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HIV-2 infection is associated with preserved GALT homeostasis and epithelial integrity despite ongoing mucosal viral replication.

dc.contributor.authorFernandes, S
dc.contributor.authorPires, A
dc.contributor.authorMatoso, P
dc.contributor.authorFerreira, C
dc.contributor.authorNunes-Cabaço, H
dc.contributor.authorCorreia, L
dc.contributor.authorValadas, E
dc.contributor.authorPoças, J
dc.contributor.authorPacheco, P, et al.
dc.date.accessioned2019-02-22T15:43:26Z
dc.date.available2019-02-22T15:43:26Z
dc.date.issued2018
dc.description.abstractThe mechanisms that enable preservation of gut mucosal integrity during persistent viral replication and inherent inflammation remain unclear. Here, we investigated, for the first time, gut homeostasis in HIV-2 infection, a naturally occurring form of attenuated HIV disease. We found viral replication in both sigmoid and ileum of asymptomatic HIV-2+ patients (range: 240-851 circulating CD4+T-cells per μl) despite their undetectable viremia, accompanied by interferon-γ-producing CD8 T-cell expansion, irrespective of antiretroviral treatment. Nevertheless, there was no CD4 T-cell depletion, and Foxp3+ and IL-17- or IL-22-producing CD4 T-cell numbers were unaffected. Moreover, IL-22-producing innate lymphoid cells and IL-22-induced antimicrobial peptides and mucins were maintained. In agreement, the epithelium histology was preserved, including tight junction protein zonula occludens (ZO-1) levels. Furthermore, in vitro infection of colon epithelia with primary isolates revealed no HIV-2 impact on ZO-1 expression. Notably, sigmoid transcriptional levels of CCL20 and CCL28 were significantly increased, in direct correlation with GM-CSF, indicating a local response able to enhance CD4 T-cell recruitment. In conclusion, maintenance of mucosal integrity in HIV-2 infection was associated with T-cell recruitment responses, potentially counteracting CD4 T-cell depletion due to HIV-2 replication. These data have unique implications for the design of therapies targeting gut homeostasis in HIV-1 infection and other chronic inflammatory settings.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMucosal Immunol. 2018 Jan;11(1):236-248pt_PT
dc.identifier.doi10.1038/mi.2017.44pt_PT
dc.identifier.issn1935-3456
dc.identifier.urihttp://hdl.handle.net/10400.10/2138
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherNature Pub. Group,pt_PT
dc.subjectHIV infectionspt_PT
dc.subjectAsymptomatic diseasespt_PT
dc.titleHIV-2 infection is associated with preserved GALT homeostasis and epithelial integrity despite ongoing mucosal viral replication.pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceNew Yorkpt_PT
oaire.citation.endPage248pt_PT
oaire.citation.startPage236pt_PT
oaire.citation.titleMucosal Immunologypt_PT
oaire.citation.volume11pt_PT
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT

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