期刊
CLINICAL INFECTIOUS DISEASES
卷 70, 期 4, 页码 615-627出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/cid/ciz258
关键词
HIV; AIDS; microbiome
资金
- Willowcroft Foundation grant
- Johns Hopkins University Center for AIDS Research
- NIH [P30AI094189, K23AI125715, T32AI052071]
- National Institute of Allergy and Infectious Diseases
- National Cancer Institute
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- National Heart, Lung, and Blood Institute
- National Institute on Drug Abuse
- National Institute of Mental Health
- National Institute on Aging
- Fogarty International Center
- National Institute of General Medical Sciences
- National Institute of Diabetes and Digestive and Kidney Diseases
- Office of AIDS Research
Background. Whether human immunodeficiency virus (HIV) infection impacts gut microbial alpha-diversity is controversial. We reanalyzed raw 16S ribosomal RNA (rRNA) gene sequences and metadata from published studies to examine alpha-diversity measures between HIV-uninfected (HIV-) and HIV-infected (HIV+) individuals. Methods. We conducted a systematic review and individual level meta-analysis by searching Embase, Medline, and Scopus for original research studies (inception to 31 December 2017). Included studies reported 16S rRNA gene sequences of fecal samples from HIV+ patients. Raw sequence reads and metadata were obtained from public databases or from study authors. Raw reads were processed through standardized pipelines with use of a high-resolution taxonomic classifier. The chi(2) test, paired t tests, and generalized linear mixed models were used to relate alpha-diversity measures and clinical metadata. Results. Twenty-two studies were identified with 17 datasets available for analysis, yielding 1032 samples (311 HIV-, 721 HIV+). HIV status was associated with a decrease in measures of alpha-diversity (P < .001). However, in stratified analysis, HIV status was associated with decreased alpha-diversity only in women and in men who have sex with women (MSW) but not in men who have sex with men (MSM). In analyses limited to women and MSW, controlling for HIV status, women displayed increased alpha-diversity compared with MSW. Conclusions. Our study suggests that HIV status, sexual risk category, and gender impact gut microbial community alpha-diversity. Future studies should consider MSM status in gut microbiome analyses.
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