Heroin use is associated with suppressed pro-inflammatory cytokine response after LPS exposure in HIV-infected individuals.

Opioid use is associated with increased incidence of infectious diseases. Although experimental studies have shown that opioids affect various functions of immune cells, only limited data are available from human studies. Drug use is an important risk factor for HIV transmission; however no data are...

Full description

Bibliographic Details
Main Authors: Hinta Meijerink, Agnes Indrati, Fitri Utami, Suharyani Soedarmo, Bachti Alisjahbana, Mihai G Netea, Reinout van Crevel, Rudi Wisaksana, Andre Jam van der Ven
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4382331?pdf=render
_version_ 1811205537268760576
author Hinta Meijerink
Agnes Indrati
Fitri Utami
Suharyani Soedarmo
Bachti Alisjahbana
Mihai G Netea
Reinout van Crevel
Rudi Wisaksana
Andre Jam van der Ven
author_facet Hinta Meijerink
Agnes Indrati
Fitri Utami
Suharyani Soedarmo
Bachti Alisjahbana
Mihai G Netea
Reinout van Crevel
Rudi Wisaksana
Andre Jam van der Ven
author_sort Hinta Meijerink
collection DOAJ
description Opioid use is associated with increased incidence of infectious diseases. Although experimental studies have shown that opioids affect various functions of immune cells, only limited data are available from human studies. Drug use is an important risk factor for HIV transmission; however no data are available whether heroin and/or methadone modulate immune response. Therefore, we examined the effect of heroin and methadone use among HIV-infected individuals on the production of cytokines after ex vivo stimulation with various pathogens.Treatment naïve HIV-infected individuals from Indonesia were recruited. Several cohorts of individuals were recruited: 1) using heroin 2) receiving methadone opioid substitution 3) using heroin over 1 year ago and 4) controls (never used opioids). Whole blood was stimulated with Mycobacterium tuberculosis, Candida albicans and LPS for 24 to 48 hours. Cytokine production (IL-1 β, IL-6, IL-10, IFN-α, IFN-γ and TNF-α) was determined using multiplex beads assay.Among 82 individuals, the cytokine levels in unstimulated samples did not differ between groups. Overall, heroin users had significantly lower cytokine response after exposure to LPS (p<0.05). After stimulation with either M. tuberculosis or C. albicans the cytokine production of all groups were comparable.The cytokine production after exposure to LPS is significantly down-regulated in HIV-infected heroin users. Interesting, methadone use did not suppress cytokine response, which could have implications guidelines of opioid substitution.
first_indexed 2024-04-12T03:34:10Z
format Article
id doaj.art-196a54659ef045fd8a0add33e611dfa5
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-12T03:34:10Z
publishDate 2015-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-196a54659ef045fd8a0add33e611dfa52022-12-22T03:49:29ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01104e012282210.1371/journal.pone.0122822Heroin use is associated with suppressed pro-inflammatory cytokine response after LPS exposure in HIV-infected individuals.Hinta MeijerinkAgnes IndratiFitri UtamiSuharyani SoedarmoBachti AlisjahbanaMihai G NeteaReinout van CrevelRudi WisaksanaAndre Jam van der VenOpioid use is associated with increased incidence of infectious diseases. Although experimental studies have shown that opioids affect various functions of immune cells, only limited data are available from human studies. Drug use is an important risk factor for HIV transmission; however no data are available whether heroin and/or methadone modulate immune response. Therefore, we examined the effect of heroin and methadone use among HIV-infected individuals on the production of cytokines after ex vivo stimulation with various pathogens.Treatment naïve HIV-infected individuals from Indonesia were recruited. Several cohorts of individuals were recruited: 1) using heroin 2) receiving methadone opioid substitution 3) using heroin over 1 year ago and 4) controls (never used opioids). Whole blood was stimulated with Mycobacterium tuberculosis, Candida albicans and LPS for 24 to 48 hours. Cytokine production (IL-1 β, IL-6, IL-10, IFN-α, IFN-γ and TNF-α) was determined using multiplex beads assay.Among 82 individuals, the cytokine levels in unstimulated samples did not differ between groups. Overall, heroin users had significantly lower cytokine response after exposure to LPS (p<0.05). After stimulation with either M. tuberculosis or C. albicans the cytokine production of all groups were comparable.The cytokine production after exposure to LPS is significantly down-regulated in HIV-infected heroin users. Interesting, methadone use did not suppress cytokine response, which could have implications guidelines of opioid substitution.http://europepmc.org/articles/PMC4382331?pdf=render
spellingShingle Hinta Meijerink
Agnes Indrati
Fitri Utami
Suharyani Soedarmo
Bachti Alisjahbana
Mihai G Netea
Reinout van Crevel
Rudi Wisaksana
Andre Jam van der Ven
Heroin use is associated with suppressed pro-inflammatory cytokine response after LPS exposure in HIV-infected individuals.
PLoS ONE
title Heroin use is associated with suppressed pro-inflammatory cytokine response after LPS exposure in HIV-infected individuals.
title_full Heroin use is associated with suppressed pro-inflammatory cytokine response after LPS exposure in HIV-infected individuals.
title_fullStr Heroin use is associated with suppressed pro-inflammatory cytokine response after LPS exposure in HIV-infected individuals.
title_full_unstemmed Heroin use is associated with suppressed pro-inflammatory cytokine response after LPS exposure in HIV-infected individuals.
title_short Heroin use is associated with suppressed pro-inflammatory cytokine response after LPS exposure in HIV-infected individuals.
title_sort heroin use is associated with suppressed pro inflammatory cytokine response after lps exposure in hiv infected individuals
url http://europepmc.org/articles/PMC4382331?pdf=render
work_keys_str_mv AT hintameijerink heroinuseisassociatedwithsuppressedproinflammatorycytokineresponseafterlpsexposureinhivinfectedindividuals
AT agnesindrati heroinuseisassociatedwithsuppressedproinflammatorycytokineresponseafterlpsexposureinhivinfectedindividuals
AT fitriutami heroinuseisassociatedwithsuppressedproinflammatorycytokineresponseafterlpsexposureinhivinfectedindividuals
AT suharyanisoedarmo heroinuseisassociatedwithsuppressedproinflammatorycytokineresponseafterlpsexposureinhivinfectedindividuals
AT bachtialisjahbana heroinuseisassociatedwithsuppressedproinflammatorycytokineresponseafterlpsexposureinhivinfectedindividuals
AT mihaignetea heroinuseisassociatedwithsuppressedproinflammatorycytokineresponseafterlpsexposureinhivinfectedindividuals
AT reinoutvancrevel heroinuseisassociatedwithsuppressedproinflammatorycytokineresponseafterlpsexposureinhivinfectedindividuals
AT rudiwisaksana heroinuseisassociatedwithsuppressedproinflammatorycytokineresponseafterlpsexposureinhivinfectedindividuals
AT andrejamvanderven heroinuseisassociatedwithsuppressedproinflammatorycytokineresponseafterlpsexposureinhivinfectedindividuals