Anna Medaris is a freelance health and lifestyle journalist with nearly 15 years of experience writing features, narratives, explainers, and news hits for publications including the Washington Post, Business Insider, Cosmopolitan, and US News & World Report
2020 Oct 1;38(28):3325-3348 Lucarini E, Micheli L, Toti A, Ciampi C, Margiotta F, Di Cesare Mannelli L, Ghelardini C
2.2 The permeability barrier Concurrently, the epithelial permeability barrier emerged as a second dominant constraint
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Up to 60% of untreated PLWH present with lymphocytic alveolitis, characterized by infiltration of B-cells, gamma-delta T-cells, as well as CD4+ and CD8+ T-cells into the lung, which is observed in absence of any respiratory symptoms ( In vivo non-human-primate models further show that IL-6 expression in pulmonary interstitial macrophages of SIV-infected animals is positively correlated with monocyte turnover and lung tissue damage ( Chronic pulmonary inflammation further leads to increased production of matrix metalloproteinases (MMPs), a family of endopeptidases that can degrade elastin and collagen fibers ( In vitro experiments on primary human airway basal cells have shown that HIV infection can force these cells to acquire a destructive phenotype via upregulation of MMP-9 through activation of MAPK signaling, thus potentially contributing to emphysema development in PLWH ( On the other end of the scale between inflammation and wound repair, HIV leads to higher levels of TGF- an anti-inflammatory cytokine produced by Tregs and alveolar macrophages
