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This work has been (partially) funded by the RD16/0025/0019 and RD16CIII/0002/0002, projects as part of Accion Estrategica en Salud, Plan Nacional de Investigacion Cientifica, Desarrollo e Innovacion Tecnologica (2013-2016) and cofinanced by Instituto de Salud Carlos III (Subdireccion General de Evaluacion) and Fondo Europeo de Desarrollo Regional (FEDER), RETIC PT17/0015/0042, Fondo de Investigacion Sanitaria (FIS) (grant number PI16/01863, PI17/01115, PI17CIII/00003), EPIICAL Project and Comunidad de Madrid B2017/BMD-3703. Programa de Investigacion de la Consejeria de Sanidad de la Comunidad de Madrid to JLJ. CIBER-BBN is an initiative funded by the VI National R& D& i Plan 2008-2011, Iniciativa Ingenio 2010, the Consolider Program, and CIBER Actions and financed by the Instituto de Salud Carlos III with assistance from the European Regional Development Fund. COST CA17140 Cancer Nanomedicine-Front the Bench to Bebside. AFR are supported and funded by Instituto de Salud Carlos III [grant number CP14/0010].

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Pernas Simon, SoniaAuthorNavarro Garcia, MatildeAuthorFont Marimon, RebecaAuthorLuisa Navarro, MariaAuthorGutierrez, FelixAuthor

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August 12, 2019
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Article

VDR rs2228570 Polymorphism Is Related to Non-Progression to AIDS in Antiretroviral Therapy Naive HIV-Infected Patients

Publicated to:Journal Of Clinical Medicine. 8 (3): 311- - 2019-03-05 8(3), DOI: 10.3390/jcm8030311

