Document 0195 DOCN M9460195 TI Relationship between serum cyclo(His-Pro) concentrations and the nutritional status of HIV-infected patients. DT 9404 AU Wisniewski TL; Mendel E; Morse EV; Hilton CW; Svec F; Obesity Research Program, Louisiana State University Medical; Center, School of Medicine, New Orleans. SO South Med J. 1994 Mar;87(3):348-51. Unique Identifier : AIDSLINE MED/94182159 AB Cyclo(His-Pro) (CHP) is a gut-neuropeptide that influences both appetite and carbohydrate metabolism. This study was undertaken to determine whether concentrations of CHP correlated with various clinical markers of nutritional status and progression of HIV infection. Serum concentrations of CHP were analyzed in a clinical sample of 100 HIV-positive patients whose HIV clinical status ranged from asymptomatic to advanced disease with weight loss. We found a relationship between CHP concentrations and serum albumin and hemoglobin levels, markers of chronic nutrition and disease. However, no correlation was seen between CHP and cortisol concentrations, a marker of acute stress. To analyze the relationship of HIV clinical stage and CHP, patients were divided into three subgroups: asymptomatic, mildly symptomatic, and clear-cut AIDS. CHP concentrations were significantly correlated with HIV clinical stage. These data lead to the hypothesis that CHP is a marker of disease progression and that it potentially plays a role in modulating the nutrition of HIV-infected patients. DE Acquired Immunodeficiency Syndrome/*BLOOD Adolescence Adult Aged Hemoglobins/ANALYSIS Human Hydrocortisone/BLOOD HIV Seropositivity/*BLOOD Middle Age *Nutritional Status Peptides, Cyclic/*BLOOD Piperazines/*BLOOD Prasterone/ANALOGS & DERIVATIVES/BLOOD Sarcoma, Kaposi's/BLOOD Serum Albumin/ANALYSIS Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).