Microbial Translocation Is Linked to a Specific Immune Activation Profile in HIV-1-Infected Adults With Suppressed Viremia

Persistent immune activation in virologically suppressed HIV-1 patients, which may be the consequence of various factors including microbial translocation, is a major cause of comorbidities. We have previously shown that different profiles of immune activation may be distinguished in virological res...

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Main Authors: Mehwish Younas, Christina Psomas, Christelle Reynes, Renaud Cezar, Lucy Kundura, Pierre Portales, Corinne Merle, Nadine Atoui, Céline Fernandez, Vincent Le Moing, Claudine Barbuat, Olivier Moranne, Albert Sotto, Robert Sabatier, Pascale Fabbro, Thierry Vincent, Catherine Dunyach-Remy, Audrey Winter, Jacques Reynes, Jean-Philippe Lavigne, Pierre Corbeau
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-09-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2019.02185/full
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author Mehwish Younas
Christina Psomas
Christina Psomas
Christelle Reynes
Renaud Cezar
Lucy Kundura
Pierre Portales
Corinne Merle
Nadine Atoui
Céline Fernandez
Vincent Le Moing
Vincent Le Moing
Vincent Le Moing
Claudine Barbuat
Olivier Moranne
Albert Sotto
Albert Sotto
Robert Sabatier
Pascale Fabbro
Thierry Vincent
Thierry Vincent
Catherine Dunyach-Remy
Audrey Winter
Jacques Reynes
Jacques Reynes
Jacques Reynes
Jean-Philippe Lavigne
Pierre Corbeau
Pierre Corbeau
Pierre Corbeau
author_facet Mehwish Younas
Christina Psomas
Christina Psomas
Christelle Reynes
Renaud Cezar
Lucy Kundura
Pierre Portales
Corinne Merle
Nadine Atoui
Céline Fernandez
Vincent Le Moing
Vincent Le Moing
Vincent Le Moing
Claudine Barbuat
Olivier Moranne
Albert Sotto
Albert Sotto
Robert Sabatier
Pascale Fabbro
Thierry Vincent
Thierry Vincent
Catherine Dunyach-Remy
Audrey Winter
Jacques Reynes
Jacques Reynes
Jacques Reynes
Jean-Philippe Lavigne
Pierre Corbeau
Pierre Corbeau
Pierre Corbeau
author_sort Mehwish Younas
collection DOAJ
description Persistent immune activation in virologically suppressed HIV-1 patients, which may be the consequence of various factors including microbial translocation, is a major cause of comorbidities. We have previously shown that different profiles of immune activation may be distinguished in virological responders. Here, we tested the hypothesis that a particular profile might be the consequence of microbial translocation. To this aim, we measured 64 soluble and cell surface markers of inflammation and CD4+ and CD8+ T-cell, B cell, monocyte, NK cell, and endothelial activation in 140 adults under efficient antiretroviral therapy, and classified patients and markers using a double hierarchical clustering analysis. We also measured the plasma levels of the microbial translocation markers bacterial DNA, lipopolysaccharide binding protein (LBP), intestinal-fatty acid binding protein, and soluble CD14. We identified five different immune activation profiles. Patients with an immune activation profile characterized by a high percentage of CD38+CD8+ T-cells and a high level of the endothelial activation marker soluble Thrombomodulin, presented with higher LBP mean (± SEM) concentrations (33.3 ± 1.7 vs. 28.7 ± 0.9 μg/mL, p = 0.025) than patients with other profiles. Our data are consistent with the hypothesis that the immune activation profiles we described are the result of different etiological factors. We propose a model, where particular causes of immune activation, as microbial translocation, drive particular immune activation profiles responsible for particular comorbidities.
