Human Immunodeficiency Virus is One of the Factors Promoting Bone Tissue Inflammation in Tuberculous Spondylitis Associated with HIV Infection. Hypothesis or Reality?
https://doi.org/10.58838/2075-1230-2023-101-2-47-53
Abstract
The objective: analysis of clinical cases of tuberculous spondylitis in HIV-infected patients with the detection of HIV RNA in the focus of vertebral bodies destruction.
Subjects and Methods. Medical records of 2 HIV-infected patients who underwent surgery for verified tuberculous spondylitis were analyzed. Parts of the vertebral bodies collected during surgery were examined (PCR, microbiological and histological tests), those were parts with destruction and fragments of healthy iliac bone necessary to fill the implant during corporodesis.
Results. RNA HIV was detected in the foci of bone destructionas as well as M. tuberculosis DNA. The viral load in the fragments of healthy iliac bone and peripheral blood of these patients was undetectable.
About the Authors
E. O. PeretsmanasRussian Federation
Evgeniy O. Peretsmanas - Head of Research Department of Osteoarticular Pathology, Doctor of Medical Sciences, Honored Doctor of Russia
4, Dostoyevsky St., Moscow, 127473
E. A. Orlova-Morozova
Russian Federation
Elena A. Orlova-Morozova - Candidate of Medical Sciences, Senior Researcher of Infectious Pathology Department
4, Dostoyevsky St., Moscow, 127473
I. V. Esin
Russian Federation
Igor V. Esin - Candidate of Medical Sciences, Senior Researcher, Head of Research Department of Osteoarticular Pathology
4, Dostoyevsky St., Moscow, 127473
G. D. Kaminsky
Russian Federation
Grigoriy D. Kaminsky - Head of Infectious Pathology Department, Doctor of Medical Sciences
4, Dostoyevsky St., Moscow, 127473
T. E. Tyulkova
Russian Federation
Tatyana E. Tyulkova - Head of Research Coordination Department, Doctor of Medical Sciences
4, Dostoyevsky St., Moscow, 127473
A. E. Panova
Russian Federation
Anna E. Panova - Candidate of Medical Sciences, Head of Laboratory Diagnostics Department, Head of the Scientific Laboratory of Microbiology, Virology and Molecular Biology Research
4, Dostoyevsky St., Moscow, 127473
O. V. Lovacheva O. V.
Russian Federation
Olga V. Lovacheva - Doctor of Medical Sciences, Professor, Senior Researcher of Research Department of Differential Diagnosis and Treatment of Tuberculosis and Concurrent Infections
4, Dostoyevsky St., Moscow, 127473
References
1. Reshetneva E. V., Mushkin A. Yu., Zimina V. N. Risk analysis for post-surgical complications in tuberculosis spondylitis patients with concurrent HIV infection. Tuberculosis and Lung Diseases, 2015, vol. 4, pp. 36–41. (In Russ.) https://doi.org/10.21292/2075-1230-2015-0-4-36-41
2. Adizie T., Moots R. J., Hodkinson B., French N., Adebajo A. O. Inflammatory arthritis in HIV positive patients: A practical guide. BMC Infect. Dis., 2016, Mar 1, 16:100. doi: 10.1186/s12879-016-1389-2. PMID: 26932524; PMCID: PMC4774153.
3. Ganji R., Dhali S., Rizvi A., Rapole S., Banerjee S. Understanding HIV-Mycobacteria synergism through comparative proteomics of intraphagosomal mycobacteria during mono- and HIV co-infection. Sci. Rep., 2016, Feb 26, 6:22060. doi: 10.1038/srep22060. PMID: 26916387; PMCID: PMC4768096.
4. Lamers S. L., Rose R., Maidji E., Agsalda-Garcia M., Nolan D. J., Fogel G. B., Salemi M., Garcia D. L., Bracci P., Yong W., Commins D., Said J., Khanlou N., Hinkin C. H., Sueiras M. V., Mathisen G., Donovan S., Shiramizu B., Stoddart C. A., McGrath M. S., Singer E. J. HIV DNA is frequently present within pathologic tissues evaluated at Autopsy from Combined Antiretroviral Therapy-Treated Patients with Undetectable Viral Loads. J. Virol., 2016, Sep 29, 90(20), 8968–83. doi: 10.1128/JVI.00674-16. PMID: 27466426; PMCID: PMC5044815.
5. Liebenberg C., Luies L., Williams A. A. Metabolomics as a tool to investigate HIV/TB co-infection. Front Mol. Biosci., 2021, Oct. 20, 8, 692823. doi: 10.3389/fmolb.2021.692823. PMID: 34746228; PMCID: PMC8565463.
6. Mehsen-Cêtre N., Cazanave C. Osteoarticular manifestations associated with HIV infection. Joint Bone Spine, 2017, Jan. 84(1), 29-33. doi: 10.1016/j.jbspin.2016.04.004. Epub 2016 May 26. PMID: 27238195.
7. Raynaud-Messina Brigitte et al. «Bone degradation machinery of osteoclasts: An HIV-1 target that contributes to bone loss». Proceedings of the National Academy of Sciences of the United States of America, 2018, vol. 115, 11, E2556–E2565. doi: 10.1073/pnas.1713370115).
8. Schnell G., Price R. W., Swanstrom R., Spudich S. Compartmentalization and clonal amplification of HIV-1 variants in the cerebrospinal fluid during primary infection. J. Virol., 2010, Mar. 84(5), 2395–407. doi: 10.1128/JVI.01863-09. Epub 2009 Dec 16. PMID: 20015984; PMCID: PMC2820937.
9. Withrington et al. (Withrington R. H., Cornes P., Harris J. R., Seifert M. H., Berrie E., Taylor-Robinson D., Jeffries D. J. Isolation of human immunodeficiency virus from synovial fluid of a patient with reactive arthritis. Br. Med. J. (Clin. Res. Ed.), 1987, Feb 21, 294(6570), 484. doi: 10.1136/bmj.294.6570.484. PMID: 3103739; PMCID: PMC1245528.
Review
For citations:
Peretsmanas E.O., Orlova-Morozova E.A., Esin I.V., Kaminsky G.D., Tyulkova T.E., Panova A.E., Lovacheva O. V. O.V. Human Immunodeficiency Virus is One of the Factors Promoting Bone Tissue Inflammation in Tuberculous Spondylitis Associated with HIV Infection. Hypothesis or Reality? Tuberculosis and Lung Diseases. 2023;101(2):47-53. (In Russ.) https://doi.org/10.58838/2075-1230-2023-101-2-47-53