Circulation Research,
Journal Year:
2024,
Volume and Issue:
134(11), P. 1607 - 1635
Published: May 23, 2024
Given
advances
in
antiretroviral
therapy,
the
mortality
rate
for
HIV
infection
has
dropped
considerably
over
recent
decades.
However,
people
living
with
(PLWH)
experience
longer
life
spans
coupled
persistent
immune
activation
despite
viral
suppression
and
potential
toxicity
from
long-term
therapy
use.
Consequently,
PLWH
face
a
cardiovascular
disease
(CVD)
risk
more
than
twice
that
of
general
population,
making
it
leading
cause
death
among
this
group.
Here,
we
briefly
review
epidemiology
CVD
highlighting
disparities
at
intersections
sex
gender,
age,
race/ethnicity,
contributions
social
determinants
health
psychosocial
stress
to
increased
individuals
marginalized
identities.
We
then
overview
pathophysiology
discuss
primary
factors
implicated
as
contributors
on
therapy.
Subsequently,
highlight
functional
evidence
premature
vascular
dysfunction
an
early
pathophysiological
determinant
PLWH,
several
mechanisms
underlying
synthesize
current
research
accelerated
aging
focusing
activation,
chronic
inflammation,
oxidative
stress.
consider
understudied
aspects
such
HIV-related
changes
gut
microbiome
stress,
which
may
serve
through
exercise
can
abrogate
aging.
Emphasizing
significance
exercise,
various
modalities
their
impacts
health,
proposing
holistic
approach
managing
risks
PLWH.
The
discussion
extends
critical
future
study
areas
related
aging,
CVD,
efficacy
interventions,
call
inclusive
considers
diversity
population.
Viruses,
Journal Year:
2022,
Volume and Issue:
14(5), P. 950 - 950
Published: May 1, 2022
Viral
infections
are
influenced
by
various
microorganisms
in
the
environment
surrounding
target
tissue,
and
correlation
between
type
balance
of
commensal
microbiota
is
key
to
establishment
infection
pathogenicity.
Some
known
resist
or
promote
viral
infection,
while
others
involved
It
also
becoming
evident
that
profile
under
normal
conditions
influences
progression
diseases.
Thus,
understand
pathogenesis
underlying
infections,
it
important
elucidate
interactions
among
viruses,
tissues,
environment,
including
microbiota,
which
should
have
different
relationships
with
each
virus.
In
this
review,
we
outline
role
infections.
Particularly,
focus
on
gaining
an
in-depth
understanding
correlations
gut
virome,
discussing
impact
changes
(dysbiosis)
pathological
Metabolites,
Journal Year:
2022,
Volume and Issue:
12(9), P. 834 - 834
Published: Sept. 3, 2022
The
trillions
of
commensal
microorganisms
comprising
the
gut
microbiota
have
received
growing
attention
owing
to
their
impact
on
host
physiology.
Recent
advances
in
our
understandings
host–microbiota
crosstalk
support
a
pivotal
role
microbiota-derived
metabolites
various
physiological
processes,
as
they
serve
messengers
complex
dialogue
between
commensals
and
immune
endocrine
cells.
In
this
review,
we
highlight
importance
tryptophan-derived
physiology,
summarize
recent
findings
tryptophan
catabolites
preserving
intestinal
homeostasis
fine-tuning
metabolic
responses.
Furthermore,
discuss
latest
evidence
effects
microbial
catabolites,
describe
mechanisms
action,
how
perturbations
metabolism
may
affect
course
extraintestinal
disorders,
including
inflammatory
bowel
diseases,
chronic
kidney
cardiovascular
diseases.
Microbiome,
Journal Year:
2024,
Volume and Issue:
12(1)
Published: Feb. 3, 2024
The
widespread
availability
of
antiretroviral
therapy
(ART)
has
dramatically
reduced
mortality
and
improved
life
expectancy
for
people
living
with
HIV
(PLWH).
However,
even
HIV-1
suppression,
chronic
immune
activation
elevated
inflammation
persist
have
been
linked
to
a
pro-inflammatory
gut
microbiome
composition
compromised
intestinal
barrier
integrity.
PLWH
in
urban
versus
rural
areas
sub-Saharan
Africa
experience
differences
environmental
factors
that
may
impact
the
system,
response
ART,
yet
this
not
previously
investigated
these
groups.