Authors: Jimenez-Sousa, Maria A; Luis Jimenez, Jose; Fernandez-Rodriguez, Amanda; Brochado-Kith, Oscar; Maria Bellon, Jose; Diez, Cristina; Bernal-Morell, Enrique; Viciana, Pompeyo; Munoz-Fernandez, Maria A; Resino, Salvador; Moreno, Santiago; Dalmau, David; Garcia, Federico; Vidal, Francesc; Angeles Munoz-Fernandez, M; Maria Garcia-Merino, Isabel; Consuegra Fernandez, Irene; Gomez Rico, Coral; Gallego de la Fuente, Jorge; Palau Concejo, Paula; Portilla, Joaquin; Merino, Esperanza; Reus, Sergio; Boix, Vicente; Giner, Livia; Gadea, Carmen; Portilla, Irene; Pampliega, Maria; Diez, Marcos; Carlos Rodriguez, Juan; Sanchez-Paya, Jose; Luis Gomez, Juan; Hernandez, Jehovana; Remedios Aleman, Maria; del Mar Alonso, Maria; Inmaculada Hernandez, Maria; Diaz-Flores, Felicitas; Garcia, Dacil; Pelazas, Ricardo; Lopez Lirola, Ana; Sanz Moreno, Jose; Arranz Caso, Alberto; Hernandez Gutierrez, Cristina; Novella Mena, Maria; Rubio, Rafael; Pulido, Federico; Bisbal, Otilia; Hernando, Asuncion; Dominguez, Lourdes; Rial Crestelo, David; Bermejo, Laura; Santacreu, Mireia; Antonio Iribarren, Jose; Arrizabalaga, Julio; Jose Aramburu, Maria; Camino, Xabier; Rodriguez-Arrondo, Francisco; Angel von Wichmann, Miguel; Pascual Tome, Lidia; Angel Goenaga, Miguel; Jesus Bustinduy, Ma; Azkune, Harkaitz; Ibarguren, Maialen; Lizardi, Aitziber; Kortajarena, Xabier; Gutierrez, Felix; Masia, Mar; Padilla, Sergio; Navarro, Andres; Montolio, Fernando; Robledano, Catalina; Gregori Colome, Joan; Adsuar, Araceli; Pascual, Rafael; Fernandez, Marta; Garcia, Elena; Alberto Garcia, Jose; Barber, Xavier; Berenguer, Juan; Bernaldo de Quiros, Juan Carlos Lopez; Gutierrez, Isabel; Ramirez, Margarita; Padilla, Belen; Gijon, Paloma; Aldamiz-Echevarria, Teresa; Tejerina, Francisco; Jose Parras, Francisco; Balsalobre, Pascual; Perez Latorre, Leire; Peraire, Joaquin; Vilades, Consuelo; Veloso, Sergio; Vargas, Montserrat; Lopez-Dupla, Miguel; Olona, Montserrat; Rull, Anna; Rodriguez-Gallego, Esther; Alba, Veronica; Montero Alonso, Marta; Lopez Aldeguer, Jose; Blanes Julia, Marino; Tasias Pitarch, Maria; Castro Hernandez, Ivan; Calabuig Munoz, Eva; Cuellar Tovar, Sandra; Salavert Lleti, Miguel; Fernandez Navarro, Juan; Gonzalez-garcia, Juan; Arnalich, Francisco; Ramon Arribas, Jose; Bernardino de la Serna, Jose Ignacio; Miguel Castro, Juan; Escosa, Luis; Herranz, Pedro; Hontanon, Victor; Garcia-Bujalance, Silvia; Garcia Lopez-Hortelano, Milagros; Gonzalez-Baeza, Alicia; Luz Martin-Carbonero, Maria; Mayoral, Mario; Jose Mellado, Maria; Esteban Mican, Rafael; Montejano, Rocio; Luisa Montes, Maria; Moreno, Victoria; Perez-Valero, Ignacio; Rodes, Berta; Sainz, Talia; Sendagorta, Elena; Stella Alcariz, Natalia; Valencia, Eulalia; Ramon Blanco, Jose; Antonio Oteo, Jose; Ibarra, Valvanera; Metola, Luis; Sanz, Mercedes; Perez-Martinez, Laura; Jaen, Angels; Sanmarti, Montse; Cairo, Mireia; Martinez-Lacasa, Javier; Velli, Pablo; Font, Roser; Xercavins, Mariona; Alonso, Noemi; Rivero, Maria; Reparaz, Jesus; Ruiz de Alda, Maria Gracia; de Leon Cano, Maria Teresa; Ruiz de Galarreta, Beatriz Pierola; Segura, Ferran; Jose Amengual, Maria; Navarro, Gemma; Sala, Montserrat; Cervantes, Manuel; Pineda, Valentin; Calzado, Sonia; Navarro, Marta; de los Santos, Ignacio; Sanz Sanz, Jesus; Salas Aparicio, Ana; Sarria Cepeda, Cristina; Garcia-Fraile Fraile, Lucio; Martin Gayo, Enrique; Luis Casado, Jose; Dronda, Fernando; Moreno, Ana; Perez Elias, Maria Jesus; Gomez Ayerbe, Cristina; Gutierrez, Carolina; Madrid, Nadia; del Campo Terron, Santos; Marti, Paloma; Ansa, Uxua; Serrano, Sergio; Jesus Vivancos, Maria; Bernal, Enrique; Cano, Alfredo; Alcaraz Garcia, Antonia; Bravo Urbieta, Joaquin; Munoz, Angeles; Jose Alcaraz, Maria; del Carmen Villalba, Maria; Hernandez, Jose; Pena, Alejandro; Munoz, Leopoldo; Casas, Paz; Alvarez, Marta; Chueca, Natalia; Vinuesa, David; Martinez-Montes, Clara; Del Romero, Jorge; Rodriguez, Carmen; Puerta, Teresa; Carlos Carrio, Juan; Vera, Mar; Ballesteros, Juan; Ayerdi, Oskar; Riera, Melchor; Penaranda, Maria; Leyes, Maria; Angels Ribas, Ma; Campins, Antoni A; Vidal, Carmen; Fanjul, Francisco; Murillas, Javier; Homar, Francisco; Santos, Jesus; Gomez Ayerbe, Crisitina; Viciana, Isabel; Palacios, Rosario; Maria Gonzalez, Carmen; Espinosa, Nuria; Fernando Lopez-Cortes, Luis; Podzamczer, Daniel; Ferrer, Elena; Imaz, Arkaitz; Tiraboschi, Juan; Silva, Ana; Saumoy, Maria; Olalla, Julian; del Arco, Alfonso; de la Torre, Javier; Luis Prada, Jose; de Lomas Guerrero, Jose Maria Garcia; Perez Stachowski, Javier; Juan Martinez, Onofre; Jesus Vera, Francisco; Martinez, Lorena; Garcia, Josefina; Alcaraz, Begona; Jimeno, Amaya; Castro Iglesias, Angeles; Pernas Souto, Berta; Mena de Cea, Alvaro; Galera, Carlos; Albendin, Helena; Perez, Aurora; Iborra, Asuncion; Moreno, Antonio; Angustias Merlos, Maria; Vidal, Asuncion; Suarez-Garcia, Ines; Malmierca, Eduardo; Gonzalez-Ruano, Patricia; Martin Rodrigo, Dolores; Omar Mohamed-Balghata, Mohamed; Gomez Vidal, Maria Amparo; Estrada Perez, Vicente; Tellez Molina, Maria Jesus; Vergas Garcia, Jorge; Perez-Somarriba Moreno, Juncal; Gorgolas, Miguel; Cabello, Alfonso; Alvarez, Beatriz; Prieto, Laura; Galindo Puerto, Maria Jose; Fernando Vilalta, Ramon; Ferrer Ribera, Ana; Rivero Roman, Antonio; Brieva Herrero, Maria Teresa; Rivero Juarez, Antonio; Lopez Lopez, Pedro; Machuca Sanchez, Isabel; Pena Martinez, Jose; Cervero Jimenez, Miguel; Torres Perea, Rafael; Jusdado Ruiz-Capillas, Juan Jose; Pineda, Juan A

