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НАРУШЕНИЕ БАРЬЕРНОЙ ФУНКЦИИ СТЕНКИ КИШКИ И МИКРОБНАЯ ТРАНСЛОКАЦИЯ ПРИ ВИЧ-ИНФЕКЦИИ

https://doi.org/10.22625/2072-6732-2012-4-3-35-41

Аннотация

Транслокация компонентов бактерий, в частности, эндотоксина грам-отрицательных микроорганизмов, через стенку кишки рассматривается как одна из причин гиперактивации иммунной системы при ВИЧ-инфекции с последующим прогрессированием заболевания. В качестве возможных причин повышения проницаемости стенки кишки обсуждаются: массивная гибель кишечных CD4-лимфоцитов, особенно на острой стадии заболевания, cущественное снижение экспрессии белков, обеспечивающих межэпителиальные связи, продолжающаяся репликация вируса и постоянное воспаление стенки кишки, нарушения микробиоценоза кишечника. Приводятся результаты исследований по изучению роли микробной транслокации в прогрессировании ВИЧ-инфекции.

Об авторе

Г. Р. Хасанова
Казанский государственный медицинский университет, Казань
Россия

доцент кафедры детских инфекций Казанского государственного медицинского университета, к.м.н.; тел. (843)267-80-06



Список литературы

1. Marchetti, G. Role of microbial translocation and immune hyperactivation in disease progression of HIV+ patients with preserved CD4 count in the absence of HAART / G. Marchetti [et al.]. – San Francisco, 2010. – 241 p.

2. Brenchley, J.M. Microbial translocation is a cause of systemic immune activation in chronic HIV infection / J.M. Brenchley [et al.] // Nat. Med. – 2006. – № 12. – P. 1365–1371.

3. Mowat, A.M. The anatomical basis of intestinal immunity / A.M. Mowat, J.L. Viney // Immunol Rev. – 1997. – № 156. P. 145–166.

4. Yu, Q.H. Diversity of tight junctions (TJs) between gastrointestinal epithelial cells and their function in maintaining the mucosal barrier / Q.H. Yu, Q. Yang // Cell Biol. Int. – 2009. – № 33. – Р. 78–82.

5. Guy-Grand, D. Gut intraepithelial T lymphocytes / D. Guy-Grand, P. Vassalli // Curr. Opin. Immunol. – 1993. – № 5(2). – P. 247–252.

6. Poles, M.A. A preponderance of CCR5(+) CXCR4(+)mononuclear cells enhances gastrointestinal mucosal susceptibility to human immunodeficiency virus type 1 infection / M.A. Poles [et al.] // J. Virol. – 2001. – № 75(18). – P. 8390–8399.

7. McGowan, I.M. Increased HIV-1 mucosal replication is associated with generalized mucosal cytokine activation / I.M. McGowan [et al.] // JAIDS. – 2004. – № 37(2). – P. 1228–1236.

8. Moser, L.A. Astrovirus increases epithelial barrier permeability independently of viral replication / L.A. Moser, M. Carter, S.J. Schultz-Cherry // Virol. – 2007. – № 81. – P. 11937– 11945.

9. Chen, M.L. Disruption of tight junctions and indu cells by Campylobacter jejuni / M.L. Chen [et al.] // nfect. Immun. – 2006. – № 74. – P. 6581–6589.

10. Ju, Y. Coxsackievirus B3 affects endothelial tight junctions: possible relationship to ZO-1 and F-actin, as well as p38 MAPK activity / Y. Ju [et al.] // Cell Biol. Int. – 2007. – № 31. – P. 1207–1213.

11. Nava, P. The rotavirus surface protein VP8 modulates the gate and fence function of tight junctions in epithelial cells / P. Nava [et al.] // J. Cell. Sci. – 2004. – № 117. – P. 5509– 5519.

12. Sanders, D.S. Mucosal integrity and barrier function in the pathogenesis of early lesions in Crohn's disease / D.S. Sanders // J. Clin. Pathol. – 2005. – № 58. – P. 568–572.

