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Compromised Intestinal Barrier Resilience to Disruption in People With HIV

2025/03/03 by Maliha Shaikh, Shalini Singh, Leila B. Giron +9 · 1 voice
Medicine · #HIV-related health complications and treatments #Pancreatitis Pathology and Treatment #Pharmacological Effects and Toxicity Studies

paper · doi:10.1093/infdis/jiaf119

openalex publication_date 2025/03/03 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/28

Abstract

People with HIV (PWH) experience chronic intestinal barrier dysfunction, which contributes to chronic inflammation and its comorbidities. The mechanisms underlying this phenomenon remain unclear. We hypothesize that living with HIV compromises the intestinal barrier's resilience to injurious agents, increasing susceptibility to leakage upon exposure to disruptors. Using intestinal organoids (colonoids and enteroids) derived from PWH and controls, we assessed the impact of alcohol and inflammatory cytokines on barrier integrity. Organoids from PWH exhibited reduced resilience to disruption compared to controls, correlating with alterations in pathways critical to epithelial integrity. These findings reveal a novel mechanism underlying intestinal dysfunction in PWH.

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