Affiliations

Complejo Hosp Jaen, Jaen, Spain - Author
Complejo Hosp Navarra, Pamplona, Spain - Author
Complejo Hosp Univ A Coruna Chuac, La Coruna, Spain - Author
Corp Sanitaria Parc Tauli, Sabadell, Spain - Author
Ctr Sanitario Sandoval, Madrid, Spain - Author
Hosp 12 Octubre, Madrid, Spain - Author
Hosp Arnau Vilanova, Lleida, Spain - Author
Hosp Asturias, Asturias, Spain - Author
Hosp Badalona Germans Trias & Pujol, Badalona, Spain - Author
Hosp Bellvitge Princeps Espanya, Barcelona, Spain - Author
Hosp Castellon, Castellon de La Plana, Spain - Author
Hosp Clin Barcelona, Barcelona, Spain - Author
Hosp Clin San Carlos, Madrid, Spain - Author
Hosp Clin Univ Valencia, Valencia, Spain - Author
Hosp Costa del Sol, Marbella, Spain - Author
Hosp Donostia, San Sebastian, Spain - Author
Hosp Elche, Alicante, Spain - Author
Hosp Gen Elche, Unidad Enfermedades Infecciosas, Alicante 03202, Spain - Author
Hosp Gen Univ Alicante, Alicante, Spain - Author
Hosp Gen Univ Elche, Elche, Spain - Author
Hosp Gen Univ Gregorio Maranon, IiSGM, Fdn Invest Biomed, Madrid 28007, Spain - Author
Hosp Gen Univ Gregorio Maranon, IiSGM, Lab Inmuno Biol Mol, Secc Inmunol, Madrid 28007, Spain - Author
Hosp Gen Univ Gregorio Maranon, Madrid, Spain - Author
Hosp Gen Univ Gregorio Maranon, Plataforma Lab, Madrid 28007, Spain - Author
Hosp Gen Univ Gregorio Maranon, VIH, Unidad Enfermedades Infecciosas, Microbiol Serv, Madrid 28007, Spain - Author
Hosp Gen Univ Reina Sofia, Murcia, Spain - Author
Hosp Gen Univ Reina Sofia, Serv Enfermedades Infecciosas, Madrid 30003, Spain - Author
Hosp Gen Univ Santa Lucia, Cartagena, Spain - Author
Hosp Gregorio Maranon, Madrid, Spain - Author
Hosp Joan 23, Tarragona, Spain - Author
Hosp La Fe, Valencia, Spain - Author
Hosp La Paz Carlos III, Madrid, Spain - Author
Hosp La Princesa, Madrid, Spain - Author
Hosp Navarra, Pamplona, Spain - Author
Hosp Nuevo San Cecilio, Granada, Spain - Author
Hosp Parc Tauli, Sabadell, Spain - Author
Hosp Ramon & Cajal, Madrid, Spain - Author
Hosp Reina Sofia, Cordoba, Spain - Author
Hosp San Cecilio, Granada, Spain - Author
Hosp San Pedro, Ctr Invest Biomed La Rioja CIBIR, Logrono, Spain - Author
Hosp San Pedro, Logrono, Spain - Author
Hosp Son Dureta, Mallorca, Spain - Author
Hosp Univ 12 Octubre, Madrid, Spain - Author
Hosp Univ Bellvitge, Lhospitalet De Llobregat, Spain - Author
Hosp Univ Canarias, San Cristobal De Laguna, Spain - Author
Hosp Univ Cent Asturias, Oviedo, Spain - Author
Hosp Univ Donostia, Donostia San Sebastian, Spain - Author
Hosp Univ Fdn Jimenez Diaz, Madrid, Spain - Author
Hosp Univ Infanta Sofia, San Sebastian De Reyes, Spain - Author
Hosp Univ La Fe, Valencia, Spain - Author
Hosp Univ La Paz, IdiPAZ, Valencia, Spain - Author
Hosp Univ La Princesa, Madrid, Spain - Author
Hosp Univ MutuaTerrassa, Terrassa, Spain - Author
Hosp Univ Principe Asturias, Alcala De Henares, Spain - Author
Hosp Univ Ramon y Cajal, Madrid, Spain - Author
Hosp Univ Severo Ochoa, Leganes, Spain - Author
Hosp Univ Son Espases, Palma De Mallorca, Spain - Author
Hosp Univ Tarragona Joan XXIII, Tarragona, Spain - Author
Hosp Univ Virgen de la Arrixaca, El Palmar, Spain - Author
Hosp Univ Virgen de la Victoria, Malaga, Spain - Author
Hosp Univ Virgen del Rocio, Seville, Spain - Author
Hosp Virgen del Rocio, Serv Enfermedades Infecciosas, Seville 41013, Spain - Author
Hosp Virgen del Rocio, Seville, Spain - Author
Inst Salud Carlos III, Ctr Nacl Microbiol, Unidad Infecc Viral & Inmunidad, Carretera Majadahonda Pozuelo,Km 2-2, Madrid 28220, Spain - Author
Networking Res Ctr Bioengn Biomat & Nanomed CIBER, Madrid 28007, Spain - Author
Nuestra Senora Valme, Seville, Spain - Author
Politecn La Fe, Valencia, Spain - Author
Spanish HIV HGM BioBank, Madrid 28007, Spain - Author
Traslational Medicine. Infectious disease and transplantation Program. Infections of the Respiratory Tract and in Immunocompromised Patients - Author
Univ Miguel Hernandez, Alicante 03202, Spain - Author
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Abstract