13. Brenchley, J.M. HIV infection and the gastrointestinal immune system / J.M. Brenchley, D.C. Douek // Mucosal. Immunol. – 2008. – № 1. – P. 23–30.

14. Kamat, A. Serological markers for inflammatory bowel disease in AIDS patients with evidence of microbial translocation / A. Kamat [et al.] // PloS ONE. – 2010. – № 5(11). – e15533. doi:10.1371/journal.pone.0015533.

15. Schneider, T. Loss of CD4 T lymphocytes in patients infected with human immunodeficiency virus type 1 is more pronounced in the duodenal mucosa than in the peripheral blood. Berlin Diarrhea / T. Schneider [et al.] // Wasting Syndrome Study Group. Gut. – 1995. – № 37 (4). – P. 524–529.

16. Mehandru, S. Primary HIV-1 infection is associated with preferential depletion of CD4+ T lymphocytes from effector sites in the gastrointestinal tract / S. Mehandru [et al.] // J. Exp. Med. – 2004. – № 200 (6). – P. 761–770.

17. Mehandru, S. Mechanisms of gastrointestinal CD4+ Tcell depletion during acute and early human immunodeficiency virus type 1 infection / S. Mehandru [et al.] // J. Virol. – 2007. – № 81 (2). – P. 599–612.

18. Veazey, R.S. Gastrointestinal tract as a major site of CD4+ T cell depletion and viral replication in SIV infection / R.S. Veazey [et al.] // Science. – 1998. – № 280 (5362). – P. 427–431.

19. Mattapallil, J.J. Massive infection and loss of memory CD4+ T cells in multiple tissues during acute SIV infection / J.J. Mattapallil [et al.] // Nature. – 2005. – № 434 (7037). – P. 1093–1097.

20. Milush, J.M. Virally induced CD4 cell depletion is not sufficient to induce AIDS in natural host / J.M. Milush [et al.] //J. Immunol. – 2007. – № 179. – P. 3047–3056.

21. Nazli, A. Exposure to HIV-1 directly impairs mucoszаl epithelial barrier integrity allowing microbial translocation / A. Nazli [et al.] // PloS Pathog. – 2010. – № 6 (4). – e1000852.

22. George, M.D. Early antiretroviral therapy for simian immunodeficiency virus infection leads to mucosal CD4+ T-cell restoration and enhanced gene expression regulating mucosal repair and regeneration / George M.D. [et al.] // J. Virol. – 2005. – № 79 (5). – P. 2709–2719.

23. Guadalupe, M. Severe CD4+ T-cell depletion in gut lymphoid tissue during primary human immunodeficiency virus type 1 infection and substantial delay in restoration following highly active antiretroviral therapy / M. Guadalupe [et al.] // J. Virol. – 2003. – № 77. – P. 11708–11717.

24. Mehandru, S. Lack of Mucosal Immune Reconstitution during Prolonged Treatment of Acute and Early HIV-1 Infection / S. Mehandru [et al.] // PLoS Med. – 2006. – № 3 (12). – e484.

25. Zhang, L. Quantifying residual HIV-1 replication in patients receiving combination antiretroviral therapy / L. Zhang [et al.] // N. Engl. J. Med. – 1999. – № 340 (21). – P. 1605– 1613.

26. Schacker, T.W. Amount of lymphatic tissue fibrosis in HIV infection predicts magnitude of HHART-associated change in peripheral CD4 cell count / T.W. Schacker [et al.] // AIDS. – 2005. – № 19. – P. 2169–2171.

27. Picker, L.J. HIV pathogenesis: the first cut is the deepest / L.J. Picker, D.I. Watkins // Nat. Immunol. – 2005. – № 6. – P. 430–432.

