Fetal Metabolic Stress Disrupts Immune Homeostasis and Induces Proinflammatory Responses in Human Immunodeficiency Virus Type 1- and Combination Antiretroviral Therapy-Exposed Infants
Autor: | Henriette J. Scherpbier, Rob J. Vreeken, Liesbeth Van Leeuwen, Ruud Berger, Carools J. Reinecke, Gontse P. Moutloatse, Amy C. Harms, Thomas Hankemeier, Taco W. Kuijpers, Madeleine J. Bunders, Johannes C. Schoeman |
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Přispěvatelé: | Imaging Mass Spectrometry (IMS), RS: M4I - Imaging Mass Spectrometry (IMS), AII - Amsterdam institute for Infection and Immunity, Paediatric Infectious Diseases / Rheumatology / Immunology, AII - Infectious diseases, ARD - Amsterdam Reproduction and Development, Other Research, Obstetrics and Gynaecology, Experimental Immunology, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism |
Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Male
0301 basic medicine PATAS MONKEYS fetal development HIV Infections medicine.disease_cause immune system diseases UNINFECTED INFANTS Homeostasis Immunology and Allergy Medicine CORD BLOOD Pregnancy Complications Infectious Phospholipids Chemokine CCL3 Hypertriglyceridemia biology WOMEN virus diseases metabolomics immune metabolism Cholesterol PREGNANCY Infectious Diseases HIV/AIDS Female medicine.symptom PERINATAL EXPOSURE Adult Cart Anti-HIV Agents antiretroviral therapy IN-UTERO Inflammation PERSISTENT MITOCHONDRIAL DYSFUNCTION Proinflammatory cytokine Major Articles and Brief Reports 03 medical and health sciences Fetus Immune system Stress Physiological Patas monkey Metabolome Humans Triglycerides REVERSE-TRANSCRIPTASE INHIBITORS business.industry Infant Newborn Infant Lipid metabolism biology.organism_classification Infectious Disease Transmission Vertical Chemokine CXCL10 Oxidative Stress 030104 developmental biology Case-Control Studies Immunology HIV-1 Lipid Peroxidation business TO-CHILD TRANSMISSION Oxidative stress |
Zdroj: | JOURNAL OF INFECTIOUS DISEASES JOURNAL OF INFECTIOUS DISEASES, 216(4), 436-446 Journal of Infectious Diseases, 216(4), 436-446. Oxford University Press The Journal of Infectious Diseases Journal of infectious diseases, 216(4), 436-446. Oxford University Press |
ISSN: | 0022-1899 |
Popis: | Summary Here, we show that the mitochondrial and lipid metabolism in uninfected infants born to HIV-1–infected women and with prenatal exposure to combination antiretroviral therapy is dysregulated and is associated with enhanced immune activation. Increased morbidity and fetal growth restriction are reported in uninfected children born to human immunodeficiency virus type 1 (HIV-1)–infected women treated with antiretroviral (ARV) therapy. Viruses and/or pharmacological interventions such as ARVs can induce metabolic stress, skewing the cell’s immune response and restricting (cell) growth. Novel metabolomic techniques provided the opportunity to investigate the impact of fetal HIV-1 and combination ARV therapy (cART) exposure on the infants’ immune metabolome. Peroxidized lipids, generated by reactive oxygen species, were increased in cART/HIV-1–exposed infants, indicating altered mitochondrial functioning. The lipid metabolism was further dysregulated with increased triglyceride species and a subsequent decrease in phospholipids in cART/HIV-1–exposed infants compared to control infants. Proinflammatory immune mediators, lysophospholipids as well as cytokines such as CXCL10 and CCL3, were increased whereas anti-inflammatory metabolites from the cytochrome P450 pathway were reduced in cART/HIV-1–exposed infants. Taken together, these data demonstrate that the fetal metabolism is impacted by maternal factors (cART and HIV-1) and skews physiological immune responses toward inflammation in the newborn infant. |
Databáze: | OpenAIRE |
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