To
address
this,
we
measured
T
cell
activation/exhaustion/trafficking
markers,
plasma
inflammatory
fecal
healthy
participants
recruited
from
an
clinic
city
Harare,
Zimbabwe,
district
hospital
services
surrounding
villages.
were
either
ART
naïve
at
baseline
sampled
again
after
24
weeks
first-line
antibiotic
cotrimoxazole
or
ART-experienced
both
timepoints.
Nature Reviews Gastroenterology & Hepatology,
Journal Year:
2024,
Volume and Issue:
21(6), P. 377 - 405
Published: May 19, 2024
The
ability
to
experience
pleasurable
sexual
activity
is
important
for
human
health.
Receptive
anal
intercourse
(RAI)
a
common,
though
frequently
stigmatized,
activity.
Little
known
about
how
diseases
of
the
colon,
rectum,
and
anus
their
treatments
affect
RAI.
Engaging
in
RAI
with
gastrointestinal
disease
can
be
difficult
due
unpredictability
symptoms
treatment-related
toxic
effects.
Patients
might
sphincter
hypertonicity,
symptom-specific
anxiety,
altered
pelvic
blood
flow
from
structural
disorders,
decreased
sensation
cancer-directed
therapies
or
body
image
issues
stoma
creation.
These
result
problematic
—
encompassing
anodyspareunia
(painful
RAI),
arousal
dysfunction,
orgasm
dysfunction
desire.
Therapeutic
strategies
patients
living
and/or
include
floor
muscle
strengthening
stretching,
psychological
interventions,
restorative
devices.
Providing
health-care
professionals
framework
discuss
diagnose
help
improve
patient
outcomes.
Normalizing
RAI,
affirming
pleasure
acknowledging
that
system
involved
pleasure,
function
health
will
transform
scientific
paradigm
one
more
just
equitable.
an
consideration
disorders
cancers.
This
Review
discusses
anorectum
as
organ,
providing
overview
itself
associated
(such
surgery)
Strategies
manage
are
also
described.
HIV Medicine,
Journal Year:
2020,
Volume and Issue:
21(S3), P. 2 - 16
Published: Oct. 1, 2020
Objectives
This
paper
aims
to
address
the
concerns
around
ongoing
immune
activation,
inflammation,
and
resistance
in
those
ageing
with
HIV
that
represent
current
challenges
for
clinicians.
Methods
Presentations
at
a
symposium
addressing
issues
of
infection
were
reviewed
synthesised.
Results
The
changing
natural
history
demographics
human
immunodeficiency
virus
(HIV)‐infected
individuals
means
new
contemporary
management.
In
early
years
epidemic,management
was
focussed
on
acute,
potentially
life‐threatening
AIDS‐related
complications.
From
initial
monotherapy
first‐generation
antiretroviral
therapy
(ART),
development
combination
highly
active
ART
(HAART)
allowed
control
but
toxicities,
treatment
adherence
drug
emerged
as
major
issues.
Today,
availability
potent
tolerable
has
made
viral
suppression
achievable
most
people
living
(PLHIV),
clinicians
are
confronted
managing
chronic
condition
among
an
population.
diseases
co‐morbidities
associated
HIV‐infection,
even
when
well
controlled,
results
complex
set
many
older
PLHIV.
There
is
growing
appreciation
non‐AIDS‐related
caused,
least
part,
by
persistent,
low‐grade
hypercoagulability,
despite
suppressive
ART.
Conclusions
order
further
improve
management,
it
important
understand
enduring
effects
chronically
suppressed
infection,
potential
contribution
these
factors
process,
possibility
resistance,
impact
different
strategies,
including
initiation.
Genome biology,
Journal Year:
2022,
Volume and Issue:
23(1)
Published: Feb. 23, 2022
Gut
microbial
alteration
is
implicated
in
inflammatory
bowel
disease
but
noted
other
diseases.
Systematic
comparison
to
define
similarities
and
specificities
hampered
since
most
studies
focus
on
a
single
disease.
Cell Reports,
Journal Year:
2023,
Volume and Issue:
42(11), P. 113336 - 113336
Published: Nov. 1, 2023
Antiretroviral
therapy
(ART)
has
dramatically
lengthened
lifespan
among
people
with
HIV
(PWH),
but
this
population
experiences
heightened
rates
of
inflammation-related
comorbidities.
