Design
We evaluated the subclinical shedding of 6 different herpesviruses in antiretroviral drug-treated HIV(+) men who have sex with men (MSM), and determined how this is associated with markers of inflammation and immune activation.
Methods
We obtained blood, semen, throat washing, urine, and stool from 15 antiretroviral-treated HIV-1-infected MSM with CD4+ T cell reconstitution, and 12 age-matched HIV(−) MSM from the Multicenter AIDS Cohort Study at 4 timepoints over 24 weeks to measure DNA levels of cytomegalovirus (CMV), Epstein-Barr virus (EBV), herpes simplex virus 1 and 2, human herpesvirus 6 (HHV6), and HHV8. T cell activation and plasma levels of soluble markers of inflammation and activation were also measured at the corresponding timepoints.
Results
HIV(+) participants had a trend for higher total herpesvirus shedding rate. HIV(+) participants also had a significantly higher rate of shedding EBV and CMV compared to the HIV(−) group. Herpesvirus shedding was mostly seen in throat washings. In the HIV(+) group, herpesvirus shedding rate inversely correlated with plasma levels of interferon gamma-induced protein 10 (IP-10) and soluble CD163 (sCD163). CMV DNA levels negatively correlated with levels of T cell activation. There was a trend for a positive correlation between EBV shedding rate and plasma soluble CD14. HHV6 shedding rate negatively correlated with plasma levels of interleukin-6, sCD163, and IP-10. Correlations were not observed among HIV(−) individuals.
Conclusions
Among treated HIV-infected MSM, there are higher subclinical shedding rates of some herpesviruses that occurs in different body compartments and negatively correlates with levels of inflammation and immune activation.