Pre-Digested Protein Enteral Nutritional Supplementation Enhances Recovery of CD4(+) T Cells and Repair of Intestinal Barrier in HIV-Infected Immunological Non-Responders
AIDS patients with immune non-response are prone to malnutrition, intestinal barrier damage, thus aggravating chronic immune activation and inflammation. However, nutritional interventions targeting malnutrition may be beneficial to restore immune function, improve clinical outcomes, and reduce mortality remains largely unclear. This work aimed to evaluate the efficacy of a nutritional supplement in HIV-infected immune non-responders (INRs). The subjects received oral supplementation of a pre-digested protein nutrition formula for three months. We show that the CD4(+) T and CD8(+) T cell counts were significantly increased after supplementation of the pre-digested enteral nutritional supplement. Among all pro-inflammatory cytokines in the serum, only IL-1 beta level was significantly decreased, while TNF-beta was significantly increased (P < 0.05). The levels of intestinal mucosal damage markers, diamine oxidase (DAO), D-lactic acid (D-lactate), and lipopolysaccharide (LPS), decreased significantly (P < 0.05) after the nutritional intervention. Moreover, at month 3 after the intervention, the body weight, body mass index, albumin, and hemoglobin of all subjects were significantly increased (P < 0.05). The correlation analysis demonstrated a significantly negative correlation of CD4(+) T cell count with levels of DAO (r = -0.343, P = 0.004), D-lactate (r = -0.250, P = 0.037), respectively, and a significantly positive correlation of IL-1 beta level with levels of DAO (r = 0.445, P < 0.001), D-lactate (r = 0.523, P < 0.001), and LPS (r = 0.622, P < 0.001). We conclude that the pre-digested enteral nutrition supplement is effective for HIV-infected INRs.
基金:
This work was partly supported by the National Natural Science
Foundation of China (81660094), the Fund for Yunling Scholar
(YLXL20170002), the General Joint Project of the Department of
Science and Technology of Yunnan Province and Kunming
Medical University (2017FE467 (-038), and 2017FE467(-130)),
the Project for Innovation Team of Department of Science and
Technology of Yunnan Province, China (2018HC005), the Fund
of Department of Education of Yunnan Province (2019Y0352), the Fund of Health Commission of Yunnan Province
(2018NS0085), the Fund of Yunnan Provincial Clinical
Research Center for General Surgical Diseases (zx2019-03-03)
and Yunnan Provincial Clinical Research Center for Skin
Immune Diseases (2019ZF012) from Science and Technology
Department of Yunnan Province, and the China Postdoctoral
Science Foundation (2019M663580).
第一作者机构:[1]Kunming Med Univ, Affiliated Hosp 1, Natl Hlth Commiss NHC, Key Lab Drug Addict Med, Kunming, Yunnan, Peoples R China[2]Kunming Med Univ, Affiliated Hosp 1, Sci Res Lab Ctr, Kunming, Yunnan, Peoples R China[3]Kunming Med Univ, Affiliated Hosp 1, Dept Gastrointestinal & Hernia Surg, Kunming, Yunnan, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Kunming Med Univ, Affiliated Hosp 1, Natl Hlth Commiss NHC, Key Lab Drug Addict Med, Kunming, Yunnan, Peoples R China[2]Kunming Med Univ, Affiliated Hosp 1, Sci Res Lab Ctr, Kunming, Yunnan, Peoples R China[3]Kunming Med Univ, Affiliated Hosp 1, Dept Gastrointestinal & Hernia Surg, Kunming, Yunnan, Peoples R China[5]Yunnan Univ, Sch Med, Kunming, Yunnan, Peoples R China
推荐引用方式(GB/T 7714):
Geng Shi-Tao,Zhang Jian-Bo,Wang Yue-Xin,et al.Pre-Digested Protein Enteral Nutritional Supplementation Enhances Recovery of CD4(+) T Cells and Repair of Intestinal Barrier in HIV-Infected Immunological Non-Responders[J].FRONTIERS IN IMMUNOLOGY.2021,12:doi:10.3389/fimmu.2021.757935.
APA:
Geng, Shi-Tao,Zhang, Jian-Bo,Wang, Yue-Xin,Xu, Yu,Lu, Danfeng...&Kuang, Yi-Qun.(2021).Pre-Digested Protein Enteral Nutritional Supplementation Enhances Recovery of CD4(+) T Cells and Repair of Intestinal Barrier in HIV-Infected Immunological Non-Responders.FRONTIERS IN IMMUNOLOGY,12,
MLA:
Geng, Shi-Tao,et al."Pre-Digested Protein Enteral Nutritional Supplementation Enhances Recovery of CD4(+) T Cells and Repair of Intestinal Barrier in HIV-Infected Immunological Non-Responders".FRONTIERS IN IMMUNOLOGY 12.(2021)