28. Jiang, W. Plasma levels of bacterial DNA correlate with immune activation and the magnitude of immune restoration in persons with antiretroviral-treated HIV infection / W. Jiang [et al.] // J. Infect. Dis. – 2009. – № 199. – P. 1177–1185.

29. Brenchley, J.M. HIV disease: fallout from a mucosal catastrophe? / J.M. Brenchley, D.A. Price, D.C. Douek // Nat. Immunol. – 2006. – № 7. – P. 235–239.

30. Grossman, Z. Pathogenesis of HIV infection: what the virus spares is as important as what it destroys / Z. Grossman [et al.] // Nat. Med. – 2006. – № 12. – P. 289–295.

31. Marchetti, G. Microbial translocation predicts disease progression of HIV-infected antiretroviral-naïve patients with high CD4 cell count / G. Marchetti [et al.] // AIDS. – 2011. – № 25 (11). – P. 1385–1394.

32. Troseid, M. Elevated plasma levels of lipoplysaccharide and high mobility group box-1 protein are associated with high viral load in HIV-1 infection: reduction by 2-year antiretroviral therapy / M. Troseid [et al.] // AIDS. – 2010. – № 2 (11). – P. 1733–1737.

33. Cassol, E. Persistent microbial tanslocation and immune activation in HIV-1 – infected south Africans receiving combination ntiretroviral therapy / E. Cassol [et al.] // J. Infect. Dis. – 2010. – № 202 (5). – P. 722–733.

34. Redd, A.D. Microbial translocation, the innate cytokine response, and HIV-1 disease progression in Africa / A.D. Redd [et al.] // Proc. Natl. Acad. Sci. USA. – 2009. – № 106. – P. 6718–6723.

35. Redd, A.D. C-reactive protein levels increase during IV-1 disease progression in Rakai, Uganda, despite the absence of microbial translocation / A.D. Redd [et al.] // AIDS. – 2010. – № 54. – P. 556–559.

36. Lester, R.T. HIV-1 RNA dysregulates the natural TLR response to subclinical endotoxemia in Kenyan female sexworkers / R.T. Lester [et al.] // PLoS One. – 2009. – № 4. – e5644.

37. Nowroozalizadeh, S. Microbial Translocation Correlates with the Severity of Both HIV-1 and HIV-2 Infections / S. Nowroozalizadeh [et al.] // J. Infect. Dis. – 2010. – № 201. – P. 1150–1154.

38. Merlini, E. Evidence for polymicrobic flora translocating in peripheral blood of HIV-infected patients with poor immune response to antiretroviral therapy / E. Merlini [et al.] // PLoS One. – 2011. – doi: 10.1371/journal.pone.0018580.

39. Rajasuriar, R. Biological determinants of immune reconstitution in HIV-infected patients receiving antiretroviral therapy: The role of interleukin 7 and interleukin 7 receptor alpha and microbial translocation / R. Rajasuriar [et al.] // J. Infect. Dis. – 2010. – № 202. – P. 1254–1264.

40. Piconi, S. Immune activation, apoptosis, and Treg activity are associated with persistently reduced CD4+ T-cell counts during antiretroviral therapy / S. Piconi [et al.] // AIDS. – 2010. – № 24. – P. 1991–2000.

41. Wallet, M. Microbial translocation induces persistent macrophage activation unrelated to HIV-1 levels or T0cell activation following therapy / M. Wallet [et al.] // AIDS. – 2010. – № 24 (9). – P. 1281–1290.

42. Gori, A. Early impairment of gut function and gut flora supporting a role for alteration of gastrointestinal mucosa in human immunodeficiency virus pathogenesis / A. Gori [et al.] // J. Clin. Microbiol. – 2008. – № 46. – P. 757–758.

43. Dicks, L.M. Lactic acid bacteria population in children diagnosed with human immunodeficiency virus / L.M. Dicks [et al.] // J. Paediatr. Child Health. – 2009. – № 45. – P. 567–572.

