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354:. This work was followed by studies in HIV patients in which he phenotyped the morphological characteristics of coronary plaque in HIV patients, demonstrating an increased prevalence of high risk plaque with low attenuation and positive remodeling, more vulnerable to rupture. His studies suggested that treatment with a statin might uniquely target both traditional risk factors including
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Lo J, Lu MT, Ihenachor EJ, Wei J, Looby SE, Fitch KV, Oh J, Zimmerman CO, Hwang J, Abbara S, Plutzky J, Robbins G, Tawakol A, Hoffmann U, Grinspoon SK. Effects of statin therapy on coronary artery plaque volume and high-risk plaque morphology in HIV-infected patients with subclinical atherosclerosis:
332:
as well, the first drug to demonstrate a significant effect among patients with HIV lipodystrophy. Subsequent work demonstrated significant effects to stimulate hepatic oxidative pathways and reduce inflammatory pathways in gene set enrichment studies. Grinspoon was granted a US Patent entitled “GHRH
307:
in lipodystrophic patients with abdominal fat accumulation and nonalcoholic fatty liver disease. This work was initiated by an observation of reduced GH secretion in HIV patients with lipodystrophy. Subsequent studies examined the mechanisms and demonstrated reduced area under the curve per peak, but
371:
2015 on this topic. The REPRIEVE trial was recently closed early by its Data Safety
Monitoring Board for a robust efficacy signal, demonstrating that a statin strategy reduced major adverse cardiovascular event (primary heart attacks, strokes, and cardiovascular death) by 35% over 5 years, compared
745:
Fourman LT, Billingsley JM, Agyapong G, Ho Sui SJ, Feldpausch MN, Purdy J, Zheng I, Pan CS, Corey KE, Torriani M, Kleiner DE, Hadigan CM, Stanley TL, Chung RT, Grinspoon SK. Effects of tesamorelin on hepatic transcriptomic signatures in HIV-associated NAFLD. JCI Insight. 2020 Aug 20;5(16):e140134.
861:
Zanni MV, Toribio M, Wilks MQ, Lu MT, Burdo TH, Walker J, Autissier P, Foldyna B, Stone L, Martin A, Cope F, Abbruzzese B, Brady T, Hoffmann U, Williams KC, El-Fakhri G, Grinspoon SK. Application of a Novel CD206+ Macrophage-Specific
Arterial Imaging Strategy in HIV-Infected Individuals. J Infect
366:
can significantly reduce high risk plaque volume as well as improve the high-risk morphological features in coronary lesions in HIV. In recognition of this work, he has led the REPRIEVE trial, a global primary prevention study performed in 12 countries, since 2013 and gave the plenary lecture at
336:
A second and related focus of
Grinspoon’s work has been to investigate the mechanisms and strategies for CVD in HIV. In this regard, he led an AHA sponsored State of the Science Symposium on CVD in HIV. The conclusions from this conference called for a better understanding and treatment
785:
Makimura H, Feldpausch MN, Rope AM, Hemphill LC, Torriani M, Lee H, Grinspoon SK. Metabolic effects of a growth hormone-releasing factor in obese subjects with reduced growth hormone secretion: a randomized controlled trial. J Clin
Endocrinol Metab. 2012 Dec;97(12):4769-79.
350:. Of note, increased arterial inflammation was most significantly associated with increased markers of immune activation. He also recently proposed the first use of tilmanocept as a CD206 specific imaging agent for arterial inflammation, with success in HIV published in
702:
Torriani M, Srinivasa S, Fitch KV, Thomou T, Wong K, Petrow E, Kahn CR, Cypess AM, Grinspoon SK. Dysfunctional
Subcutaneous Fat With Reduced Dicer and Brown Adipose Tissue Gene Expression in HIV-Infected Patients. J Clin Endocrinol Metab. 2016 Mar;101(3):1225-34.
623:
Stanley TL, Feldpausch MN, Oh J, Branch KL, Lee H, Torriani M, Grinspoon SK. Effect of tesamorelin on visceral fat and liver fat in HIV-infected patients with abdominal fat accumulation: a randomized clinical trial. JAMA. 2014 Jul 23-30;312(4):380-9.
333:
or
Analogues thereof for the Use in Treatment of Hepatic Disease” for this work. Tesamorelin was also investigated in generalized obesity and showed significant effects to reduce cIMT, inflammatory markers, lipids and visceral adiposity.
