Supernatants of HIV-infected immune cells affect the barrier function of human HT-29/B6 intestinal epithelial cells

Heinz Schmitz1, Katharina Rokos, Peter Florian

  • 1Department of Gastroenterology, Infectious Diseases and Rheumatology, Universitätsklinikum Benjamin Franklin, Freie Universität Berlin, 12200 Berlin, Germany.

AIDS (London, England)
|April 16, 2002
PubMed
Abstract

Insights

HIV infection alters cytokine production, damaging the intestinal barrier and causing diarrhea. Tumor necrosis factor-alpha (TNFalpha) is a key mediator, leading to epithelial cell apoptosis and tight junction changes, contributing to HIV-enteropathy.

Area of Science:

  • Immunology
  • Gastroenterology
  • Virology

Background:

  • HIV infection is associated with gastrointestinal complications, including diarrhea.
  • Altered cytokine profiles are implicated in HIV pathogenesis.
  • The precise mechanisms by which HIV affects intestinal barrier function require further elucidation.

Purpose of the Study:

  • To characterize the diarrhea-inducing effects of altered cytokine production in HIV infection.
  • To investigate the role of cytokines released by HIV-infected cells on intestinal epithelial barrier function.
  • To identify specific cytokines responsible for disrupting the intestinal barrier.

Main Methods:

  • Monocyte-derived macrophages (MDM) were infected with HIV-1 strains (SF162, IIIB) and co-cultured with peripheral blood mononuclear cells (PBMC).
  • Supernatants were analyzed for cytokine levels using ELISA.
  • The impact of supernatants and recombinant cytokines on HT-29/B6 intestinal cell barrier function (transepithelial resistance, apoptosis, tight junctions) was assessed.

Main Results:

  • HIV-1 infection of MDM induced increased production of TNFalpha, IL-1beta, IFNalpha, and IFNgamma.
  • Supernatants from infected cells reduced transepithelial resistance, with a greater effect from the IIIB strain.
  • TNFalpha was identified as a key effector cytokine, mediating barrier defects through epithelial apoptosis and tight junction alterations.

Conclusions:

  • Cell-cell interaction in HIV infection triggers cytokine release that impairs intestinal epithelial barrier function.
  • TNFalpha plays a significant role in mediating this barrier defect, leading to a "leak-flux" phenomenon.
  • This cytokine-mediated disruption likely contributes to diarrhea in HIV infection (HIV-enteropathy).

Related Concept Videos