Association Between Gut Microbiota and CD4 Recovery in HIV-1 Infected Patients

Composition of the gut microbiota has been linked with human immunedeficiency virus (HIV)-infected patients on antiretroviral therapy (ART). Evidence suggests that ART-treated patients with poor CD4 T-cell recovery have higher levels of microbial translocation and immune activation. However, the ass...

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Published inFrontiers in microbiology Vol. 9; p. 1451
Main Authors Lu, Wei, Feng, Yuqing, Jing, Fanhui, Han, Yang, Lyu, Na, Liu, Fei, Li, Jing, Song, Xiaojing, Xie, Jing, Qiu, Zhifeng, Zhu, Ting, Routy, Bertrand, Routy, Jean-Pierre, Li, Taisheng, Zhu, Baoli
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LanguageEnglish
Published Switzerland Frontiers Media S.A 02.07.2018
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Abstract Composition of the gut microbiota has been linked with human immunedeficiency virus (HIV)-infected patients on antiretroviral therapy (ART). Evidence suggests that ART-treated patients with poor CD4 T-cell recovery have higher levels of microbial translocation and immune activation. However, the association of the gut microbiota and immune recovery remains unclear. We performed a cross-sectional study on 30 healthy controls (HC) and 61 HIV-infected individuals, including 15 immunological ART responders (IRs), 20 immunological ART non-responders (INRs) and 26 untreated individuals (VU). IR and INR groups were classified by CD4 T-cell counts of ≥350 cells/mm and <350 cells/mm after 2 years of ART, respectively. Each subject's gut microbiota composition was analyzed by metagenomics sequencing. Levels of CD4 T cells, CD8 HLA-DR T cells and CD8 CD38 T cells were measured by flow cytometry. We identified more and fewer in HIV-infected individuals than in HC. Patients in INR group were enriched with , unclassified and when compared with those in IR group. and unclassified were overrepresented in individuals in VU group with CD4 T-cell counts <350 cells/mm . Moreover, we found that the relative abundance of unclassified and were positively correlated with CD8 HLA-DR T-cell count and CD8 HLA-DR /CD8 percentage. Our study has shown that gut microbiota changes were associated with CD4 T-cell counts and immune activation in HIV-infected subjects. Interventions to reverse gut dysbiosis and inhibit immune activation could be a new strategy for improving immune reconstitution of HIV-1-infected individuals.
AbstractList Composition of the gut microbiota has been linked with human immunedeficiency virus (HIV)-infected patients on antiretroviral therapy (ART). Evidence suggests that ART-treated patients with poor CD4+ T-cell recovery have higher levels of microbial translocation and immune activation. However, the association of the gut microbiota and immune recovery remains unclear. We performed a cross-sectional study on 30 healthy controls (HC) and 61 HIV-infected individuals, including 15 immunological ART responders (IRs), 20 immunological ART non-responders (INRs) and 26 untreated individuals (VU). IR and INR groups were classified by CD4+ T-cell counts of ≥350 cells/mm3 and <350 cells/mm3 after 2 years of ART, respectively. Each subject's gut microbiota composition was analyzed by metagenomics sequencing. Levels of CD4+ T cells, CD8+HLA-DR+ T cells and CD8+CD38+ T cells were measured by flow cytometry. We identified more Prevotella and fewer Bacteroides in HIV-infected individuals than in HC. Patients in INR group were enriched with Faecalibacterium prausnitzii, unclassified Subdoligranulum sp. and Coprococcus comes when compared with those in IR group. F. prausnitzii and unclassified Subdoligranulum sp. were overrepresented in individuals in VU group with CD4+ T-cell counts <350 cells/mm3. Moreover, we found that the relative abundance of unclassified Subdoligranulum sp. and C. comes were positively correlated with CD8+HLA-DR+ T-cell count and CD8+HLA-DR+/CD8+ percentage. Our study has shown that gut microbiota changes were associated with CD4+ T-cell counts and immune activation in HIV-infected subjects. Interventions to reverse gut dysbiosis and inhibit immune activation could be a new strategy for improving immune reconstitution of HIV-1-infected individuals.Composition of the gut microbiota has been linked with human immunedeficiency virus (HIV)-infected patients on antiretroviral therapy (ART). Evidence suggests that ART-treated patients with poor CD4+ T-cell recovery have higher levels of microbial translocation and immune activation. However, the association of the gut microbiota and immune recovery remains unclear. We performed a cross-sectional study on 30 healthy controls (HC) and 61 HIV-infected individuals, including 15 immunological ART responders (IRs), 20 immunological ART non-responders (INRs) and 26 untreated individuals (VU). IR and INR groups were classified by CD4+ T-cell counts of ≥350 cells/mm3 and <350 cells/mm3 after 2 years of ART, respectively. Each subject's gut microbiota composition was analyzed by metagenomics sequencing. Levels of CD4+ T cells, CD8+HLA-DR+ T cells and CD8+CD38+ T cells were measured by flow cytometry. We identified more Prevotella and fewer Bacteroides in HIV-infected individuals than in HC. Patients in INR group were enriched with Faecalibacterium prausnitzii, unclassified Subdoligranulum sp. and Coprococcus comes when compared with those in IR group. F. prausnitzii and unclassified Subdoligranulum sp. were overrepresented in individuals in VU group with CD4+ T-cell counts <350 cells/mm3. Moreover, we found that the relative abundance of unclassified Subdoligranulum sp. and C. comes were positively correlated with CD8+HLA-DR+ T-cell count and CD8+HLA-DR+/CD8+ percentage. Our study has shown that gut microbiota changes were associated with CD4+ T-cell counts and immune activation in HIV-infected subjects. Interventions to reverse gut dysbiosis and inhibit immune activation could be a new strategy for improving immune reconstitution of HIV-1-infected individuals.
