Persons Amanda L, Bradaric Brinda D, Dodiya Hemraj B, Ohene-Nyako Michael, Forsyth Christopher B, Keshavarzian Ali, Shaikh Maliha, Napier T Celeste
Department of Psychiatry, Rush University Medical Center, Chicago, IL, United States of America.
Department of Physician Assistant Studies, Rush University Medical Center, Chicago, IL, United States of America.
PLoS One. 2018 Jan 2;13(1):e0190078. doi: 10.1371/journal.pone.0190078. eCollection 2018.
The integrity and function of the gut is impaired in HIV-infected individuals, and gut pathogenesis may play a role in several HIV-associated disorders. Methamphetamine is a popular illicit drug abused by HIV-infected individuals. However, the effect of methamphetamine on the gut and its potential to exacerbate HIV-associated gut pathology is not known. To shed light on this scenario, we evaluated colon barrier pathology in a rat model of the human comorbid condition. Intestinal barrier integrity and permeability were assessed in drug-naïve Fischer 344 HIV-1 transgenic (Tg) and non-Tg rats, and in Tg and non-Tg rats instrumented with jugular cannulae trained to self-administer methamphetamine or serving as saline-yoked controls. Intestinal permeability was determined by measuring the urine content of orally gavaged sugars. Intestinal barrier integrity was evaluated by immunoblotting or immunofluorescence of colon claudin-1 and zonula occludens-1 (ZO-1), two major tight junction proteins that regulate gut epithelial paracellular permeability. Both non-Tg and Tg rats self-administered moderate amounts of methamphetamine. These amounts were sufficient to increase colon permeability, reduce protein level of claudin-1, and reduce claudin-1 and ZO-1 immunofluorescence in Tg rats relative to non-Tg rats. Methamphetamine decreased tight junction immunofluorescence in non-Tg rats, with a similar, but non-significant trend observed in Tg rats. However, the effect of methamphetamine on tight junction proteins was subthreshold to gut leakiness. These findings reveal that both HIV-1 proteins and methamphetamine alter colon barrier integrity, and indicate that the gut may be a pathogenic site for these insults.
在感染HIV的个体中,肠道的完整性和功能会受到损害,肠道病变可能在几种与HIV相关的疾病中起作用。甲基苯丙胺是一种受HIV感染者滥用的流行非法药物。然而,甲基苯丙胺对肠道的影响及其加剧与HIV相关的肠道病变的可能性尚不清楚。为了阐明这种情况,我们在人类合并症大鼠模型中评估了结肠屏障病理学。在未接触过药物的Fischer 344 HIV-1转基因(Tg)和非Tg大鼠中,以及在植入颈静脉插管并训练自行服用甲基苯丙胺或作为生理盐水对照的Tg和非Tg大鼠中,评估肠道屏障的完整性和通透性。通过测量口服灌胃糖的尿液含量来确定肠道通透性。通过对结肠紧密连接蛋白-1和闭合蛋白-1(ZO-1)进行免疫印迹或免疫荧光检测来评估肠道屏障的完整性,这两种主要的紧密连接蛋白调节肠道上皮细胞旁通透性。非Tg和Tg大鼠都自行服用了适量的甲基苯丙胺。相对于非Tg大鼠,这些剂量足以增加Tg大鼠的结肠通透性、降低紧密连接蛋白-1的蛋白水平,并减少紧密连接蛋白-1和ZO-1的免疫荧光。甲基苯丙胺降低了非Tg大鼠的紧密连接免疫荧光,在Tg大鼠中观察到类似但不显著的趋势。然而,甲基苯丙胺对紧密连接蛋白的影响低于导致肠道渗漏的阈值。这些发现表明,HIV-1蛋白和甲基苯丙胺都会改变结肠屏障的完整性,并表明肠道可能是这些损伤的致病部位。