Publications by authors named "Babu Hemalatha"

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  • * A study conducted in Chennai found that 71% of virally suppressed PLHIV showed significant neurocognitive impairment, despite long-term adherence to antiretroviral therapy and undetectable viral loads.
  • * The research revealed changes in proteins and metabolites linked to neuroinflammation and cognitive decline, emphasizing the need for targeted intervention strategies for improving long-term management of HIV-infected individuals.
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  • Ovarian hormones influence the immune system in the female genital tract (FGT), and this study explores how the menstrual cycle affects HIV target cell levels and memory CD4 T cells.
  • Researchers collected endocervical cells from 105 healthy women and analyzed different CD4 T cell subsets, focusing on their distribution and function during the follicular and luteal phases of the menstrual cycle.
  • Results showed that certain CD4 T cell types were more prevalent in the follicular phase, which may increase susceptibility to HIV, highlighting the dynamic changes in immune response linked to hormonal fluctuations throughout the menstrual cycle.
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Cytokines are key mediators of immune regulation, orchestrate communication between immune cells, and play a pivotal role in shaping the immune landscape during chronic infection and cancer. The therapeutic potential of IL-15/IL-15Rα and IL-12 has been explored individually in various immunotherapeutic strategies, though not as a combination. Therefore, we investigated whether the combination of IL-15/IL-15Rα and IL-12 treatment would enhance the potency and quality of either NK cells, SIV-specific CD8 T cells, or both, compared with single cytokine treatment.

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  • - The study investigated the role and mutations of the XBB omicron variant in COVID-19 cases among hospitalized patients in Tamil Nadu, India, particularly in the context of increased breakthrough infections despite vaccination efforts.
  • - Researchers analyzed nasopharyngeal and oropharyngeal swabs from 98 patients using real-time PCR and Next Generation Sequencing, identifying 43 mutations in the S gene, including two new mutations, A27S and T747I, which had not been previously reported.
  • - The findings suggested that factors such as age and underlying health conditions were more critical in susceptibility to infection than vaccination status, with XBB.3 being the main variant identified among vaccinated individuals experiencing breakthrough infections.
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  • Researchers rushed to develop COVID-19 vaccines to boost herd immunity, but initial trials overlooked the safety and efficacy for pregnant women and those with weakened immune systems.
  • The study aimed to assess the impact of COVID-19 vaccinations on pregnant women and fetal health by analyzing existing literature through systematic reviews and meta-analysis.
  • Findings indicated that COVID-19 vaccinations in pregnancy showed no adverse effects, with strong immune responses and successful antibody transfer to the fetus, highlighting their role in fostering herd immunity among pregnant women.
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The persistence of virally infected cells as reservoirs despite effective antiretroviral therapy is a major barrier to an HIV/SIV cure. These reservoirs are predominately contained within cells present in the B cell follicles (BCFs) of secondary lymphoid tissues, a site that is characteristically difficult for most cytolytic antiviral effector cells to penetrate. Here, we identified a population of NK cells in macaque lymph nodes that expressed BCF-homing receptor CXCR5 and accumulated within BCFs during chronic SHIV infection.

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Despite successful combination antiretroviral therapy (cART), persistent low-grade immune activation together with inflammation and toxic antiretroviral drugs can lead to long-lasting metabolic flexibility and adaptation in people living with HIV (PLWH). Our study investigated alterations in the plasma metabolic profiles by comparing PLWH on long-term cART(>5 years) and matched HIV-negative controls (HC) in two cohorts from low- and middle-income countries (LMIC), Cameroon, and India, respectively, to understand the system-level dysregulation in HIV-infection. Using untargeted and targeted LC-MS/MS-based metabolic profiling and applying advanced system biology methods, an altered amino acid metabolism, more specifically to glutaminolysis in PLWH than HC were reported.

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Targeted metabolomics studies reported metabolic abnormalities in both treated and untreated people living with human immunodeficiency virus (HIV) (PLHIV). The present study aimed to understand the plasma metabolomic changes and predicted the risk of accelerated aging in PLHIV on long-term suppressive antiretroviral therapy (ART) in a case-control study setting and its association with the plasma proteomics biomarkers of inflammation and neurological defects. Plasma samples were obtained from PLHIV on successful long-term ART for more than five years ( = 22) and matched HIV-negative healthy individuals ( = 22, HC herein).

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The ART program in low- and middle-income countries (LMIC) like India, follows a public health approach with a standardized regimen for all people living with HIV (PLHIV). Based on the evidence from high-income countries (HIC), the risk of an enhanced, and accentuated onset of premature-aging or age-related diseases has been observed in PLHIV. However, very limited data is available on residual inflammation and immune activation in the populations who are on first-generation anti-HIV drugs like zidovudine and lamivudine that have more toxic side effects.

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Infection with HIV-2, a retrovirus that is closely related to HIV-1, is characterized by slower disease progression and transmission, longer latency period and low or undetectable viremia. Host immunity, including production of potent neutralizing antibodies, may be one of the possible contributors to the distinction between the two infections. In an attempt to understand whether HIV-2 infection results in production of neutralizing antibodies and to characterize the nature of the neutralization response we screened plasma of 37 HIV-2 infected individuals for the presence of broadly neutralizing antibodies.

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Several broadly neutralizing antibodies (bNAbs) that can target HIV strains with large degrees of variability have recently been identified. However, efforts to induce synthesis of such bNAbs that can protect against HIV infection have not met with much success. Identification of specific epitopes encoded in the HIV-1 envelope (Env) that can direct the host to synthesize bNAbs remains a challenge.

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Article Synopsis
  • The study explores the development of broadly neutralizing antibodies (bNAbs) in HIV-1-infected patients, noting that only 10-30% of individuals exhibit this response.
  • Researchers identified 12 individuals in India with strong cross-clade neutralization abilities and monitored the evolution of their bNAb response over 4 years.
  • Significant increases in antibody potency were observed in some patients, who also maintained healthy CD4+ T cell counts and remained ART-naïve for over a decade, indicating a link between these factors and effective HIV-1 immune response.
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  • Broadly Cross clade Neutralizing (BCN) antibodies could be key in developing vaccines and therapies against different strains of HIV.
  • In a study of 88 ART-naïve HIV-1 infected individuals, researchers found 12 samples with high neutralization effectiveness, including potent response against challenging tier-3 pseudoviruses.
  • Some identified antibodies targeted multiple regions of the virus, suggesting they can be harnessed for creating effective treatments and vaccine strategies, particularly from HIV-1 subtype C in India.
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Mother-to-child transmission (MTCT) of HIV offers a good opportunity to study the dynamics of early viral evolution in the host environment to which the virus has partially adapted. Such studies would throw light on the unique features of the infecting viruses, which will subsequently help to design preventive or therapeutic measures against the newly infecting and evolving strains of HIV. Therefore, we undertook a study to determine the genetic divergence of proviral envelope sequences from the HIV-infected infants (<2 years).

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