EBioMedicine,
Год журнала:
2022,
Номер
83, С. 104182 - 104182
Опубликована: Июль 26, 2022
Immune
activation
is
a
significant
contributor
to
HIV
pathogenesis
and
disease
progression.
In
virally-suppressed
individuals
on
ART,
low-level
immune
has
been
linked
several
non-infectious
comorbid
diseases.
However,
studies
have
not
systematically
performed
in
sub-Saharan
Africa
thus
the
impact
of
demographics,
ART
regional
endemic
co-infections
known.
We
therefore
comprehensively
evaluated
large
multinational
African
cohort
markers
for
its
distribution
various
settings.2747
specimens
from
2240
people
living
with
(PLWH)
477
without
observational
Cohort
Study
(AFRICOS)
were
analyzed
13
parameters.
Samples
collected
along
medical
history,
sociodemographic
comorbidity
data
at
12
clinics
across
5
programs
Uganda,
Kenya,
Tanzania
Nigeria.
Data
univariate
multivariate
methods
such
as
random
forests
principal
component
analysis.Immune
was
markedly
different
between
PLWH
detectable
viral
loads,
sites.
Among
viremic
PLWH,
we
found
that
all
parameters
significantly
correlated
load
except
IFN-α.
The
overall
inflammatory
profile
distinct
men
women
HIV,
off
viremia.
observed
stronger
differences
increasing
Using
machine
learning
methods,
geographic
contributed
unique
profiles.
also
among
age
presence
infectious
and/or
noninfectious
comorbidities
showed
patterns,
biomarkers
may
be
used
predict
some
comorbidities.Our
findings
show
chronic
HIV-1
infection
influenced
by
load,
sex,
age,
region
use.
These
predictors,
well
associations
coinfections,
influence
associated
noncommunicable
diseases.This
work
supported
President's
Emergency
Plan
AIDS
Relief
via
cooperative
agreement
Henry
M.
Jackson
Foundation
Advancement
Military
Medicine,
Inc.,
U.S.
Department
Defense
[W81XWH-11-2-0174,
W81XWH-18-2-0040].
investigators
adhered
policies
protection
human
subjects
prescribed
AR
70-25.
This
article
prepared
while
Michael
A.
Eller
employed
Medicine
Research
Program.
views
expressed
are
those
authors
should
construed
represent
positions
US
Army
or
Defense.
opinions
this
author's
own,
do
reflect
view
National
Institutes
Health,
Health
Human
Services,
government.
Immunological Reviews,
Год журнала:
2022,
Номер
311(1), С. 224 - 233
Опубликована: Апрель 22, 2022
Osteopontin
(OPN)
also
known
by
its
official
gene
designation
secreted
phosphoprotein-1
(SPP1)
is
a
fascinating,
multifunctional
protein
expressed
in
number
of
cell
types
that
functions
not
only
intercellular
communication,
but
the
extracellular
matrix
(ECM).
OPN/SPP1
possesses
cytokine,
chemokine,
and
signal
transduction
virtue
modular
structural
motifs
provide
interaction
surfaces
for
integrins
CD44-variant
receptors.
In
humans,
there
are
three
experimentally
verified
splice
variants
CD44's
ten
exons
alternatively
spiced
cell/tissue-specific
manner,
although
very
little
about
how
this
regulated
central
nervous
system
(CNS).
Post-translational
modifications
phosphorylation,
glycosylation,
localized
cleavage
specific
proteases
cells
tissues
where
functions,
provides
additional
layers
specificity.
However,
former
make
elucidating
exact
molecular
mechanisms
function
more
complex.
Flexibility
structure
engagement
with
having
ability
to
transmit
signals
inside-out
outside-in
direction,
likely
why
can
serve
as
an
early
detector
inflammation
ongoing
tissue
damage
response
cancer,
stroke,
traumatic
brain
injury,
pathogenic
infection,
neurodegeneration,
processes
impair
homeostasis.
This
review
will
focus
on
what
currently
brain.
Current Opinion in HIV and AIDS,
Год журнала:
2022,
Номер
17(5), С. 286 - 292
Опубликована: Июль 5, 2022
Purpose
of
review
HIV
and
antiretroviral
therapy
(ART)
use
are
linked
to
an
increased
incidence
atherosclerotic
cardiovascular
disease
(ASCVD).
