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.
Abstract:
Microbial translocation is a significant contributor to chronic inflammation in people living with HIV (PLWH) and is associated with increased mortality and morbidity in individuals treated for long periods with antiretrovirals. The use of therapeutics to treat microbial translocation has yielded mixed effects, in part, because the species and mechanisms contributing to translocation in HIV remain incompletely characterized. To characterize translocating bacteria, we cultured translocators from chronically SIV-infected rhesus macaques. Proteomic profiling of these bacteria identified cytosine-specific methyltransferases as a common feature and therefore, a potential driver of translocation. Treatment of translocating bacteria with the cytosine methyltransferase inhibitor decitabine significantly impaired growth for several species in vitro. In rhesus macaques, oral treatment with decitabine led to some transient decreases in translocator taxa in the gut microbiome. These data provide mechanistic insight into bacterial translocation in lentiviral infection and explore a novel therapeutic intervention that may improve the prognosis of PLWH.
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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