308:
maintenance of the GH pulse generator in such patients. Reasoning that augmentation of GH pulsatility might reduce visceral fat, because of its potent effects to oxidize adipose tissue, Grinspoon led a series of studies culminating in a
345:
to demonstrate for the first time significant arterial inflammation in asymptomatic low traditional risk HIV patients, compared to
Framingham risk matched control subjects, as well as non HIV patients with known CVD, published in
528:
Triant VA, Lee H, Hadigan C, Grinspoon SK. Increased acute myocardial infarction rates and cardiovascular risk factors among patients with human immunodeficiency virus disease. J Clin
Endocrinol Metab. 2007 Jul;92(7):2506-12.
446:
Grinspoon, Steven K. ;Lake, Jordan, Stanley, Takara; Apovian, Caroline; Brown, Todd. (15 May 2017). “Practical Review of
Recognition and Management of Obesity and Lipohypertrophy in Human Immunodeficiency Virus Infection”.
879:
Zanni MV, Abbara S, Lo J, Wai B, Hark D, Marmarelis E, Grinspoon SK. Increased coronary atherosclerotic plaque vulnerability by coronary computed tomography angiography in HIV-infected men. AIDS. 2013 May 15;27(8):1263-72.
87:
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Subramanian, Sharath; Tawakol, Ahmed; Burdo, Tricia H.; Abbara, Suhny; Wei, Jeffrey; Vijayakumar, Jayanthi; Corsini, Erin; Abdelbaky, Amr; Zanni, Markella V.; Hoffmann, Udo; Williams, Kenneth C. (2012-07-25).
471:
Grinspoon, Steven K; Zanni, Markella V.; Fitchenbaum, Carl J. (July 23, 2023) New
England Journal of Medicine: “Pitavastatin to Prevent Cardiovascular Disease in HIV Infection”. Massachusetts Medical Society.
1171:"Department of Health and Human Services Working Group on the Prevention and Treatment of Wasting and Weight Loss. Weight loss and wasting in patients infected with human immunodeficiency virus"
341:. This data was followed by a series of mechanistic studies demonstrating increased prevalence of plaque, particularly noncalcified, lipid rich, plaque. Grinspoon used
320:. This work led to FDA approval of Tesamorelin as the only such approved drug for HIV lipodystrophy and first in class molecule. Subsequent studies, published in
466:
Grinspoon, Steven K; Stlanley, Takara L. (January 2022) Oxford Textbook of Endocrinology and Diabetes: “Abnormalities in HIV Infection”. Oxford University Press.
190:
Please remove or replace such wording and instead of making proclamations about a subject's importance, use facts and attribution to demonstrate that importance.
358:(LDL) but also increased immune activation indices driving atypical noncalcified high risk plaque in this population. This work culminated in a recent paper in
1213:"State of the Science Conference: Initiative to Decrease Cardiovascular Risk and Increase Quality of Care for Patients Living With HIV/AIDS: Executive Summary"
1441:
940:
435:
Grinspoon, Steven K. (19 June 2008). “Initiative to Decrease Cardiovascular Risk and Increase Quality of Care for Patients Living With HIV/AIDS”.
379:
Grinspoon has worked to understand the mechanism, and treatment strategies for metabolic dysregulation in HIV, and was among the first to assess
989:
767:, Grinspoon, Steven K., "GHRH or analogues thereof for use in treatment of hepatic disease", published 2021-03-16, assigned to
337:
strategies of CVD in HIV. This work began with epidemiologic studies demonstrating increased myocardial infarction rates in HIV patients in the
376:
and the data presented by Grinspoon at the International AIDS Society 2023 meeting in Brisbane and featured in news articles and podcasts.
183:
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disease and inflammation. In 2015, he became the Principal Investigator of the NIH-funded Nutrition Obesity Research Center at Harvard.
284:
255:(MGH) Metabolism Unit and Director of the Nutrition Obesity Research Center at Harvard. In addition, he is the MGH Endowed Chair in
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in this population. He also recognized reduced DICER as a factor that may contribute to dysfunctional adipose tissue in HIV.
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1251:"Practical Review of Recognition and Management of Obesity and Lipohypertrophy in Human Immunodeficiency Virus Infection"
571:
1475:
966:"Daily Statin Medication Reduces Risk of Major Cardiovascular Events by More Than One-Third in People Living with HIV"
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Grinspoon, Steven K. (April 2003). "Weight loss and wasting in patients infected with human immunodeficiency virus.”
