Gingival tissue as a reservoir for human immunodeficiency virus type 1: Preliminary results of a cross‐sectional observational study

Background Despite combined antiretroviral therapy (cART), total cure of immunodeficiency virus type 1 (HIV‐1) infection remains elusive. Chronic periodontitis (CP) is strongly associated with HIV‐1 infection. This condition is characterized by an intense inflammatory infiltrate mainly constituted o...

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Veröffentlicht in:Journal of periodontology (1970) 2022-04, Vol.93 (4), p.613-620
Hauptverfasser: Sereme, Youssouf, Pólvora, Tábata Larissa S., Rochereau, Nicolas, Teixeira, Lucas Ribeiro, Santana, Rodrigo Carvalho, Paul, Stephane, Fonseca, Benedito Antonio Lopes, Bourlet, Thomas, Pozzetto, Bruno, Lourenço, Alan Grupioni, Motta, Ana Carolina F.
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container_end_page 620
container_issue 4
container_start_page 613
container_title Journal of periodontology (1970)
container_volume 93
creator Sereme, Youssouf
Pólvora, Tábata Larissa S.
Rochereau, Nicolas
Teixeira, Lucas Ribeiro
Santana, Rodrigo Carvalho
Paul, Stephane
Fonseca, Benedito Antonio Lopes
Bourlet, Thomas
Pozzetto, Bruno
Lourenço, Alan Grupioni
Motta, Ana Carolina F.
description Background Despite combined antiretroviral therapy (cART), total cure of immunodeficiency virus type 1 (HIV‐1) infection remains elusive. Chronic periodontitis (CP) is strongly associated with HIV‐1 infection. This condition is characterized by an intense inflammatory infiltrate mainly constituted of immune cells which in turn may be a valuable source of HIV‐1 reactivation. This study aimed to determine if gingival tissue could act as a reservoir for HIV‐1. Methods Twelve patients with HIV‐1 and CP and 12 controls (no HIV‐1‐infection and no CP) were evaluated in a cross‐sectional study. RNA viral load and interleukin (IL) levels were determined in blood plasma and saliva. Histological sections of gingival tissue were stained with fluorescent antibodies against p24 antigen and different cellular biomarkers. Results In six of the 12 patients, HIV RNA load was detected, despite cART; in three of them, expression of viral RNA was also detected in saliva. The levels of IL‐2, IL‐6, and IL‐12 were higher in blood and saliva of patients with HIVand CP than controls. HIV‐1 p24 antigen was detected by immunostaining in gingival biopsies of 10 of the 12 patients but in no controls. Immune markers for T cells and antigen‐presenting cells were also identified in most patients and some controls. Conclusion These preliminary data showing the detection of HIV‐1 p24 antigen in the gingival biopsies of a significant part of patients with HIV‐1 and CP under cART together with the presence of immune cells, plead for the existence of a HIV‐1 reservoir in the gingival tissue of this population.
doi_str_mv 10.1002/JPER.21-0345
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Chronic periodontitis (CP) is strongly associated with HIV‐1 infection. This condition is characterized by an intense inflammatory infiltrate mainly constituted of immune cells which in turn may be a valuable source of HIV‐1 reactivation. This study aimed to determine if gingival tissue could act as a reservoir for HIV‐1. Methods Twelve patients with HIV‐1 and CP and 12 controls (no HIV‐1‐infection and no CP) were evaluated in a cross‐sectional study. RNA viral load and interleukin (IL) levels were determined in blood plasma and saliva. Histological sections of gingival tissue were stained with fluorescent antibodies against p24 antigen and different cellular biomarkers. Results In six of the 12 patients, HIV RNA load was detected, despite cART; in three of them, expression of viral RNA was also detected in saliva. The levels of IL‐2, IL‐6, and IL‐12 were higher in blood and saliva of patients with HIVand CP than controls. HIV‐1 p24 antigen was detected by immunostaining in gingival biopsies of 10 of the 12 patients but in no controls. Immune markers for T cells and antigen‐presenting cells were also identified in most patients and some controls. Conclusion These preliminary data showing the detection of HIV‐1 p24 antigen in the gingival biopsies of a significant part of patients with HIV‐1 and CP under cART together with the presence of immune cells, plead for the existence of a HIV‐1 reservoir in the gingival tissue of this population.</description><identifier>ISSN: 0022-3492</identifier><identifier>EISSN: 1943-3670</identifier><identifier>DOI: 10.1002/JPER.21-0345</identifier><identifier>PMID: 34396525</identifier><language>eng</language><publisher>United States: American Academy of Periodontology</publisher><subject>Cross-Sectional Studies ; gingiva ; HIV Core Protein p24 ; HIV Infections - drug therapy ; HIV-1 - genetics ; HIV‐1 ; Human health and pathology ; Humans ; Immunology ; Infectious diseases ; inflammation ; Life Sciences ; Microbiology and Parasitology ; mouth ; mucous membrane ; periodontitis ; Pharmaceutical sciences ; Pharmacology ; RNA ; saliva ; Vaccinology ; Viral Load ; Virology</subject><ispartof>Journal of periodontology (1970), 2022-04, Vol.93 (4), p.613-620</ispartof><rights>2021 American Academy of Periodontology</rights><rights>2021 American Academy of Periodontology.