Immune
activation
persists
in
ART-treated
people
with
(PWH),
markers
inflammation
(i.e.
IL-6,
C-reactive
protein)
predict
mortality
this
population.
This
discusses
underlying
mechanisms
that
likely
contribute
the
development
ASCVD
PWH.
Recent
findings
Persistent
contributes
accelerated
several
new
insights
into
immunologic
chronic
PWH
have
been
made
(e.g.
clonal
haematopoiesis,
trained
immunity,
lipidomics).
We
will
also
highlight
potential
pro-inflammatory
may
differ
vulnerable
populations,
including
women,
minorities
children.
Summary
Mechanistic
studies
drivers
ongoing
aid
tailoring
effective
therapeutic
strategies
can
reduce
risk
Focus
should
include
factors
lead
persistent
disparities
care
comorbidities,
sex
as
a
biological
factor
social
determinants
health.
It
remains
unclear
whether
progression
is
driven
by
unique
mediators
(HIV
itself,
ART,
immunodeficiency),
or
if
it
version
seen
general
AIDS and Behavior,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 3, 2025
Abstract
Understanding
positive
psychological
factors
(PPFs;
internal
strengths,
socioemotional
support)
that
promote
optimal
health
outcomes
among
people
with
HIV
(PWH)
is
increasingly
important.
122
PWH
and
98
without
(PWoH)
were
included
in
multivariable
regressions,
testing
interactions
between
status
PPFs
on
7
cognitive
domains
2
daily
functioning
outcomes,
controlling
for
depressive
symptoms.
Overall,
higher
strengths
related
to
better
learning
memory,
whereas
support
was
processing
speed
psychomotor
speed.
had
a
stronger
relationship
verbal
fluency
than
PWoH.
associated
fewer
impairments;
however,
only
PWoH
showed
functional
declines
support.
may
require
greater
accommodate
an
increased
burden
of
comorbidities
leading
difficulties.
Among
PWH,
bolstering
improve
cognition;
particularly
benefit
functioning.
Nature Communications,
Год журнала:
2023,
Номер
14(1)
Опубликована: Янв. 25, 2023
Abstract
Metabolic
changes
in
immune
cells
contribute
to
both
physiological
and
pathophysiological
outcomes
of
reactions.
Here,
by
comparing
protein
expression,
transcriptome,
salivary
metabolome
profiles
uninfected
HIV+
individuals,
we
found
perturbations
polyamine
metabolism
the
oral
mucosa
patients.
Mechanistic
studies
using
an
vitro
human
tonsil
organoid
infection
model
revealed
that
HIV
T
also
resulted
increased
synthesis,
which
was
dependent
on
activities
caspase-1,
IL-1β,
ornithine
decarboxylase-1.
HIV-1
led
a
heightened
expression
synthesis
intermediates
including
decarboxylase-1
as
well
elevated
dysfunctional
regulatory
cell
(T
regDys
)/T
helper
17
(Th17)
ratios.
Blockade
caspase-1
reversed
phenotype
showing
direct
role
pathway
altering
functions
during
infection.
Lastly,
mucosal
/Th17
ratios
CD4
hyperactivation
positively
correlated
with
putrescine
levels,
were
be
saliva
Thus,
revealing
aberrantly
infection,
our
study
unveils
mechanism
chronic
viral
infections
could
drive
distinct
effector
programs
reg
dysfunction.
Frontiers in Immunology,
Год журнала:
2023,
Номер
14
Опубликована: Сен. 8, 2023
Kynurenine
(Kyn)
is
a
circulating
tryptophan
(Trp)
catabolite
generated
by
enzymes
including
IDO1
that
are
induced
inflammatory
cytokines
such
as
interferon-gamma.
Kyn
levels
in
circulation
increase
with
age
and
implicated
several
age-related
disorders
neurodegeneration,
osteoporosis,
sarcopenia.
Importantly,
increases
progressive
disease
HIV
patients,
antiretroviral
therapy
does
not
normalize
activity
these
subjects.
now
recognized
an
endogenous
agonist
of
the
aryl
hydrocarbon
receptor,
AhR
activation
itself
has
been
found
to
induce
muscle
atrophy,
bone-resorbing
osteoclasts,
decrease
matrix
formation
osteoblasts,
lead
senescence
bone
marrow
stem
cells.
