62)11 (65)12 (60)
 NNRTI 14 (38)6 (35)8 (40)
NRTI
 Abacavir 8 (22)3 (18)5 (25)
 Tenofovir 29 (78)14 (82)15 (75)

Urinary eicosanoids (ng/mg cr) Median (IQR)Mean (SD)Median (IQR)Mean (SD)Median (IQR)Mean (SD)

F2-IsoP 2.14 (1.49–3.16)2.70 (2.09)2.41 (1.96–3.04)2.59 (1.14)1.89 (1.35–3.77)2.79 (2.67)
PGE-M 8.07 (4.47–10.56)9.35 (6.77)5.95 (4.25–9.52)7.35 (6.07)9.37 (5.36–13.48)10.80 (7.10)
PGI-M 0.10 (0.06–0.15)0.12 (0.08)0.07 (0.05–0.10)c0.08 (0.04)0.13 (0.08–0.21)c0.15 (0.09)
TxB20.46 (0.25–0.73)0.53 (0.36)0.34 (0.14–0.70)0.45 (0.37)0.55 (0.29–0.77)0.60 (0.34)

Values shown are (percentage), median (interquartile range [IQR]), or mean (standard deviation [SD]) except where noted.
aFisher’s exact for immediate versus delayed arm. bSeven women in each arm reported daily anti-inflammatory medication use: six in each arm reported non-steroidal anti-inflammatory drug use; one in the RAL arm reported taking celecoxib, and one in the PI/NNRTI arm reported taking aspirin 81 mg. cMann-Whitney    for RAL versus PI/NNRTI arm.
Abbreviations: ART = antiretroviral therapy; BMI = body mass index; F2-IsoP = F2-isoprostanes; HDL = high density lipoprotein cholesterol; LDL = low density lipoprotein cholesterol; NRTI = nucleoside reverse transcriptase inhibitor; NNRTI = non-NRTI; PI = protease inhibitor; PGE-M = prostaglandin E2 metabolite; PGI-M = prostacyclin metabolite; RAL = raltegravir; SAT = subcutaneous adipose tissue; TxB2= thromboxane B2; VAT = visceral adipose tissue.