How Lp(a) levels affect heart and artery disease risk in people with HIV

Lipoprotein (a) Modification of the Impact of HIV Infection on Atherosclerotic Cardiovascular Disease

NIH-funded research Johns Hopkins University · NIH-11166455

This project looks at whether higher levels of a blood lipid called Lp(a) raise the chance of heart and artery disease for people living with HIV.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionJohns Hopkins University NIH-funded
Lab location1 site (Baltimore, United States)
Project IDNIH-11166455 on NIH RePORTER

What this research studies

Researchers will use repeated heart and artery imaging and stored blood samples from long-running HIV cohorts to find the Lp(a) levels linked to more artery disease. They will compare results across racial groups because Lp(a) tends to be higher in Black people. The team will test two biological ideas for why Lp(a) might be harmful in HIV — one involving oxidized fats carried by Lp(a) and another involving inflammation signals like IL-6 — by studying patients' blood in the lab. Results are intended to help guide who might benefit from future treatments that lower Lp(a).

Who could benefit from this research

Good fit: Adults living with HIV, particularly those already enrolled in the MACS/WIHS Combined Cohort Study (MWCCS) or receiving care at participating clinics, are the ideal candidates.

Not a fit: People without HIV or those whose cardiovascular risk is driven mainly by unrelated causes may not directly benefit from this research.

Why it matters

Potential benefit: If successful, this could help doctors better predict and reduce heart disease risk in people living with HIV by guiding future Lp(a)-lowering therapies.

How similar studies have performed: Previous studies have linked Lp(a) to heart disease in the general population, but applying these approaches specifically to people with HIV is relatively new.

Where this research is happening

Baltimore, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Acquired Immune Deficiency Syndrome VirusAcquired Immunodeficiency Syndrome VirusAtherosclerotic Cardiovascular Disease
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.