Stromal Down-Regulation of Macrophage CD4/CCR5 Expression and NF-κB Activation Mediates HIV-1 Non-Permissiveness in Intestinal Macrophages
2011

How Intestinal Macrophages Resist HIV-1 Infection

Sample size: 5 publication 10 minutes Evidence: high

Author Information

Author(s): Shen Ruizhong, Meng Gang, Ochsenbauer Christina, Clapham Paul R., Grams Jayleen, Novak Lea, Kappes John C., Smythies Lesley E., Smith Phillip D.

Primary Institution: University of Alabama at Birmingham

Hypothesis

The unique microenvironment in human intestinal mucosa renders lamina propria macrophages non-permissive to HIV-1.

Conclusion

Intestinal macrophages are unable to support productive HIV-1 infection due to down-regulation of HIV-1 receptors and inhibition of NF-κB activation.

Supporting Evidence

  • Intestinal macrophages express very low levels of CD4 and CCR5.
  • Stromal factors inhibit the up-regulation of HIV-1 receptors during macrophage differentiation.
  • Even CD4+ intestinal macrophages that express CCR5 do not support HIV-1 replication.

Takeaway

Intestinal macrophages don't get infected by HIV-1 because they don't have the right tools to let the virus in, and they also shut down the virus's ability to make copies of itself.

Methodology

Blood monocytes were exposed to intestinal stroma-conditioned media to assess the effects on CD4/CCR5 expression and HIV-1 permissiveness.

Limitations

The study primarily focuses on the effects of intestinal stroma on macrophages and may not account for other factors influencing HIV-1 infection.

Participant Demographics

Participants were healthy subjects undergoing elective gastric bypass surgery.

Statistical Information

P-Value

0.0001 to 0.039

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.ppat.1002060

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