New hope for HIV-positive patients: therapy reverses intestinal microbiome imbalance

50% of HIV diagnoses are detected in advanced stages of infection when the immune system is compromised and the intestinal microbiome...

New hope for HIV-positive patients: therapy reverses intestinal microbiome imbalance

TL;DR

  • Dolutegravir-based antiretroviral therapy can restore intestinal health in advanced HIV patients.
  • The therapy rebalances the gut microbiome, reduces inflammation, and lowers immune system activation.
  • Dolutegravir penetrates the intestine better than other drugs, minimizing collateral damage to the intestinal barrier.
  • The study involved 88 participants diagnosed with advanced HIV, with two years of follow-up.
  • While both therapies blocked the virus and restored CD4+ cells, dolutegravir increased gut microbiome diversity.
  • Patients on dolutegravir showed better immune recovery, less immune overactivation, and reduced inflammation.
  • Two years post-treatment, their intestinal barrier more closely resembled that of people without HIV.
  • Advanced HIV is associated with gut microbiome imbalance, inflammation, and increased bacterial translocation, leading to long-term health problems.
  • Dolutegravir offers potential for complete health recovery in seropositive individuals, especially those with late diagnoses.