Several
inhibitors
clinical
trials
potential
cancer
therapies.
We
propose
some
drugs
may
be
repurposed
improve
musculoskeletal
health
older
adults
living
HIV.
Clinical Infectious Diseases,
Год журнала:
2023,
Номер
77(2), С. 272 - 279
Опубликована: Апрель 3, 2023
Abstract
Background
People
with
human
immunodeficiency
virus
(PWH)
are
at
increased
risk
for
comorbidities,
and
plasma
interleukin
6
(IL-6)
levels
among
the
most
robust
predictors
of
these
outcomes.
Tocilizumab
(TCZ)
blocks
receptor
IL-6,
inhibiting
functions
this
cytokine.
Methods
This
was
a
40-week,
placebo-controlled,
crossover
trial
(NCT02049437)
where
PWH
on
stable
antiretroviral
therapy
(ART)
were
randomized
to
receive
3
monthly
doses
TCZ
or
matching
placebo
intravenously.
Following
10-week
treatment
period
12-week
washout,
participants
switched
opposite
treatment.
The
primary
endpoints
safety
posttreatment
C-reactive
protein
(CRP)
CD4+
T-cell
cycling.
Secondary
included
changes
in
inflammatory
indices
lipid
levels.
Results
There
9
treatment-related
toxicities
grade
2
greater
during
administration
(mostly
neutropenia)
administration.
Thirty-one
34
completed
study
modified
intent-to-treat
analysis.
reduced
CRP
(median
decrease,
1819.9
ng/mL,
P
<
.0001;
effect
size,
0.87)
markers
PWH,
including
D-dimer,
soluble
CD14,
tumor
necrosis
factor
receptors.
cycling
tended
decrease
all
maturation
subsets
after
administration,
but
only
significant
naive
CD4
T
cells.
Lipid
levels,
classes
that
have
been
related
cardiovascular
disease
risk,
Conclusions
is
safe
decreases
inflammation
PWH;
IL-6
key
driver
environment
predicts
morbidity
mortality
ART-treated
PWH.
clinical
significance
elevations
requires
further
study.
Clinical
Trials
Registration.
NCT02049437.
Abstract
Studies
in
vivo
have
demonstrated
that
the
accumulation
of
d
-amino
acids
(
-AAs)
is
associated
with
age-related
diseases
and
increased
immune
activation.
However,
underlying
mechanism(s)
these
observations
are
not
well
defined.
The
metabolism
-AAs
by
oxidase
(DAO)
produces
hydrogen
peroxide
(H
2
O
),
a
reactive
oxygen
species
involved
several
physiological
processes
including
response,
cell
differentiation,
proliferation.
Excessive
levels
H
contribute
to
oxidative
stress
eventual
death,
characteristic
pathology.
Here,
we
explored
molecular
mechanisms
-serine
-Ser)
-alanine
-Ala)
human
liver
cancer
cells,
HepG2,
focus
on
production
downstream
secretion
pro-inflammatory
cytokine
chemokine,
subsequent
death.
In
HepG2
-Ser
decreased
induced
concentration-dependent
depolarization
mitochondrial
membrane
potential
(MMP).
This
was
upregulation
activated
NF-кB,
cytokine,
TNF-α,
IL-8
secretion,
apoptosis.
Conversely,
-Ala-treated
cells
production,
were
also
accompanied
IL-8,
but
did
cause
significant
present
study
confirms
role
both
-Ala
inducing
inflammatory
responses,
each
via
unique
activation
pathways.
response
apoptotic
death
only
-Ser.
Further
research
required
gain
better
understanding
-AA-induced
inflammation
its
consequences,
especially
context
aging
given
wide
detection
entities
systemic
circulation.
Frontiers in Molecular Biosciences,
Год журнала:
2024,
Номер
11
Опубликована: Март 28, 2024
Aging
is
a
major
risk
factor
for
the
development
of
many
pathological
processes,
such
as
reduced
immunity,
cancer,
cardiovascular
diseases
or
neurodegenerative
diseases,
while
age-related
chronic
are
most
common
causes
death.
