Innate Immune Responses and Gut Microbiomes Distinguish HIV-Exposed from HIV-Unexposed Children in a

Nelly Amenyogbe1,2, Pedro Dimitriu3, Patricia Cho4

  • 1Department of Experimental Medicine, The University of British Columbia, Vancouver, British Columbia V5Z 1M9, Canada; n.akuvy@gmail.com wmohn@mail.ubc.ca.

Insights

Children born to mothers with HIV (HEU) show altered immunity and gut microbiomes, varying by geographic location. Maternal HIV infection impacts HEU children

Area of Science:

  • Immunology
  • Microbiology
  • Global Health

Background:

  • Children born to HIV-positive mothers who are HIV-negative (HEU) exhibit increased infection susceptibility compared to unexposed children (HUU).
  • Innate immunity and gut microbiome composition differ geographically and influence each other.
  • The interplay between maternal HIV, geographic location, and immune-microbiome profiles in HEU children remains understudied.

Purpose of the Study:

  • To investigate biogeographical immune-microbiome correlations in HEU children.
  • To compare innate immune responses and stool microbiomes of HEU and HUU children across Belgium, Canada, and South Africa.
  • To test if region-specific immune alterations correlate with microbiome differences in HEU children.

Main Methods:

  • Comparative analysis of innate immune responses and stool microbiome composition.
  • Study included 2-year-old HEU and HUU children from distinct global settings.
  • Statistical analysis to identify immune-microbiome associations.

Main Results:

  • No universal immune or microbiome signature distinguished HEU from HUU children across all populations.
  • Population-specific differences in stool microbiomes were observed, including reduced short-chain fatty acid-producing bacteria in Canadian HEU children.
  • No consistent innate immune-microbiome associations differentiating HEU from HUU children were found in any population.

Conclusions:

  • Maternal HIV infection is associated with population-specific alterations in both innate immunity and the gut microbiome of HEU children.
  • Geographic location plays a significant role in shaping these immune and microbiome differences.
  • Findings highlight the complex, location-dependent impact of maternal HIV on child health outcomes.

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