Publications by authors named "Nisakorn Ratnaratorn"

Objective: HIV-associated neuroinflammation persists in the brain despite suppressive combination antiretroviral therapy (cART). We evaluated associations between a subset of CD8 + T cells, termed CD4 dim CD8 bright T cells, and soluble markers of immune activation and/or neuroinflammation in the cerebrospinal fluid (CSF) and plasma of people with HIV (PWH).

Design: Fifteen cART-naive PWH were enrolled and underwent blood draw, lumbar puncture for CSF collection, and neuropsychological tests at week 0 (pre-cART) and 24 weeks after cART initiation.

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Transgender women (TGW) are disproportionally affected by HIV infection, with a global estimated prevalence of 19.9%, often attributed to behavioral risk factors, with less known about biological factors. We evaluated potential biological risk factors for HIV acquisition in TGW at the sites of viral entry by assessing immune parameters of the neovaginal surface and gut mucosa.

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Article Synopsis
  • Early initiation of antiretroviral therapy (ART) during acute HIV infection (AHI) limits the establishment of the HIV viral reservoir, yet the impact on long-term antibody (Ab) development is not well understood.
  • Over the first 24 weeks of ART, participants showed increased levels of Env-specific plasma antibodies and enhanced antibody-dependent cellular cytotoxicity (ADCC), with early treatment linked to lower antibody responses compared to later stages of AHI.
  • Participants treated after peak viral load exhibited robust cross-clade ADCC responses detectable one year post-ART initiation, indicating active antibody development can occur even with undetectable viremia, highlighting the need for therapies enhancing germinal center activity in early HIV treatment.
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HIV-1 disrupts the host epigenetic landscape with consequences for disease pathogenesis, viral persistence, and HIV-associated comorbidities. Here, we examined how soon after infection HIV-associated epigenetic changes may occur in blood and whether early initiation of antiretroviral therapy (ART) impacts epigenetic modifications. We profiled longitudinal genome-wide DNA methylation in monocytes and CD4+ T lymphocytes from 22 participants in the RV254/SEARCH010 acute HIV infection (AHI) cohort that diagnoses infection within weeks after estimated exposure and immediately initiates ART.

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Depressive symptoms are often elevated in acute and chronic HIV. Previous neuroimaging research identifies abnormalities in emotion-related brain regions in depression without HIV, including the anterior cingulate cortex (ACC) and amygdala. However, no studies have examined the neural signatures of depressive symptoms in acute HIV infection (AHI).

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