1. Gut lactate-producing bacteria promote CD4 T cell recovery on Anti-retroviral therapy in HIV-infected patients
- Author
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Qian Zhou, Routy Jean-Pierre, Zhifeng Qiu, Yang Han, Jing Li, Qingren Meng, Jian Wang, Jingfa Xiao, Chu Yanan, Shao Changjun, Jun Yu, Wei Lyu, Taisheng Li, Hua Zhu, Xiaojing Song, and Yu Kang
- Subjects
Streptococcus thermophilus ,Immune recovery ,Biophysics ,Gut flora ,Biochemistry ,03 medical and health sciences ,0302 clinical medicine ,Immune system ,Structural Biology ,Lactic acid bacteria ,Genetics ,Hiv infected patients ,ComputingMethodologies_COMPUTERGRAPHICS ,030304 developmental biology ,0303 health sciences ,biology ,HIV ,biology.organism_classification ,Computer Science Applications ,Viral replication ,030220 oncology & carcinogenesis ,Immunology ,Metagenome ,Antiretroviral medication ,TP248.13-248.65 ,Bacteria ,Research Article ,Biotechnology - Abstract
Graphical abstract, Anti-retroviral therapy (ART) effectively suppresses viral replication in HIV-infected patients, however CD4 + cell restoration to normal value is not achieved by 15–20% of patients who are called immune non-responders. Gut microbiota composition has been shown to influence host immunity. Herein, to identify intestinal microbial agents that may influence the CD4 recovery in HIV-infected patients, we utilized a “Quasi-paired cohort” method to analyze intestinal metagenome data from immunological responders (IRs) and immunological non-responders (INRs). This method identified significant enrichment for Streptococcus sp. and related lactate-producing bacteria (LAB) in IRs. In a validation cohort, positive correlations between the abundance of these LAB and the post-ART CD4 + recovery was observed, and a prediction model based on these LAB performed well in predicting immune recovery. Finally, experiments using a germ-free mouse model of antibody-induced CD4 + cell depletion showed that supplementation with a lactate-producing commensal Streptococcus thermophilus strongly promoted CD4 recovery. In conclusion, our study identified a group of LAB that was associated with enhanced immune recovery in post-ART HIV-infected patients and promotes CD4 + cell restoration in a mouse model. These findings favour supplementation of LAB commensal as a therapeutic strategy for CD4 + cell count improvement in HIV-infected patients.
- Published
- 2021