Composition of the gut microbiota has been linked with human immunedeficiency virus (HIV)-infected patients on antiretroviral therapy (ART). Evidence suggests that ART-treated patients with poor CD4 T-cell recovery have higher levels of microbial translocation and immune activation. However, the association of the gut microbiota and immune recovery remains unclear. We performed a cross-sectional study on 30 healthy controls (HC) and 61 HIV-infected individuals, including 15 immunological ART responders (IRs), 20 immunological ART non-responders (INRs) and 26 untreated individuals (VU). IR and INR groups were classified by CD4 T-cell counts of ≥350 cells/mm and <350 cells/mm after 2 years of ART, respectively. Each subject's gut microbiota composition was analyzed by metagenomics sequencing. Levels of CD4 T cells, CD8 HLA-DR T cells and CD8 CD38 T cells were measured by flow cytometry. We identified more and fewer in HIV-infected individuals than in HC. Patients in INR group were enriched with , unclassified and when compared with those in IR group. and unclassified were overrepresented in individuals in VU group with CD4 T-cell counts <350 cells/mm . Moreover, we found that the relative abundance of unclassified and were positively correlated with CD8 HLA-DR T-cell count and CD8 HLA-DR /CD8 percentage. Our study has shown that gut microbiota changes were associated with CD4 T-cell counts and immune activation in HIV-infected subjects. Interventions to reverse gut dysbiosis and inhibit immune activation could be a new strategy for improving immune reconstitution of HIV-1-infected individuals.
Composition of the gut microbiota has been linked with human immunedeficiency virus (HIV)-infected patients on antiretroviral therapy (ART). Evidence suggests that ART-treated patients with poor CD4 + T-cell recovery have higher levels of microbial translocation and immune activation. However, the association of the gut microbiota and immune recovery remains unclear. We performed a cross-sectional study on 30 healthy controls (HC) and 61 HIV-infected individuals, including 15 immunological ART responders (IRs), 20 immunological ART non-responders (INRs) and 26 untreated individuals (VU). IR and INR groups were classified by CD4 + T-cell counts of ≥350 cells/mm 3 and <350 cells/mm 3 after 2 years of ART, respectively. Each subject’s gut microbiota composition was analyzed by metagenomics sequencing. Levels of CD4 + T cells, CD8 + HLA-DR + T cells and CD8 + CD38 + T cells were measured by flow cytometry. We identified more Prevotella and fewer Bacteroides in HIV-infected individuals than in HC. Patients in INR group were enriched with Faecalibacterium prausnitzii , unclassified Subdoligranulum sp. and Coprococcus comes when compared with those in IR group. F. prausnitzii and unclassified Subdoligranulum sp. were overrepresented in individuals in VU group with CD4 + T-cell counts <350 cells/mm 3 . Moreover, we found that the relative abundance of unclassified Subdoligranulum sp. and C. comes were positively correlated with CD8 + HLA-DR + T-cell count and CD8 + HLA-DR + /CD8 + percentage. Our study has shown that gut microbiota changes were associated with CD4 + T-cell counts and immune activation in HIV-infected subjects. Interventions to reverse gut dysbiosis and inhibit immune activation could be a new strategy for improving immune reconstitution of HIV-1-infected individuals.