This
paper
studies
effects
American
ginseng
saponin
Rb
1
and
Re
alone
combined
intervention
on
immune
system
aging
mouse
models,
by
using
30
mg/kg
,
15
Re,
+
(30
(co-intervention)
was
used
to
intervene
in
model,
indicators
thymus
index,
spleen
interleukin
interferon
were
detected
evaluate
impact
function.
The
results
show
that
can
increase
index
7%–12%
12%–19%
model.
After
intervened,
apoptotic
cells
slightly
reduced,
proportion
reduced.
combination
promote
23.40%
25.5%
respectively,
which
more
advantageous
than
alone.
In
addition,
reduce
level
INF
comparable
young
mice.
not
only
content,
but
also
TNF
content.
above
delay
decline
two
significantly
better
individual
recovery
system.
provide
theoretical
basis
data
support
nutritional
supplements
its
application
groups
products
improve
immunity.
Viruses,
Год журнала:
2022,
Номер
14(2), С. 409 - 409
Опубликована: Фев. 17, 2022
Before
the
antiretroviral
therapy
(ART)
era,
people
living
with
HIV
(PLWH)
experienced
complications
due
to
AIDS
more
so
than
aging.
With
ART
and
extended
lifespan
of
PLWH,
comorbidities
also
include
aging-most
likely
accelerated
aging-as
well
as
a
cardiovascular,
neurocognitive
disorders,
lung
kidney
disease,
malignancies.
The
broad
evidence
suggests
that
is
associated
accentuated
aging,
age-related
occur
earlier,
in
part
chronic
immune
activation,
co-infections,
possibly
effects
alone.
Normally
system
undergoes
alterations
lymphocyte
monocyte
populations
diminished
naïve
T-
B-lymphocyte
numbers,
reliance
on
memory
lymphocytes,
skewed
production
myeloid
cells
leading
inflammation,
termed
"inflamm-aging".
Specifically,
absolute
numbers
relative
proportions
monocytes
subpopulations
are
age
along
mitochondrial
dysfunction,
resulting
increased
accumulation
reactive
oxygen
species
(ROS).
Additionally,
an
increase
biomarkers
activation
(IL-6,
sCD14,
sCD163)
occurs
infection
age,
may
contribute
immunosenescence.
Chronic
accelerates
aging;
meanwhile,
treatment
slow
acceleration,
but
not
sufficient
stop
aging
or
comorbidities.
Overall,
better
understanding
mechanisms
behind
turnover
needed
for
future
therapies.
BMJ Open,
Год журнала:
2023,
Номер
13(3), С. e069688 - e069688
Опубликована: Март 1, 2023
The
Swedish
InfCareHIV
cohort
was
established
in
2003
to
ensure
equal
and
effective
care
of
people
living
with
HIV
(PLHIV)
enable
long-term
follow-up.
functions
equally
as
a
decision
support
system
quality
registry,
ensuring
up-to-date
data
reported
real
time.InfCareHIV
includes
on
>99%
all
diagnosed
Sweden
up
now
13
029
have
been
included
the
cohort.
HIV-related
biomarkers
antiretroviral
therapies
(ART)
also
demographics,
patient-reported
outcome
measures
experience
measures.Sweden
2015
first
country
reach
UNAIDS
(United
Nations
Programme
HIV/AIDS)/WHO's
90-90-90
goals.
Late
diagnosis
infection
identified
key
problem
HIV-epidemic,
low-level
viraemia
while
ART
associated
all-cause
mortality.
Increased
RNA
load
cerebrospinal
fluid
(CSF)
despite
suppression
plasma
viral
found
5%
PLHIV,
phenomenon
referred
'CSF
escape'.
Dolutegravir-based
treatment
PLHIV
pre-existing
nucleoside
reverse
transcriptase
inhibitor-mutations
non-inferior
protease
inhibitor-based
regimens.
An
increase
transmitted
drug
resistance
observed
Lower
efficacy
for
inhibitors
not
due
lower
adherence
treatment.
Incidence
type
2
diabetes
insulin
high
ageing
population.
Despite
ART,
risk
infection-related
cancer
well
lung
increased
compared
HIV-negative.
were
less
likely
successfully
treated
cervical
precancer
more
human
papillomavirus
types
current
HPV
vaccines.
Self-reported
sexual
satisfaction
is
improving
higher
women
than
men.InfCareHIV
provides
unique
base
study
further
improve
outcomes,
comorbidity
management
health-related
life
Sweden.