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Pre-Digested Protein Enteral Nutritional Supplementation Enhances Recovery of CD4(+) T Cells and Repair of Intestinal Barrier in HIV-Infected Immunological Non-Responders

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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 [4]Second Peoples Hosp Dali City, Dept Dermatol, Dali, Peoples R China [5]Yunnan Univ, Sch Med, Kunming, Yunnan, Peoples R China
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关键词: HIV AIDS immunological non-response enteral nutrition intestinal barrier function inflammation

摘要:
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.

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出版当年[2022]版:
大类 | 2 区 医学
小类 | 2 区 免疫学
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大类 | 2 区 医学
小类 | 2 区 免疫学
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出版当年[2021]版:
Q1 IMMUNOLOGY
最新[2023]版:
Q1 IMMUNOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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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
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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
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