Background
Chronic alcohol intoxication suppresses immune function and increases
osteoporosis risk suggesting bone tissue cytotoxicity. Human immunodeficiency virus
(HIV) infection leads to similar impairments. This study investigated the effects of
chronic alcohol administration during the early stage of simian immunodeficiency virus
(SIV) infection on hematopoietic stem and progenitor cells and their differentiated
progeny in the bone marrow and peripheral blood of rhesus macaques.
Methods
Rhesus macaques were administered alcohol or sucrose daily for a period of 3
months prior to intrarectal inoculation with 250 TCID50 of SIVmac251. Bone
marrow aspirates and blood samples were taken prior to and 2 weeks after SIV infection.
Bone marrow cells (BMCs) were assessed using flow cytometric phenotyping for upstream
hematopoietic stem and progenitor cells (HSPCs) and for differentiated cells of the
monocyte-granulocyte lineages. Likewise, cells were quantitated in peripheral blood.
Results
Of the bone marrow HSPCs, only the common lymphoid progenitor (CLP) was altered
by alcohol administration pre-SIV (38±9.4 / 106 BMCs v
226±64.1 / 106 BMCs, sucrose v alcohol). Post-SIV, the frequency of
CLPs in the bone marrow of alcohol-administered macaques decreased compared to the
sucrose-administered macaques (107±47.6 / 106 BMCs v 43±16.3
/ 106 BMCs). However, marrow mature cells of the monocyte lineage,
specifically macrophages and osteoclast progenitors, were increased by both chronic
alcohol administration and SIV infection (287% and 662%, respectively).
As expected, mature cells such as granulocytes (polymorphonuclear cells (PMN)), B cells,
and CD4+ T cells in the peripheral blood were decreased by SIV infection
(37-62% decline from pre-infection), but not affected after three months of
chronic alcohol administration.
Conclusions
Chronic alcohol administration disrupts myelomonocytic development in the bone
marrow during the early period of SIV infection promoting macrophage and osteoclast
lineages. We predict this shift in CLP:macrophage/osteoclast balance creates an
environment that favors bone resorption and immunosuppression.