HIV-associated
inflammation
is
linked
an
altered
microbiome;
whether
such
alterations
precede
comorbidities
or
occur
as
their
consequence
remains
unknown.
We
find
that
ART-treated
PWH
exhibit
depletion
gut-resident
bacteria
produce
short-chain
fatty
acids
(SCFAs)-crucial
microbial
metabolites
anti-inflammatory
properties.
Prior
reports
establish
fecal
SCFA
concentrations
are
not
depleted
in
PWH.
gut-microbiota-mediated
production
capacity
better
reflected
serum
than
feces
and
reduced
SCFA,
which
associates
inflammatory
markers.
Leveraging
stool
samples
collected
prior
to
comorbidity
onset,
we
HIV-specific
microbiome
morbidity
mortality
Among
these
alterations,
microbiome-mediated
conversion
lactate
propionate
precedes
Thus,
gut
fiber/lactate
SCFAs
may
modulate
risk.
Microorganisms,
Journal Year:
2023,
Volume and Issue:
11(4), P. 951 - 951
Published: April 6, 2023
Antiretroviral
therapies
(ART)
are
strongly
associated
with
weight
gain
and
metabolic
syndrome
(MetS)
development
in
HIV-infected
patients.
Few
studies
have
evaluated
the
association
between
gut
microbiota
integrase
strand
transfer
inhibitor
(INSTI)-based
protease
(PI)-based
regimens
patients
MetS.
To
assess
this,
fecal
samples
were
obtained
from
treated
different
(16
PI
+
MetS
or
30
INSTI
MetS)
18
healthy
controls
(HCs).
The
microbial
composition
was
characterized
using
16S
rRNA
amplicon
sequencing.
INSTI-based
PI-based
a
significant
decrease
α-diversity
compared
to
HCs.
group
showed
lowest
both
regimens.
A
increase
abundance
of
short-chain
fatty
acid
(SCFA)-producing
genera
(Roseburia,
Dorea,
Ruminococcus
torques,
Coprococcus)
observed
group,
while
Prevotella,
Fusobacterium,
Succinivibrio
significantly
increased
group.
Moreover,
Proteobacteria/Firmicutes
ratio
overrepresented,
functional
pathways
related
biosynthesis
LPS
components
receiving
INSTIs
more
pronounced
dysbiosis
orchestrated
by
decreased
bacterial
richness
diversity,
an
almost
complete
absence
SCFA-producing
bacteria
alterations
pathways.
These
findings
not
been
previously
observed.
Microbiome,
Journal Year:
2024,
Volume and Issue:
12(1)
Published: June 21, 2024
Abstract
Background
Although
the
microbiota
has
been
extensively
associated
with
HIV
pathogenesis,
majority
of
studies,
particularly
those
using
omics
techniques,
are
largely
correlative
and
serve
primarily
as
a
basis
for
hypothesis
generation.
Furthermore,
most
have
focused
on
characterizing
taxonomic
composition
bacterial
component,
often
overlooking
other
levels
microbiome.
The
intricate
mechanisms
by
which
influences
immune
responses
to
still
poorly
understood.
Interventional
studies
gut
provide
powerful
tool
test
whether
we
can
harness
improve
health
outcomes
in
people
HIV.
Results
Here,
review
multifaceted
role
microbiome
HIV/SIV
disease
progression
its
potential
therapeutic
target.
We
explore
complex
interplay
between
microbial
dysbiosis
systemic
inflammation,
highlighting
microbiome-based
therapeutics
open
new
avenues
management.
These
include
exploring
efficacy
probiotics,
prebiotics,
fecal
transplantation,
targeted
dietary
modifications.
also
address
challenges
inherent
this
research
area,
such
difficulty
inducing
long-lasting
alterations
complexities
study
designs,
including
variations
probiotic
strains,
donor
selection
FMT,
antibiotic
conditioning
regimens,
hurdles
translating
findings
into
clinical
practice.
Finally,
speculate
future
directions
rapidly
evolving
field,
emphasizing
need
more
granular
understanding
microbiome-immune
interactions,
development
personalized
therapies,
application
novel
technologies
identify
agents.
Conclusions
Our
underscores
importance
target
innovative
strategies.