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2015 ; 29
(8
): 877-88
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Role of intestinal myofibroblasts in HIV-associated intestinal collagen
deposition and immune reconstitution following combination antiretroviral
therapy
#MMPMID25784439
Asmuth DM
; Pinchuk IV
; Wu J
; Vargas G
; Chen X
; Mann S
; Albanese A
; Ma ZM
; Saroufeem R
; Melcher GP
; Troia-Cancio P
; Torok NJ
; Miller CJ
; Powell DW
AIDS
2015[May]; 29
(8
): 877-88
PMID25784439
show ga
OBJECTIVE: To investigate the potential role of mucosal intestinal myofibroblasts
(IMFs) in HIV and associated fibrosis in gut-associated lymphoid tissue. DESIGN:
Profibrotic changes within the secondary lymphoid organs and mucosa have been
implicated in failed immune reconstitution following effective combination
antiretroviral therapy (cART). Microbial translocation is believed to be
sustaining these systemic inflammatory pathways. IMFs are nonprofessional
antigen-presenting cells with both immunoregulatory and mesenchymal functions
that are ideally positioned to respond to translocating microbial antigen.
METHODS: Duodenal biopsies, obtained from patients naive to cART, underwent
trichrome staining and were examined for tissue growth factor-beta (TGF-?)
expression. Combined immunostaining and second harmonic generation analysis were
used to determine IMF activation and collagen deposition. Confocal microscopy was
performed to examine IMF activation and Toll-like receptor (TLR)4 expression.
Finally, primary IMF cultures were stimulated with lipopolysaccharide to
demonstrate the expression of the inflammatory biomarkers. RESULTS: The
expression of the fibrosis-promoting molecule, TGF-?1, is significantly increased
in duodenal biopsies from HIV patients naïve to cART, and negatively correlated
with subsequent peripheral CD4(+) recovery. The increase in TGF-?1 coincided with
an increase in collagen deposition in the duodenal mucosa in the tissue area
adjacent to the IMFs. We also observed that IMFs expressed TLR4 and had an
activated phenotype since they were positive for fibroblast activation protein.
Finally, stimulation of IMFs from HIV patients with TLR4 resulted in
significantly increased expression of profibrotic molecules, TGF-?1, and
interleukin-6. CONCLUSION: Our data support the hypothesis that activated IMFs
may be among the major cells contributing to the profibrotic changes, and thus,
the establishment and maintenance of systemic inflammation interfering with
immune reconstitution in HIV patients.