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Infected macaque monkeys may die later due to opportunistic infections in the gastrointestinal tract [23,24]. Pre-ART SIV infected animals are more likely to develop opportunistic infections compared to post-ART SIV infected animals [14]. To investigate the role that SIV infection may play in intestinal pathogenicity, early (Day 4) or late (Day 30) ART was administered to the SIV infected monkeys as described in the methods. We found that early ART significantly improved the intestinal tissue pathology with decreased inflammatory cell infiltrations, enhanced CD4 positive T cells in the lamina propria and reduction of bacterial translocation. Our data with early ART suggest that SIV infection might play a role in inducing early immune activation of the intestinal tissues, and early ART could significantly alleviate the SIV induced pathology.
Jansen et al. [9] reported that pathogenic Th17 cells have a major detrimental role in HIV induced disease progression in the gastrointestinal tract, and PLNs. Since SIV induces pathogenic Th17 cells in the peripheral lymphoid tissues (PLNs and spleen), we postulate that SIV induced pathogenic Th17 cells might also play a role in pathogenesis of intestinal tissues. To investigate this hypothesis, we detected pathogenic Th17 cells in intestinal tissues using recombinant rhesus macaques infected with SIV for a long time, to evaluate the role of SIV induced pathogenic Th17 cells in the pathogenesis of intestinal tissues. d2c66b5586
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