Widespread Colonization of the Lung by Tropheryma whipplei in HIV Infection
| Autor: | John Martin, Derek J. Linderman, Gail Ackerman, Laurence Huang, Alison Morris, Kenneth S. Knox, Elodie Ghedin, Jesse Stombaugh, Catherine A. Lozupone, Ronald G. Collman, Thomas B. Campbell, Sahar Abubucker, Rob Knight, Brent E. Palmer, Adela Cota-Gomez, Andrew P. Fontenot, Susan V. Lynch, Makedonka Mitreva, Guohui Yao, Luke K. Ursell, Emily S. Charlson, Sonia C. Flores, Homer L. Twigg, Frederic D. Bushman, James M. Beck, George M. Weinstock, Vincent B. Young, Jeffrey L. Curtis, Erica Sodergren |
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| Rok vydání: | 2013 |
| Předmět: |
Pulmonary and Respiratory Medicine
Tropheryma Sequence assembly HIV Infections Biology Critical Care and Intensive Care Medicine Microbiology Cohort Studies Tropheryma whipplei medicine Humans Longitudinal Studies Microbiome Lung Immunodeficiency medicine.diagnostic_test Whipple Disease virus diseases Articles biology.organism_classification medicine.disease Virology Bronchoalveolar lavage Pyrosequencing |
| Zdroj: | Lozupone, C; Cota-Gomez, A; Palmer, BE; Linderman, DJ; Charlson, ES; Sodergren, E; et al.(2013). Widespread colonization of the lung by Tropheryma whipplei in HIV infection. American Journal of Respiratory and Critical Care Medicine, 187(10), 1110-1117. doi: 10.1164/rccm.201211-2145OC. UC San Diego: Retrieved from: http://www.escholarship.org/uc/item/9vh2b5tf |
| ISSN: | 1535-4970 1073-449X |
| Popis: | Rationale: Lung infections caused by opportunistic or virulent pathogensare a principal cause of morbidityandmortality in HIVinfection. It is unknown whether HIV infection leads to changes in basal lung microflora, which may contribute to chronic pulmonary complications that increasingly are being recognized in individuals infected with HIV. Objectives: To determine whether the immunodeficiency associated with HIV infection resulted in alteration of the lung microbiota. Methods:We used 16S ribosomal RNA targeted pyrosequencing and shotgun metagenomic sequencing to analyze bacterial gene sequences in bronchoalveolar lavage (BAL) and mouths of 82 HIV-positive and 77 HIV-negative subjects. Measurements and Main Results: Sequences representing Tropheryma whipplei, the etiologic agent of Whipple's disease, were significantly more frequent in BAL of HIV-positive compared with HIV-negative individuals. T. whipplei dominated the community (>50% of sequence reads) in 11 HIV-positive subjects, but only 1 HIV-negative individual (13.4 versus 1.3%; P = 0.0018). In 30 HIV-positive individuals sampled longitudinally, antiretroviral therapy resulted in a significantly reduced relative abundance of T. whipplei in the lung. Shotgun metagenomic sequencing was performed on eight BAL samples dominated by T. whipplei 16S ribosomal RNA. Whole genome assembly of pooled reads showed that uncultured lungderived T. whipplei had similar gene content to two isolates obtained from subjects with Whipple's disease. Conclusions: Asymptomatic subjects with HIV infection have unexpected colonization of the lung by T. whipplei, which is reduced by effective antiretroviral therapy and merits further study for a potential pathogenic role in chronic pulmonary complications of HIV infection. Copyright © 2013 by the American Thoracic Society. |
| Databáze: | OpenAIRE |
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