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Contribution of the Microbiota to Intestinal Homeostasis and its Role in the Pathogenesis of HIV-1 Infection

Journal

CURRENT HIV RESEARCH
Volume 17, Issue 1, Pages 13-25

Publisher

BENTHAM SCIENCE PUBL LTD
DOI: 10.2174/1570162X17666190311114808

Keywords

Microbiota; microbial translocation; dysbiosis; HIV/AIDS pathogenesis; mucosal immunology; Th17/Treg axis

Funding

  1. CODI
  2. Convocatoria Programatica Ciencias de la Salud 2016
  3. Universidad de Antioquia
  4. Corporacion Universitaria Remington, Uniremington [4000000097-17]

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During HIV infection, massive destruction of CD4(+) T cells ensues, preferentially depleting the Th17 subset at the gut-associated lymphoid tissue (GALT), leading to a loss of mucosal integrity and an increase in cell permeability. This process favors microbial translocation between the intestinal lumen and the circulatory system, contributing to persistent immune activation and chronic inflammation characteristic of HIV infection. Thus, the gut microbiota plays an integral role in maintaining the structure and function of the mucosal barrier, a critical factor for immune homeostasis. However, in the context of HIV infection, changes in the gut microbiota have been reported and have been linked to disease progression. Here, we review evidence for the role of the gut microbiota in intestinal homeostasis, its contribution to HIV pathogenesis, as well as its use in the development of therapeutic strategies.

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