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3698-4694c1bb7f166d129c3495895e3ddc20c6d2a41dba2cf816eb091dafbf908953</citedby><cites>FETCH-LOGICAL-c3698-4694c1bb7f166d129c3495895e3ddc20c6d2a41dba2cf816eb091dafbf908953</cites><orcidid>0000-0002-2603-8467 ; 0000-0002-8830-4273 ; 0000-0002-6522-895X ; 0000-0002-9226-1149 ; 0000-0002-3887-9239 ; 0000-0002-5887-8663 ; 0000-0002-5607-1460 ; 0000-0003-3159-5687 ; 0000-0002-4005-157X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2FJPER.21-0345$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2FJPER.21-0345$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,777,781,882,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34396525$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-04872961$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Sereme, Youssouf</creatorcontrib><creatorcontrib>Pólvora, Tábata Larissa S.</creatorcontrib><creatorcontrib>Rochereau, Nicolas</creatorcontrib><creatorcontrib>Teixeira, Lucas Ribeiro</creatorcontrib><creatorcontrib>Santana, Rodrigo Carvalho</creatorcontrib><creatorcontrib>Paul, Stephane</creatorcontrib><creatorcontrib>Fonseca, Benedito Antonio Lopes</creatorcontrib><creatorcontrib>Bourlet, Thomas</creatorcontrib><creatorcontrib>Pozzetto, Bruno</creatorcontrib><creatorcontrib>Lourenço, Alan Grupioni</creatorcontrib><creatorcontrib>Motta, Ana Carolina F.</creatorcontrib><title>Gingival tissue as a reservoir for human immunodeficiency virus type 1: Preliminary results of a cross‐sectional observational study</title><title>Journal of periodontology (1970)</title><addtitle>J Periodontol</addtitle><description>Background Despite combined antiretroviral therapy (cART), total cure of immunodeficiency virus type 1 (HIV‐1) infection remains elusive. Chronic periodontitis (CP) is strongly associated with HIV‐1 infection. This condition is characterized by an intense inflammatory infiltrate mainly constituted of immune cells which in turn may be a valuable source of HIV‐1 reactivation. This study aimed to determine if gingival tissue could act as a reservoir for HIV‐1. Methods Twelve patients with HIV‐1 and CP and 12 controls (no HIV‐1‐infection and no CP) were evaluated in a cross‐sectional study. RNA viral load and interleukin (IL) levels were determined in blood plasma and saliva. Histological sections of gingival tissue were stained with fluorescent antibodies against p24 antigen and different cellular biomarkers. Results In six of the 12 patients, HIV RNA load was detected, despite cART; in three of them, expression of viral RNA was also detected in saliva. The levels of IL‐2, IL‐6, and IL‐12 were higher in blood and saliva of patients with HIVand CP than controls. HIV‐1 p24 antigen was detected by immunostaining in gingival biopsies of 10 of the 12 patients but in no controls. Immune markers for T cells and antigen‐presenting cells were also identified in most patients and some controls. 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Chronic periodontitis (CP) is strongly associated with HIV‐1 infection. This condition is characterized by an intense inflammatory infiltrate mainly constituted of immune cells which in turn may be a valuable source of HIV‐1 reactivation. This study aimed to determine if gingival tissue could act as a reservoir for HIV‐1. Methods Twelve patients with HIV‐1 and CP and 12 controls (no HIV‐1‐infection and no CP) were evaluated in a cross‐sectional study. RNA viral load and interleukin (IL) levels were determined in blood plasma and saliva. Histological sections of gingival tissue were stained with fluorescent antibodies against p24 antigen and different cellular biomarkers. Results In six of the 12 patients, HIV RNA load was detected, despite cART; in three of them, expression of viral RNA was also detected in saliva. The levels of IL‐2, IL‐6, and IL‐12 were higher in blood and saliva of patients with HIVand CP than controls. HIV‐1 p24 antigen was detected by immunostaining in gingival biopsies of 10 of the 12 patients but in no controls. Immune markers for T cells and antigen‐presenting cells were also identified in most patients and some controls. Conclusion These preliminary data showing the detection of HIV‐1 p24 antigen in the gingival biopsies of a significant part of patients with HIV‐1 and CP under cART together with the presence of immune cells, plead for the existence of a HIV‐1 reservoir in the gingival tissue of this population.</abstract><cop>United States</cop><pub>American Academy of Periodontology</pub><pmid>34396525</pmid><doi>10.1002/JPER.21-0345</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-2603-8467</orcidid><orcidid>https://orcid.org/0000-0002-8830-4273</orcidid><orcidid>https://orcid.org/0000-0002-6522-895X</orcidid><orcidid>https://orcid.org/0000-0002-9226-1149</orcidid><orcidid>https://orcid.org/0000-0002-3887-9239</orcidid><orcidid>https://orcid.org/0000-0002-5887-8663</orcidid><orcidid>https://orcid.org/0000-0002-5607-1460</orcidid><orcidid>https://orcid.org/0000-0003-3159-5687</orcidid><orcidid>https://orcid.org/0000-0002-4005-157X</orcidid></addata></record>
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subjects Cross-Sectional Studies
gingiva
HIV Core Protein p24
HIV Infections - drug therapy
HIV-1 - genetics
HIV‐1
Human health and pathology
Humans
Immunology
Infectious diseases
inflammation
Life Sciences
Microbiology and Parasitology
mouth
mucous membrane
periodontitis
Pharmaceutical sciences
Pharmacology
RNA
saliva
Vaccinology
Viral Load
Virology
title Gingival tissue as a reservoir for human immunodeficiency virus type 1: Preliminary results of a cross‐sectional observational study
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