Chronic immune activation and gut barrier dysfunction is associated with neuroinflammation in ART-suppressed SIV+ rhesus macaques.

HIV-associated neurocognitive disorders (HAND) affect ~40% of virally suppressed people with HIV (PWH), however, the precise viral dependent and independent changes to the brain are unclear. Here we characterized the CNS reservoir and immune environment of SIV-infected (SIV+) rhesus macaques during...

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Main Authors: Sarah J Byrnes, Kathleen Busman-Sahay, Thomas A Angelovich, Skyler Younger, Sol Taylor-Brill, Michael Nekorchuk, Stephen Bondoc, Rachel Dannay, Margaret Terry, Catherine R Cochrane, Trisha A Jenkins, Michael Roche, Claire Deleage, Steven E Bosinger, Mirko Paiardini, Bruce J Brew, Jacob D Estes, Melissa J Churchill
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-03-01
Series:PLoS Pathogens
Online Access:https://doi.org/10.1371/journal.ppat.1011290
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author Sarah J Byrnes
Kathleen Busman-Sahay
Thomas A Angelovich
Skyler Younger
Sol Taylor-Brill
Michael Nekorchuk
Stephen Bondoc
Rachel Dannay
Margaret Terry
Catherine R Cochrane
Trisha A Jenkins
Michael Roche
Claire Deleage
Steven E Bosinger
Mirko Paiardini
Bruce J Brew
Jacob D Estes
Melissa J Churchill
author_facet Sarah J Byrnes
Kathleen Busman-Sahay
Thomas A Angelovich
Skyler Younger
Sol Taylor-Brill
Michael Nekorchuk
Stephen Bondoc
Rachel Dannay
Margaret Terry
Catherine R Cochrane
Trisha A Jenkins
Michael Roche
Claire Deleage
Steven E Bosinger
Mirko Paiardini
Bruce J Brew
Jacob D Estes
Melissa J Churchill
author_sort Sarah J Byrnes
collection DOAJ
description HIV-associated neurocognitive disorders (HAND) affect ~40% of virally suppressed people with HIV (PWH), however, the precise viral dependent and independent changes to the brain are unclear. Here we characterized the CNS reservoir and immune environment of SIV-infected (SIV+) rhesus macaques during acute (n = 4), chronic (n = 12) or ART-suppressed SIV infection (n = 11). Multiplex immunofluorescence for markers of SIV infection (vRNA/vDNA) and immune activation was performed on frontal cortex and matched colon tissue. SIV+ animals contained detectable viral DNA+ cells that were not reduced in the frontal cortex or the gut by ART, supporting the presence of a stable viral reservoir in these compartments. SIV+ animals had impaired blood brain barrier (BBB) integrity and heightened levels of astrocytes or myeloid cells expressing antiviral, anti-inflammatory or oxidative stress markers which were not abrogated by ART. Neuroinflammation and BBB dysfunction correlated with measures of viremia and immune activation in the gut. Furthermore, SIV-uninfected animals with experimentally induced gut damage and colitis showed a similar immune activation profile in the frontal cortex to those of SIV-infected animals, supporting the role of chronic gut damage as an independent source of neuroinflammation. Together, these findings implicate gut-associated immune activation/damage as a significant contributor to neuroinflammation in ART-suppressed HIV/SIV infection which may drive HAND pathogenesis.
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spelling doaj.art-a8b2d780e7df44039d495cd700b5e2822023-04-30T05:31:06ZengPublic Library of Science (PLoS)PLoS Pathogens1553-73661553-73742023-03-01193e101129010.1371/journal.ppat.1011290Chronic immune activation and gut barrier dysfunction is associated with neuroinflammation in ART-suppressed SIV+ rhesus macaques.Sarah J ByrnesKathleen Busman-SahayThomas A AngelovichSkyler YoungerSol Taylor-BrillMichael NekorchukStephen BondocRachel DannayMargaret TerryCatherine R CochraneTrisha A JenkinsMichael RocheClaire DeleageSteven E BosingerMirko PaiardiniBruce J BrewJacob D EstesMelissa J ChurchillHIV-associated neurocognitive disorders (HAND) affect ~40% of virally suppressed people with HIV (PWH), however, the precise viral dependent and independent changes to the brain are unclear. Here we characterized the CNS reservoir and immune environment of SIV-infected (SIV+) rhesus macaques during acute (n = 4), chronic (n = 12) or ART-suppressed SIV infection (n = 11). Multiplex immunofluorescence for markers of SIV infection (vRNA/vDNA) and immune activation was performed on frontal cortex and matched colon tissue. SIV+ animals contained detectable viral DNA+ cells that were not reduced in the frontal cortex or the gut by ART, supporting the presence of a stable viral reservoir in these compartments. SIV+ animals had impaired blood brain barrier (BBB) integrity and heightened levels of astrocytes or myeloid cells expressing antiviral, anti-inflammatory or oxidative stress markers which were not abrogated by ART. Neuroinflammation and BBB dysfunction correlated with measures of viremia and immune activation in the gut. Furthermore, SIV-uninfected animals with experimentally induced gut damage and colitis showed a similar immune activation profile in the frontal cortex to those of SIV-infected animals, supporting the role of chronic gut damage as an independent source of neuroinflammation. Together, these findings implicate gut-associated immune activation/damage as a significant contributor to neuroinflammation in ART-suppressed HIV/SIV infection which may drive HAND pathogenesis.https://doi.org/10.1371/journal.ppat.1011290
spellingShingle Sarah J Byrnes
Kathleen Busman-Sahay
Thomas A Angelovich
Skyler Younger
Sol Taylor-Brill
Michael Nekorchuk
Stephen Bondoc
Rachel Dannay
Margaret Terry
Catherine R Cochrane
Trisha A Jenkins
Michael Roche
Claire Deleage
Steven E Bosinger
Mirko Paiardini
Bruce J Brew
Jacob D Estes
Melissa J Churchill
Chronic immune activation and gut barrier dysfunction is associated with neuroinflammation in ART-suppressed SIV+ rhesus macaques.
PLoS Pathogens
title Chronic immune activation and gut barrier dysfunction is associated with neuroinflammation in ART-suppressed SIV+ rhesus macaques.
title_full Chronic immune activation and gut barrier dysfunction is associated with neuroinflammation in ART-suppressed SIV+ rhesus macaques.
title_fullStr Chronic immune activation and gut barrier dysfunction is associated with neuroinflammation in ART-suppressed SIV+ rhesus macaques.
title_full_unstemmed Chronic immune activation and gut barrier dysfunction is associated with neuroinflammation in ART-suppressed SIV+ rhesus macaques.
title_short Chronic immune activation and gut barrier dysfunction is associated with neuroinflammation in ART-suppressed SIV+ rhesus macaques.
title_sort chronic immune activation and gut barrier dysfunction is associated with neuroinflammation in art suppressed siv rhesus macaques
url https://doi.org/10.1371/journal.ppat.1011290
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