Translocating bacteria in SIV infection are not stochastic and preferentially express cytosine methyltransferases

Jacob K Flynn1, Alexandra M Ortiz1, Ivan Vujkovic-Cvijin2

  • 1Barrier Immunity Section, Laboratory of Viral Diseases, NIAID, NIH, Bethesda, MD, USA.

Mucosal Immunology
|August 1, 2024
PubMed

Insights

Microbial translocation, a driver of inflammation in people with HIV (PLWH), may be targeted by inhibiting bacterial cytosine methyltransferases. Decitabine treatment showed potential in reducing translocating bacteria in a primate model.

Area of Science:

  • Microbiology
  • Immunology
  • Virology

Background:

  • Microbial translocation contributes to chronic inflammation and poor outcomes in people living with HIV (PLWH).
  • Current therapeutics for microbial translocation show limited efficacy due to incompletely characterized contributing species and mechanisms.
  • Chronic SIV infection in rhesus macaques serves as a model for HIV to study microbial translocation.

Purpose of the Study:

  • To identify bacterial species and mechanisms driving microbial translocation in lentiviral infection.
  • To investigate the potential of targeting bacterial cytosine methyltransferases as a therapeutic strategy.
  • To evaluate the efficacy of decitabine in reducing translocating bacteria in vitro and in vivo.

Main Methods:

  • Culturing of translocating bacteria from SIV-infected rhesus macaques.
  • Proteomic profiling to identify common bacterial features.
  • In vitro growth inhibition assays using decitabine.
  • In vivo oral administration of decitabine to SIV-infected rhesus macaques and analysis of gut microbiome.

Main Results:

  • Proteomic analysis identified cytosine-specific methyltransferases as a common feature in translocating bacteria.
  • Decitabine significantly inhibited the growth of several translocating bacterial species in vitro.
  • Oral decitabine treatment resulted in transient reductions of translocator taxa in the gut microbiome of treated macaques.

Conclusions:

  • Cytosine methyltransferases are potential drivers of bacterial translocation in lentiviral infections.
  • Decitabine demonstrates potential as a therapeutic agent to mitigate microbial translocation.
  • Further research into decitabine and related inhibitors may offer novel interventions to improve outcomes for PLWH.

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