Original Paper

Clinical Reviews in Bone and Mineral Metabolism

, Volume 10, Issue 4, pp 266-276

First online:

The Crosstalk Between Bone and Fat in HIV-Infected Patients, with a Focus on Lipodystrophy

  • Aoife G. CotterAffiliated withHIV Molecular Research Group, School of Medicine and Medical Science, University College DublinDepartment of Infectious Diseases, Mater Misericordiae University HospitalCatherine McAuley Education and Research Centre, Mater Misericordiae University Hospital
  • , Patrick W. G. MallonAffiliated withHIV Molecular Research Group, School of Medicine and Medical Science, University College DublinDepartment of Infectious Diseases, Mater Misericordiae University Hospital Email author 

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access

Abstract

Low bone mineral density and osteoporosis are prevalent in cohorts of HIV-positive patients, with increased fracture rates also described. HIV is a disease characterised by abnormalities in body fat metabolism, particularly HIV-associated lipodystrophy, a common long-term side effect of antiretroviral therapy for HIV infection. Given the close metabolic relationships between bone and fat, the presence of these two conditions raises questions as to potential pathogenic links between the two. This review discusses both conditions and identifies potential factors that may link abnormalities in fat distribution with decreased bone mineral density.

Keywords

Adipose tissue Fat Bone mineral density Body composition Adipokines