Composition of the gut microbiota has been linked with human immunedeficiency virus (HIV)-infected patients on antiretroviral therapy (ART). Evidence suggests that ART-treated patients with poor CD4+ T-cell recovery have higher levels of microbial translocation and immune activation. However, the association of the gut microbiota and immune recovery remains unclear. We performed a cross-sectional study on 30 healthy controls (HC) and 61 HIV-infected individuals, including 15 immunological ART responders (IRs), 20 immunological ART non-responders (INRs) and 26 untreated individuals (VU). IR and INR groups were classified by CD4+ T-cell counts of ≥350 cells/mm3 and <350 cells/mm3 after 2 years of ART, respectively. Each subject’s gut microbiota composition was analyzed by metagenomics sequencing. Levels of CD4+ T cells, CD8+HLA-DR+ T cells and CD8+CD38+ T cells were measured by flow cytometry. We identified more Prevotella and fewer Bacteroides in HIV-infected individuals than in HC. Patients in INR group were enriched with Faecalibacterium prausnitzii, unclassified Subdoligranulum sp. and Coprococcus comes when compared with those in IR group. F. prausnitzii and unclassified Subdoligranulum sp. were overrepresented in individuals in VU group with CD4+ T-cell counts <350 cells/mm3. Moreover, we found that the relative abundance of unclassified Subdoligranulum sp. and C. comes were positively correlated with CD8+HLA-DR+ T-cell count and CD8+HLA-DR+/CD8+ percentage. Our study has shown that gut microbiota changes were associated with CD4+ T-cell counts and immune activation in HIV-infected subjects. Interventions to reverse gut dysbiosis and inhibit immune activation could be a new strategy for improving immune reconstitution of HIV-1-infected individuals.
Author Lu, Wei
Jing, Fanhui
Routy, Bertrand
Song, Xiaojing
Han, Yang
Li, Jing
Zhu, Ting
Xie, Jing
Routy, Jean-Pierre
Liu, Fei
Lyu, Na
Li, Taisheng
Zhu, Baoli
Feng, Yuqing
Qiu, Zhifeng
AuthorAffiliation 5 Beijing Key Laboratory of Microbial Drug Resistance and Resistome , Beijing , China
2 Center for AIDS Research, Chinese Academy of Medical Sciences and Peking Union Medical College , Beijing , China
3 CAS Key Laboratory of Pathogenic Microbiology and Immunology, Institute of Microbiology, Chinese Academy of Sciences , Beijing , China
7 Centre de Recherche du Centre Hospitalier de l’Université de Montréal (CRCHUM) , Montreal, QC , Canada
4 Savaid School of Medicine, University of Chinese Academy of Sciences , Beijing , China
10 Department of Pathogenic Biology, School of Basic Medical Sciences, Southwest Medical University , Luzhou , China
9 Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University , Hangzhou , China
1 Department of Infectious Disease, Peking Union Medical College Hospital , Beijing , China
8 Chronic Viral Illnesses Service Research Institute and Division of Hematology, McGill Un
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– name: 7 Centre de Recherche du Centre Hospitalier de l’Université de Montréal (CRCHUM) , Montreal, QC , Canada
– name: 8 Chronic Viral Illnesses Service Research Institute and Division of Hematology, McGill University Health Centre , Montreal, QC , Canada
– name: 6 Division of Hematology and Oncology Division, Department of Medicine, Centre Hospitalier de l’Université de Montréal (CHUM), Montreal , QC , Canada
– name: 5 Beijing Key Laboratory of Microbial Drug Resistance and Resistome , Beijing , China
– name: 4 Savaid School of Medicine, University of Chinese Academy of Sciences , Beijing , China
– name: 3 CAS Key Laboratory of Pathogenic Microbiology and Immunology, Institute of Microbiology, Chinese Academy of Sciences , Beijing , China
– name: 9 Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University , Hangzhou , China
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ContentType Journal Article
Copyright Copyright © 2018 Lu, Feng, Jing, Han, Lyu, Liu, Li, Song, Xie, Qiu, Zhu, Routy, Routy, Li and Zhu. 2018 Lu, Feng, Jing, Han, Lyu, Liu, Li, Song, Xie, Qiu, Zhu, Routy, Routy, Li and Zhu
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Keywords metagenomics sequencing
HIV-infected individuals
butyrate-producing bacteria
gut microbiota
CD4 recovery
Language English
License This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
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content type line 23
Reviewed by: Bin Su, Capital Medical University, China; Xiaoming Sun, Ragon Institute of MGH, MIT and Harvard, United States
Edited by: Tao Dong, University of Oxford, United Kingdom
This article was submitted to Infectious Diseases, a section of the journal Frontiers in Microbiology
These authors have contributed equally to this work.
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Snippet Composition of the gut microbiota has been linked with human immunedeficiency virus (HIV)-infected patients on antiretroviral therapy (ART). Evidence suggests...
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SubjectTerms butyrate-producing bacteria
CD4 recovery
gut microbiota
HIV-infected individuals
metagenomics sequencing
Microbiology
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Title Association Between Gut Microbiota and CD4 Recovery in HIV-1 Infected Patients
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