The mucosal barrier and immune activation in HIV pathogenesis.

Abstract:

PURPOSE OF REVIEW:Significant gastrointestinal pathology occurs in progressive HIV and simian immunodeficiency virus (SIV) infections. This review will examine the relationship between the detrimental events to the gastrointestinal tract during the acute phase of infection and disease progression through the chronic phase and, ultimately, AIDS. RECENT FINDINGS:Gastrointestinal tract CD4 T cells are dramatically depleted in acutely HIV-infected humans and SIV-infected rhesus macaques, sooty mangabeys, and African green monkeys. In addition HIV infection of humans and SIV-infection of rhesus macaques are characterized by enteropathy and increased intestinal permeability. While SIV-infected rhesus macaques and HIV-infected humans manifest chronic and systemic immune activation and microbial translocation, and progress to chronic infection and AIDS, however, SIV-infected sooty mangabeys and African green monkeys do not. SUMMARY:Recent studies have increased our understanding of the mechanisms relating structural and immunological damage to the gastrointestinal tract during the acute phase of HIV/SIV infection to immune activation and disease progression in the chronic phase.

journal_name

Curr Opin HIV AIDS

authors

Brenchley JM,Douek DC

doi

10.1097/COH.0b013e3282f9ae9c

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

356-61

issue

3

eissn

1746-630X

issn

1746-6318

pii

01222929-200805000-00025

journal_volume

3

pub_type

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