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spelling doaj.art-eaafa4540c4a4601bca6dc8a6da27e792022-12-22T00:20:04ZengFrontiers Media S.A.Frontiers in Immunology1664-32242019-09-011010.3389/fimmu.2019.02185474115Microbial Translocation Is Linked to a Specific Immune Activation Profile in HIV-1-Infected Adults With Suppressed ViremiaMehwish Younas0Christina Psomas1Christina Psomas2Christelle Reynes3Renaud Cezar4Lucy Kundura5Pierre Portales6Corinne Merle7Nadine Atoui8Céline Fernandez9Vincent Le Moing10Vincent Le Moing11Vincent Le Moing12Claudine Barbuat13Olivier Moranne14Albert Sotto15Albert Sotto16Robert Sabatier17Pascale Fabbro18Thierry Vincent19Thierry Vincent20Catherine Dunyach-Remy21Audrey Winter22Jacques Reynes23Jacques Reynes24Jacques Reynes25Jean-Philippe Lavigne26Pierre Corbeau27Pierre Corbeau28Pierre Corbeau29Institute of Human Genetics, CNRS-Montpellier University, UMR9002, Montpellier, FranceInstitute of Human Genetics, CNRS-Montpellier University, UMR9002, Montpellier, FranceInfectious Diseases Department, University Hospital, Montpellier, FranceInstitute for Functional Genomics, Montpellier University, UMR5203, Montpellier, FranceImmunology Department, University Hospital, Nîmes, FranceInstitute of Human Genetics, CNRS-Montpellier University, UMR9002, Montpellier, FranceImmunology Department, University Hospital, Montpellier, FranceInfectious Diseases Department, University Hospital, Montpellier, FranceInfectious Diseases Department, University Hospital, Montpellier, FranceInfectious Diseases Department, University Hospital, Montpellier, FranceInfectious Diseases Department, University Hospital, Montpellier, FranceIRD UMI 233, INSERM U1175, Montpellier University, Montpellier, FranceMontpellier University, Montpellier, FranceInfectious Diseases Department, University Hospital, Nîmes, FranceNephrology Department, University Hospital, Nîmes, FranceMontpellier University, Montpellier, FranceInfectious Diseases Department, University Hospital, Nîmes, FranceInstitute for Functional Genomics, Montpellier University, UMR5203, Montpellier, France0Medical Informatics Department, University Hospital, Nîmes, FranceImmunology Department, University Hospital, Montpellier, FranceMontpellier University, Montpellier, France1U1047, INSERM, Microbiology University Hospital Nîmes, Montpellier University, Nîmes, FranceInstitute of Human Genetics, CNRS-Montpellier University, UMR9002, Montpellier, FranceInfectious Diseases Department, University Hospital, Montpellier, FranceIRD UMI 233, INSERM U1175, Montpellier University, Montpellier, FranceMontpellier University, Montpellier, France1U1047, INSERM, Microbiology University Hospital Nîmes, Montpellier University, Nîmes, FranceInstitute of Human Genetics, CNRS-Montpellier University, UMR9002, Montpellier, FranceImmunology Department, University Hospital, Nîmes, FranceMontpellier University, Montpellier, FrancePersistent immune activation in virologically suppressed HIV-1 patients, which may be the consequence of various factors including microbial translocation, is a major cause of comorbidities. We have previously shown that different profiles of immune activation may be distinguished in virological responders. Here, we tested the hypothesis that a particular profile might be the consequence of microbial translocation. To this aim, we measured 64 soluble and cell surface markers of inflammation and CD4+ and CD8+ T-cell, B cell, monocyte, NK cell, and endothelial activation in 140 adults under efficient antiretroviral therapy, and classified patients and markers using a double hierarchical clustering analysis. We also measured the plasma levels of the microbial translocation markers bacterial DNA, lipopolysaccharide binding protein (LBP), intestinal-fatty acid binding protein, and soluble CD14. We identified five different immune activation profiles. Patients with an immune activation profile characterized by a high percentage of CD38+CD8+ T-cells and a high level of the endothelial activation marker soluble Thrombomodulin, presented with higher LBP mean (± SEM) concentrations (33.3 ± 1.7 vs. 28.7 ± 0.9 μg/mL, p = 0.025) than patients with other profiles. Our data are consistent with the hypothesis that the immune activation profiles we described are the result of different etiological factors. We propose a model, where particular causes of immune activation, as microbial translocation, drive particular immune activation profiles responsible for particular comorbidities.https://www.frontiersin.org/article/10.3389/fimmu.2019.02185/fullbacterial translocationcell activationinflammationcoagulationendothelium
spellingShingle Mehwish Younas
Christina Psomas
Christina Psomas
Christelle Reynes
Renaud Cezar
Lucy Kundura
Pierre Portales
Corinne Merle
Nadine Atoui
Céline Fernandez
Vincent Le Moing
Vincent Le Moing
Vincent Le Moing
Claudine Barbuat
Olivier Moranne
Albert Sotto
Albert Sotto
Robert Sabatier
Pascale Fabbro
Thierry Vincent
Thierry Vincent
Catherine Dunyach-Remy
Audrey Winter
Jacques Reynes
Jacques Reynes
Jacques Reynes
Jean-Philippe Lavigne
Pierre Corbeau
Pierre Corbeau
Pierre Corbeau
Microbial Translocation Is Linked to a Specific Immune Activation Profile in HIV-1-Infected Adults With Suppressed Viremia
Frontiers in Immunology
bacterial translocation
cell activation
inflammation
coagulation
endothelium
title Microbial Translocation Is Linked to a Specific Immune Activation Profile in HIV-1-Infected Adults With Suppressed Viremia
title_full Microbial Translocation Is Linked to a Specific Immune Activation Profile in HIV-1-Infected Adults With Suppressed Viremia
title_fullStr Microbial Translocation Is Linked to a Specific Immune Activation Profile in HIV-1-Infected Adults With Suppressed Viremia
title_full_unstemmed Microbial Translocation Is Linked to a Specific Immune Activation Profile in HIV-1-Infected Adults With Suppressed Viremia
title_short Microbial Translocation Is Linked to a Specific Immune Activation Profile in HIV-1-Infected Adults With Suppressed Viremia
title_sort microbial translocation is linked to a specific immune activation profile in hiv 1 infected adults with suppressed viremia
topic bacterial translocation
cell activation
inflammation
coagulation
endothelium
url https://www.frontiersin.org/article/10.3389/fimmu.2019.02185/full
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