2018
DOI: 10.1097/coh.0000000000000429
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Altered gut microbiome composition in HIV infection

Abstract: Studying the human host-microbiota interaction suggests that the consequences of HIV infection on microbial composition can influence immune status in HIV patients. ART induces microbiome changes that are independent of HIV infection, and some imply that ART may enhance dysbiosis. Studies and trials evaluated the effects of administering probiotics and prebiotics, finding a potential benefit on inflammation markers and immune cell activation. Emerging data on fecal microbial transplantation need to be assessed… Show more

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Cited by 90 publications
(48 citation statements)
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“…For example, during HIV-1 infection, CD4+ T cells are rapidly depleted, especially in gut associated lymphoid tissue (GALT). As a likely consequence, the gut microbiome of HIV-1 infected individuals are distinct in composition from healthy individuals (Bandera et al, 2018; Zilberman-Schapira et al, 2016). Furthermore, dysbiosis and T cell depletion in HIV-1 infected patients may lead to the breakdown of the intestinal barrier, leading to the systemic distribution of bacterial products, as evidenced by increased circulating lipopolysaccharide (LPS) levels (Brenchley et al, 2006).…”
Section: Discussionmentioning
confidence: 99%
“…For example, during HIV-1 infection, CD4+ T cells are rapidly depleted, especially in gut associated lymphoid tissue (GALT). As a likely consequence, the gut microbiome of HIV-1 infected individuals are distinct in composition from healthy individuals (Bandera et al, 2018; Zilberman-Schapira et al, 2016). Furthermore, dysbiosis and T cell depletion in HIV-1 infected patients may lead to the breakdown of the intestinal barrier, leading to the systemic distribution of bacterial products, as evidenced by increased circulating lipopolysaccharide (LPS) levels (Brenchley et al, 2006).…”
Section: Discussionmentioning
confidence: 99%
“…For example, during HIV-1 infection, CD4+ T cells are rapidly depleted, especially in gut associated lymphoid tissue (GALT). As a likely consequence, the gut microbiome of HIV-1 infected individuals are distinct in composition from healthy individuals 50,51 . Furthermore, dysbiosis and T cell depletion in HIV-1 infected patients may lead to the breakdown of the intestinal barrier, leading to the systemic distribution of bacterial products, as evidenced by increased circulating lipopolysaccharide (LPS) levels 52 .…”
Section: Discussionmentioning
confidence: 99%
“…Bacteroides are associated with modulating intestinal inflammation and Proteobacteria with pro-inflammatory responses. Intestinal dysbiosis has been associated with increased microbial translocation and monocyte activation markers, and inferior disease outcome [ 54 ]. The increased microbial translocation suggests a breach in the intestinal permeability.…”
Section: Main Textmentioning
confidence: 99%