44. Perdigon, G. Study of the possible mechanisms involved in the mucosal immune system activation by lactic acid bacteria / G. Perdigon [et al.] // J. Dairy Sci. – 1999. – № 82. – P. 1108–1114.

45. Lin, Y.P. Probiotic Lactobacillus reuteri suppress proinflammatory cytokines via c-Jun / Y.P. Lin [et al.] // Inflamm. Bowel. Dis. – 2008. – № 14. – P. 1068–1083.

46. Gaboriau-Routhiau, V. The key role of segmented filamentous bacteria in the coordinated maturation of gut helper T cell responses / V. Gaboriau-Routhiau [et al.] // Immunity. – 2009. № 31. – P. 677–689.

47. Kotler, D.P. Intestinal mucosal inflammation associated with human immunodeficiency virus infection / D.P. Kotler, S. Reka, F. Clayton // Dig. Dis. Sci. – 1993. – № 38. – P. 1119–1127.

48. Grantham-McGregor, S. Developmental potential in the first 5 years for children in developing countries / S. Grantham- McGregor [et al.] // Lancet. – 2007. – № 369. – P. 60–70.

49. Kwon, H.K. Generation of regulatory dendritic cells and CD4+ Foxp3+ T cells by probiotics administration suppresses immune disorders / H.K. Kwon [et al.] // Proc. Natl. Acad. Sci. USA. – 2010. – № 107. – P. 2159–2164.

50. Chaudhry, A. CD4+ regulatory T cells control TH17 responses in a Stat3-dependent manner / A. Chaudhry [et al.] //Science. – 2009. – № 326. – P. 986–991.

51. Lavasani, S. A novel probiotic mixture exerts a therapeutic effect on experimental autoimmune encephalomyelitis mediated by IL-10 producing regulatory T cells / S. Lavasani [et al.] // PLoS One. – 2010. – № 5. – doi: 10.1371/journal. pone.0009009.

52. Anukam, K.C. Yogurt containing probioticLactobacillus rhamnosus GR-1 and L. reuteri RC-14 helps resolve moderate diarrhea and increases CD4 count in HIV/AIDS patients / K.C. Anukam [et al.] // J. Clin. Gastroenterol. – 2008. – № 42. – P. 239–243.

53. Trois, L. Use of probiotics in HIV-infected children: A randomized double-blind controlled study / L. Trois, E.M. Cardoso, E. Miura // J. Trop. Pediatr. – 2008. – № 54. – P. 19–24.

54. Deeks, S.G. Immune dysfunction, inflammation, and accelerated aging in patients on antiretroviral therapy / S.G. Deeks // Top HIV Med. – 2009. – № 17. – P. 118–123.

55. Baker, J.V. CD4+ count and risk of non-AIDS diseases following initial treatment for HIV infection / J.V. Baker [et al.] // AIDS. – 2008. – № 22. – P. 841–848.

56. Clifford, G.M. Cancer risk in HIV-infected persons: influence of CD4+ count / G.M. Clifford, S. Franceschi // Future Oncol. – 2009. – № 5. – P. 669–678.

57. Hogg, R. Life expectancy of individuals on combination antiretroviral therapy on high-income countries: a collaborative analysis of 14 cohort studies / R. Hogg [et al.] // Lancet. – 2008. – № 372. – P. 293–299.


Рецензия

Для цитирования:


Хасанова Г.Р. НАРУШЕНИЕ БАРЬЕРНОЙ ФУНКЦИИ СТЕНКИ КИШКИ И МИКРОБНАЯ ТРАНСЛОКАЦИЯ ПРИ ВИЧ-ИНФЕКЦИИ. Журнал инфектологии. 2012;4(3):35-41. https://doi.org/10.22625/2072-6732-2012-4-3-35-41

For citation:


Khasanova G.R. Impairment of gut defense barrier and microbial translocation in HIV-infection. Journal Infectology. 2012;4(3):35-41. (In Russ.) https://doi.org/10.22625/2072-6732-2012-4-3-35-41

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