2021
DOI: 10.1172/jci148013
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Alveolar macrophages from persons living with HIV show impaired epigenetic response to Mycobacterium tuberculosis

Abstract: Persons living with HIV (PLWH) are at increased risk of tuberculosis (TB). HIV-associated TB is often the result of recent infection with Mycobacterium tuberculosis (Mtb) followed by rapid progression to disease. Alveolar macrophages (AM) are the first cells of the innate immune system that engage Mtb, but how HIV and antiretroviral therapy (ART) impact on the antimycobacterial response of AM is not known. To investigate the impact of HIV and ART on the transcriptomic and epigenetic response of AM to Mtb, we o… Show more

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Cited by 22 publications
(22 citation statements)
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“…This may be due to the phenotypic and functional differences between hAM and THP-1 cells, conditions of Mtb infection (MOI, time, strain), or variability between patient samples caused by increased genomic heterogeneity. Interestingly, the DAR that Correa-Macedo et al reported are annotated to many of the same genes that the DAR in our analysis annotated to ( RSAD2, MX1,2, IFIT1,2,3 , and IFITM3 ) Pathway analysis by Correa-Macedo et al also demonstrated enrichment of type I IFN signalling pathways, while IRF9 and ZNF685 motifs, which are involved with type I IFN signaling responses, were significantly enriched in TFBM analysis (Correa-Macedo et al . 2021).…”
Section: Discussionsupporting
confidence: 70%
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“…This may be due to the phenotypic and functional differences between hAM and THP-1 cells, conditions of Mtb infection (MOI, time, strain), or variability between patient samples caused by increased genomic heterogeneity. Interestingly, the DAR that Correa-Macedo et al reported are annotated to many of the same genes that the DAR in our analysis annotated to ( RSAD2, MX1,2, IFIT1,2,3 , and IFITM3 ) Pathway analysis by Correa-Macedo et al also demonstrated enrichment of type I IFN signalling pathways, while IRF9 and ZNF685 motifs, which are involved with type I IFN signaling responses, were significantly enriched in TFBM analysis (Correa-Macedo et al . 2021).…”
Section: Discussionsupporting
confidence: 70%
“…The only previous report to investigate global CA patterns upon Mtb infection was a report by Correa-Macedo et al where the authors investigated CA and gene expression patterns of primary human alveolar macrophages (hAM) infected with Mtb ex vivo (Correa-Macedo et al . 2021).…”
Section: Discussionmentioning
confidence: 99%
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“…Similar to BC, HAART has adverse effects on other lung cells. Recent study revealed that alveolar macrophages from HIV − individuals receiving PrEP demonstrated an impaired epigenetic and transcriptional responsiveness to Mycobacterim tuberculosis 99 . Of interest, HAART also causes suppressive impact on microbiota diversity in the gut, which potentially causes intestinal dysbiosis and incompletely restore gut mucosal barrier dysfunction in patients 100 103 .…”
Section: Discussionmentioning
confidence: 99%
“…Notably, AMs from HIV+ and HIV- PrEP study groups both had a weaker transcriptional response when challenged with Mtb compared to AMs from healthy controls. Furthermore, AMs from HIV- PrEP and HIV+ donors showed no change in chromatin state upon challenge, unlike AMs from healthy controls which displayed a significant change in chromatin accessibility ( 121 ). Collectively, these findings suggest that although ART greatly improves the quality of life of PLWH and does restore many of their immune parameters it does not come without side effects.…”
Section: Pulmonary Immune Dysregulation During Hiv Infectionmentioning
confidence: 99%