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HIV Infection and the Gastrointestinal Immune System

Overview
Journal Mucosal Immunol
Publisher Elsevier
Date 2008 Dec 17
PMID 19079157
Citations 254
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Abstract

There has recently been a resurgence of interest in the gastrointestinal pathology observed in patients infected with HIV. The gastrointestinal tract is a major site of HIV replication, which results in massive depletion of lamina propria CD4 T cells during acute infection. Highly active antiretroviral therapy leads to incomplete suppression of viral replication and substantially delayed and only partial restoration of gastrointestinal CD4 T cells. The gastrointestinal pathology associated with HIV infection comprises significant enteropathy with increased levels of inflammation and decreased levels of mucosal repair and regeneration. Assessment of gut mucosal immune system has provided novel directions for therapeutic interventions that modify the consequences of acute HIV infection.

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References
1.
Clayton F, Kotler D, Kuwada S, Morgan T, Stepan C, Kuang J . Gp120-induced Bob/GPR15 activation: a possible cause of human immunodeficiency virus enteropathy. Am J Pathol. 2001; 159(5):1933-9. PMC: 1867054. DOI: 10.1016/S0002-9440(10)63040-4. View

2.
Giorgi J, Hultin L, McKeating J, Johnson T, Owens B, Jacobson L . Shorter survival in advanced human immunodeficiency virus type 1 infection is more closely associated with T lymphocyte activation than with plasma virus burden or virus chemokine coreceptor usage. J Infect Dis. 1999; 179(4):859-70. DOI: 10.1086/314660. View

3.
Guadalupe M, Reay E, Sankaran S, Prindiville T, Flamm J, McNeil A . 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. J Virol. 2003; 77(21):11708-17. PMC: 229357. DOI: 10.1128/jvi.77.21.11708-11717.2003. View

4.
Smith P, Fox C, Masur H, Winter H, Alling D . Quantitative analysis of mononuclear cells expressing human immunodeficiency virus type 1 RNA in esophageal mucosa. J Exp Med. 1994; 180(4):1541-6. PMC: 2191677. DOI: 10.1084/jem.180.4.1541. View

5.
Maresca M, Mahfoud R, Garmy N, Kotler D, Fantini J, Clayton F . The virotoxin model of HIV-1 enteropathy: involvement of GPR15/Bob and galactosylceramide in the cytopathic effects induced by HIV-1 gp120 in the HT-29-D4 intestinal cell line. J Biomed Sci. 2003; 10(1):156-66. DOI: 10.1007/BF02256007. View