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Translocated microbiome composition determines immunological outcome in treated HIV infection.


ABSTRACT: The impact of the microbiome on HIV disease is widely acknowledged although the mechanisms downstream of fluctuations in microbial composition remain speculative. We detected rapid, dynamic changes in translocated microbial constituents during two years after cART initiation. An unbiased systems biology approach revealed two distinct pathways driven by changes in the abundance ratio of Serratia to other bacterial genera. Increased CD4 T cell numbers over the first year were associated with high Serratia abundance, pro-inflammatory innate cytokines, and metabolites that drive Th17 gene expression signatures and restoration of mucosal integrity. Subsequently, decreased Serratia abundance and downregulation of innate cytokines allowed re-establishment of systemic T cell homeostasis promoting restoration of Th1 and Th2 gene expression signatures. Analyses of three other geographically distinct cohorts of treated HIV infection established a more generalized principle that changes in diversity and composition of translocated microbial species influence systemic inflammation and consequently CD4 T cell recovery.

SUBMITTER: Nganou-Makamdop K 

PROVIDER: S-EPMC8316372 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature

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Translocated microbiome composition determines immunological outcome in treated HIV infection.

Nganou-Makamdop Krystelle K   Talla Aarthi A   Sharma Ashish Arunkumar AA   Darko Sam S   Ransier Amy A   Laboune Farida F   Chipman Jeffrey G JG   Beilman Gregory J GJ   Hoskuldsson Torfi T   Fourati Slim S   Schmidt Thomas E TE   Arumugam Sahaana S   Lima Noemia S NS   Moon Damee D   Callisto Samuel S   Schoephoerster Jordan J   Tomalka Jeffery J   Mugyenyi Peter P   Ssali Francis F   Muloma Proscovia P   Ssengendo Patrick P   Leda Ana R AR   Cheu Ryan K RK   Flynn Jacob K JK   Morou Antigoni A   Brunet-Ratnasingham Elsa E   Rodriguez Benigno B   Lederman Michael M MM   Kaufmann Daniel E DE   Klatt Nichole R NR   Kityo Cissy C   Brenchley Jason M JM   Schacker Timothy W TW   Sekaly Rafick P RP   Douek Daniel C DC  

Cell 20210707 15


The impact of the microbiome on HIV disease is widely acknowledged although the mechanisms downstream of fluctuations in microbial composition remain speculative. We detected rapid, dynamic changes in translocated microbial constituents during two years after cART initiation. An unbiased systems biology approach revealed two distinct pathways driven by changes in the abundance ratio of Serratia to other bacterial genera. Increased CD4 T cell numbers over the first year were associated with high  ...[more]

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