223:
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49:
35:
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Grinspoon, Steven K; Brown, Todd T. (2020) Williams Textbook of Endocrinology:”Endocrinology of HIV/AIDS”. Elsevier.
303:
Grinspoon’s primary research focus has been to investigate the effects of augmenting endogenous GH pulsatility on
133:
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Hadigan, Colleen; Yawetz, Sigal; Thomas, Abraham; Havers, Fiona; Sax, Paul E.; Grinspoon, Steven (2004-05-18).
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paper demonstrating that Tesamorelin, a GHRH1-44 secretagogue, reduced visceral fat by 20% and reduced
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Grinspoon, Steven K.; Fitch, Kathleen D.; Zanni, Markella V.; Fitchenbaum, Carl J. (23 July 2023).
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Lake, Jordan; Stanley, Takara; Apovian, Caroline; Brown, Todd; Grinspoon, Steven (15 May 2017).
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a randomised, double-blind, placebo-controlled trial. Lancet HIV. 2015 Feb;2(2):e52-63.
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941:"Cardiovascular Disease in HIV Patients: An Emerging Paradigm and Call to Action"
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It may require cleanup to comply with Knowledge's content policies, particularly
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263:. His work investigates the neuroendocrine regulation of body composition, and
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1088:"For people with HIV, statins show 35 percent drop in heart attack risk"
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990:"Daily statin reduces heart disease risk among adults living with HIV"
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1015:"Preventing HIV's Collateral Cardiovascular Damage: ITT Episode 15"
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1349:"Pitavastatin to Prevent Cardiovascular Disease in HIV Infection"
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Laureate Award for Outstanding Translational Research from the
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Williams Textbook of Endocrinology:”Endocrinology of HIV/AIDS”
1056:"For 'Silver Tsunami' With H.I.V., New Hope for Healthy Aging"
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1146:"Meet the 2016 Laureate Award Winners: Steven Grinspoon, MD"
723:"Meet the 2016 Laureate Award Winners: Steven Grinspoon, MD"
368:
247:
is an American physician who is a Professor of Medicine at
1326:(3 ed.). Oxford University Press. p. 1715–1724.
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Grinspoon, Steven K.; Stanley, Takara L. (January 2022).
647:"Metabolic Effects of Rosiglitazone in HIV Lipodystrophy"
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Grinspoon, Steven K.; Mulligan, Kathleen (April 2003).
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from 1988 to 1992 and his Endocrinology Fellowship at
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A major contributor to this article appears to have a
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to it so that it can be listed with similar articles.
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to placebo. This trial was recently published in the
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Nutrition Obesity Research Center at Harvard Website
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Epub 2012 Sep 26. PMID 23015655; PMCID: PMC3513535.
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Epub 2016 Jan 12. PMID 26756119; PMCID: PMC4803164.
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Epub 2007 Apr 24. PMID 17456578; PMCID: PMC2763385.
906:Epub 2015 Jan 9. PMID 26424461; PMCID: PMC4820828.
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362:, in which he showed for the first time that a
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489:Achermann, John C.; et al. (2016-01-01).
1324:Oxford Textbook of Endocrinology and Diabetes
1297:Grinspoon, Steven K.; Brown, Todd T. (2020).
1211:Grinspoon, Steven K.; et, al (19 June 2008).
572:"Miss Sandler Married To Dr. S. K. Grinspoon"
807:"Arterial Inflammation in Patients With HIV"
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598:"Steven Grinspoon, MD - Neuroendocrinology"
401:American Society for Clinical Investigation
387:to reverse insulin resistance and increase
184:promotes the subject in a subjective manner
50:Learn how and when to remove these messages
285:University of Rochester School of Medicine
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206:Learn how and when to remove this message
156:Learn how and when to remove this message
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31:This article has multiple issues.
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136:. Please discuss further on the
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39:or discuss these issues on the
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1054:Ryan, Benjamin (2023-09-10).
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548:"Steven Kyle Grinspoon, M.D."
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399:Grinspoon was elected to the
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450:Clinical Infectious Diseases
426:Clinical Infectious Diseases
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1144:Newman, Mark (2016-01-22).
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651:Annals of Internal Medicine
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917:"Steven K. Grinspoon, MD"
406:In 2016, he received the
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1060:The New York Times
947:. 24 February 2015
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257:Neuroendocrinology
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