Background: Vitamin D is a fundamental regulator of host defenses by activating genes related to innate and adaptive immunity. In this study, we analyzed the association among single nucleotide polymorphisms (SNPs) in the vitamin D receptor (VDR) gene, with clinical patterns of AIDS progression in antiretroviral treatment (ART)-naive HIV-infected patients. Methods: We conducted a retrospective study in 667 HIV-infected patients, who were classified within three groups according to their AIDS progression pattern (183 long-term non-progressors (LTNPs), 334 moderate progressors (MPs), and 150 rapid progressors (RPs)). Five VDR SNPs (rs11568820, rs4516035, rs2228570, rs1544410, and rs7975232) were genotyped using Agena Bioscience's MassARRAY platform. Results: Significant association results were found for rs2228570. Within all HIV patients, the presence of T allele at VDR rs2228570 SNP was protective against AIDS progression (ordinal outcome) under additive (adjusted odds ratio (aOR) = 0.75; p = 0.009), dominant (aOR = 0.69; p = 0.015), and codominant (aOR = 0.56; p = 0.017) inheritance models. In addition, the same allele was protective under additive and codominant inheritance models when we compared with LTNPs vs. RPs [aOR = 0.64 (p = 0.019) and aOR = 0.37 (p = 0.018), respectively] and when we compared MPs vs. RPs [aOR = 0.72 (p = 0.035) and aOR = 0.45 (p = 0.028), respectively]. Conclusions: The VDR rs2228570 T allele was related to a lower AIDS progression pattern in ART-naive HIV-infected patients. These findings expand upon the knowledge about HIV pathogenesis in untreated HIV-infected patients with different clinical outcomes.

Keywords

aidscohortdisease progressionhaplotypeshealthltnpsnon-progressionsingle nucleotide polymorphismsvdrvitamin-d statusD-receptor geneSingle nucleotide polymorphisms

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Journal Of Clinical Medicine due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2019, it was in position 36/165, thus managing to position itself as a Q1 (Primer Cuartil), in the category Medicine, General & Internal.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 1.45, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-05, the following number of citations:

  • WoS: 12
  • Scopus: 9
  • Europe PMC: 3

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-05:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 37.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 37 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 0.5.
  • The number of mentions on the social network X (formerly Twitter): 1 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.