Prevotella timonensis Bacteria Associated With Vaginal Dysbiosis Enhance Human Immunodeficiency Virus Type 1 Susceptibility Of Vaginal CD4+ T Cells

J Infect Dis. 2024 Jul 25;230(1):e43-e47. doi: 10.1093/infdis/jiae166.

Abstract

Dysbiosis of the vaginal microbiome poses a serious risk for sexual human immunodeficiency virus type 1 (HIV-1) transmission. Prevotella spp are abundant during vaginal dysbiosis and associated with enhanced HIV-1 susceptibility; however, underlying mechanisms remain unclear. Here, we investigated the direct effect of vaginal bacteria on HIV-1 susceptibility of vaginal CD4+ T cells. Notably, pre-exposure to Prevotella timonensis enhanced HIV-1 uptake by vaginal T cells, leading to increased viral fusion and enhanced virus production. Pre-exposure to antiretroviral inhibitors abolished P timonensis-enhanced infection. Our study shows that the vaginal microbiome directly affects mucosal CD4+ T-cell susceptibility, emphasizing importance of vaginal dysbiosis diagnosis and treatment.

Keywords: Prevotella timonensis; CD4+ T cells; HIV-1 susceptibility; microbiome; vaginal dysbiosis.

MeSH terms

  • CD4-Positive T-Lymphocytes* / immunology
  • Disease Susceptibility
  • Dysbiosis* / microbiology
  • Female
  • HIV Infections* / immunology
  • HIV Infections* / microbiology
  • HIV Infections* / virology
  • HIV-1*
  • Humans
  • Microbiota
  • Prevotella* / isolation & purification
  • Vagina* / immunology
  • Vagina* / microbiology
  • Vagina* / virology
  • Virus Internalization