Evidence map›Paper›PMID 40240751›Full record

ArticleGeroScience2026

Glycation metabolites predict incident age-related comorbidities and mortality in older people with HIV.

Xi Qiao, Liangliang Zhang, Emely A Hoffman, Grace E Mastin, Corrilynn O Hileman, Asha R Kallianpur, Ming Wang, Ronald J Ellis, Susan L Koletar, Frank J Palella and 6 more

Abstract readMulticenter Study
In one paragraph

Article in GeroScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Xi QiaoDepartment of Population and Quantitative Health Sciences, Case Western Reserve Univ, Cleveland, OH, USA.
Liangliang ZhangDepartment of Population and Quantitative Health Sciences, Case Western Reserve Univ, Cleveland, OH, USA.
Emely A HoffmanDepartment of Pharmacology and Toxicology, University of Arizona, Tucson, AZ, USA.
Grace E MastinDepartment of Pharmacology and Toxicology, University of Arizona, Tucson, AZ, USA.
Corrilynn O HilemanMetroHealth Medical Center, Cleveland, OH, USA.
Asha R KallianpurCleveland Clinic Lerner Research Institute, Cleveland, OH, USA.
Ming WangDepartment of Population and Quantitative Health Sciences, Case Western Reserve Univ, Cleveland, OH, USA.
Ronald J EllisUniversity of California San Diego, LaJolla, CA, USA.
Susan L KoletarOhio State University, Columbus, OH, USA.
Frank J PalellaNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Katherine K TassiopoulosHarvard T.H. Chan School of Public Health, Boston, MA, USA.
Alan L LandayUniversity of Texas Medical Branch, Galveston, TX, USA.
Pankaj KapahiThe Buck Institute for Research on Aging, Novato, CA, USA.
James J GalliganDepartment of Pharmacology and Toxicology, University of Arizona, Tucson, AZ, USA. jgalljgan@pharmacy.arizona.edu.
Robert C KalayjianMetroHealth Medical Center, Cleveland, OH, USA. rck4@case.edu.ORCID 0000-0001-7114-726X
HAILO Study Consortium

Funding

Leadership and Operations Center (LOC), AIDS Clinical Trials Group (ACTG); LOC 1/UM1AI068636 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, RAJESH T GANDHI · 2011 to 2026
$1073.1M
Statistical and Data Management Center (SDMC), AIDS Clinical Trials Group (ACTG)UM1AI068634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Marlene Ann Cooper, Michael David Hughes · 2011 to 2026
$246.6M
STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAVID J MOORE · 2001 to 2026
$50.4M
WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Sharon L. Hillier, JONATHAN KARN · 1994 to 2026
$50.0M
University of Pittsburgh Clinical Trials UnitUM1AI069494 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SUSAN L KOLETAR, John W Mellors · 2012 to 2026
$38.0M
SOUTHWEST ENVIRONMENTAL HEALTH SCIENCES CENTERP30ES006694 · NIEHS · UNIVERSITY OF ARIZONA · PI George S Watts · 1994 to 2026
$36.7M
CHARTER Plus: A resource for cutting-edge research on neurological function and mental health in people with HIV and substance use disorders across the lifespanR24MH129166 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RONALD J. ELLIS, Scott L Letendre · 2022 to 2026
$9.9M
Immunometabolicgene expression profiles associated with depressed mood and behavioral domains inpeople with HIVR01MH128869 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ELLIS, RONALD J., YOUNG, JARED WILLIAM · 2021 to 2025
$3.6M
Advanced glycation endproducts (AGEs) as metabolic by-products that mediate neurodegeneration.R01AG061165 · NIA · BUCK INSTITUTE FOR RESEARCH ON AGING · PI KAPAHI, PANKAJ · 2019 to 2023
$3.3M
Intracellular functions of APOL1 in the kidneyR01DK127638 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI BRUGGEMAN, LESLIE A, O'TOOLE, JOHN F. · 2021 to 2025
$2.8M
Methylglyoxal drives astrocyte senescence to mediate neurodegeneration in Alzheimer's diseaseR01AG068288 · NIA · BUCK INSTITUTE FOR RESEARCH ON AGING · PI KAPAHI, PANKAJ · 2020 to 2024
$2.6M
GPLD1: Association with Cognition and Amelioration through Exercise in Aging People with HIVR01AG074808 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ELLIS, RONALD J., HENRY, BROOK · 2022 to 2024
$2.4M
NIAID NIH HHS P30 AI036219NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NIAID NIH HHS UM1 AI069494NIA NIH HHS R01 AG061165NIA NIH HHS R01 AG068288NIA NIH HHS R01 AG074808NIDDK NIH HHS R01 DK108329NIDDK NIH HHS R01 DK127638NIDDK NIH HHS R01 DK133196NIEHS NIH HHS P30 ES006694NIGMS NIH HHS R35 GM137910NIMH NIH HHS P30 MH062512NIMH NIH HHS R01 MH128869NIMH NIH HHS R24 MH129166
6 · The paper itself

Abstract

Glycation is a class of modifications arising from non-enzymatic reactions of reducing sugars with proteins, lipids, and/or DNA, generating advanced glycation end-products (AGEs). AGEs are linked to many age-related comorbidities. In response to HIV-1 infection, activated T-cells and macrophages shift their predominate metabolism from oxidative phosphorylation to glycolysis. Increased glycolytic flux enhances AGE formation, which may increase age-related comorbidities. In this prospective, multicenter cohort study of antiretroviral therapy treated people with HIV, we explored predictive associations by baseline plasma AGE concentrations and their corresponding detoxification metabolites, with incident comorbidities and mortality. AGEs included dicarbonyl sugars: 3-deoxyglucosone, glyoxal, and methylglyoxal. Methylglyoxal-derived metabolites included carboxyethyl-arginine, carboxyethyl-lysine, and methylglyoxal hydroimidazolone-1. Detoxification metabolites included reduced and oxidized glutathione, and the glyoxalase cycle products lactoyl-glutathione and lactoyl-Lysine modified proteins. Plasma was collected at study entry, in the fasting state, and assayed by liquid chromatography-mass spectroscopy. Incident clinical outcomes included diabetes, chronic kidney disease, hypertension, neurocognitive impairment, peripheral neuropathy, frailty, fractures, recurrent falls, and all-cause mortality. Among 376 participants, higher baseline plasma concentrations of methylglyoxal derived AGEs predicted increased risks of diabetes, chronic kidney disease, and recurrent falls, while higher 3-deoxyglucosone predicted an increased risk of peripheral neuropathy. By contrast, higher baseline concentrations of reduced or oxidized glutathione, lactoyl-glutathione, and/or lactoyl-Lysine modified proteins predicted lower risks of diabetes, neurocognitive impairment, frailty, fractures, recurrent falls, and all-cause mortality. These findings support growing experimental evidence of the potential to mitigate age-related declines by interventions that reduce glycation or increase glutathione.

Indexed as

Glycation End Products, AdvancedHIV InfectionsAgedBiomarkersComorbidityFemaleHumansIncidenceMaleMiddle AgedProspective StudiesPyruvaldehydeBiomarkersGlycation End Products, AdvancedPyruvaldehydeAdvanced glycation end productsDeoxyglucosoneGlutathioneGlycolysisGlyoxalase cycleLactoyl-glutathioneLactoyl-lysine proteinMethylglyoxal

Identifiers

PMID40240751
PMCPMC12972458

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.