PMID- 33477581 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210218 IS - 2075-1729 (Print) IS - 2075-1729 (Electronic) IS - 2075-1729 (Linking) VI - 11 IP - 1 DP - 2021 Jan 18 TI - Systemic Inflammation Associated with Immune Reconstitution Inflammatory Syndrome in Persons Living with HIV. LID - 10.3390/life11010065 [doi] LID - 65 AB - Antiretroviral therapy (ART) has represented a major advancement in the care of people living with HIV (PLWHH), resulting in significant reductions in morbidity and mortality through immune reconstitution and attenuation of homeostatic disruption. Importantly, restoration of immune function in PLWH with opportunistic infections occasionally leads to an intense and uncontrolled cytokine storm following ART initiation known as immune reconstitution inflammatory syndrome (IRIS). IRIS occurrence is associated with the severe and rapid clinical deterioration that results in significant morbidity and mortality. Here, we detail the determinants underlying IRIS development in PLWH, compiling the available knowledge in the field to highlight details of the inflammatory responses in IRIS associated with the most commonly reported opportunistic pathogens. This review also highlights gaps in the understanding of IRIS pathogenesis and summarizes therapeutic strategies that have been used for IRIS. FAU - Vinhaes, Caian L AU - Vinhaes CL AD - Instituto Goncalo Moniz, Fundacao Oswaldo Cruz, Salvador 40296-710, Brazil. AD - Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative, Salvador 40210-320, Brazil. AD - Bahiana School of Medicine and Public Health, Bahia Foundation for the Development of Sciences, Salvador 40290-000, Brazil. FAU - Araujo-Pereira, Mariana AU - Araujo-Pereira M AD - Instituto Goncalo Moniz, Fundacao Oswaldo Cruz, Salvador 40296-710, Brazil. AD - Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative, Salvador 40210-320, Brazil. AD - Faculdade de Medicina, Universidade Federal da Bahia, Salvador 40110-100, Brazil. FAU - Tiburcio, Rafael AU - Tiburcio R AD - Instituto Goncalo Moniz, Fundacao Oswaldo Cruz, Salvador 40296-710, Brazil. AD - Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative, Salvador 40210-320, Brazil. AD - Faculdade de Medicina, Universidade Federal da Bahia, Salvador 40110-100, Brazil. FAU - Cubillos-Angulo, Juan M AU - Cubillos-Angulo JM AUID- ORCID: 0000-0002-3877-5077 AD - Instituto Goncalo Moniz, Fundacao Oswaldo Cruz, Salvador 40296-710, Brazil. AD - Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative, Salvador 40210-320, Brazil. AD - Faculdade de Medicina, Universidade Federal da Bahia, Salvador 40110-100, Brazil. FAU - Demitto, Fernanda O AU - Demitto FO AD - Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative, Salvador 40210-320, Brazil. FAU - Akrami, Kevan M AU - Akrami KM AD - Instituto Goncalo Moniz, Fundacao Oswaldo Cruz, Salvador 40296-710, Brazil. AD - Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative, Salvador 40210-320, Brazil. AD - Faculdade de Medicina, Universidade Federal da Bahia, Salvador 40110-100, Brazil. AD - Divisions of Infectious Diseases and Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of California, San Diego, CA 92093, USA. FAU - Andrade, Bruno B AU - Andrade BB AUID- ORCID: 0000-0001-6833-3811 AD - Instituto Goncalo Moniz, Fundacao Oswaldo Cruz, Salvador 40296-710, Brazil. AD - Multinational Organization Network Sponsoring Translational and Epidemiological Research (MONSTER) Initiative, Salvador 40210-320, Brazil. AD - Bahiana School of Medicine and Public Health, Bahia Foundation for the Development of Sciences, Salvador 40290-000, Brazil. AD - Faculdade de Medicina, Universidade Federal da Bahia, Salvador 40110-100, Brazil. AD - Curso de Medicina, Centro Universitario Faculdade de Tecnologia e Ciencias (UniFTC), Salvador 41741-590, Brazil. LA - eng GR - U01-AI115940/National Institute of Allergy and Infectious Diseases/ GR - PhD fellowship (finance code 001)/Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior/ GR - Research fellowship/Conselho Nacional de Desenvolvimento Cientifico e Tecnologico/ GR - Research Fellowship/MONSTER Initiative/ GR - Intramural Research Program/Fundacao Oswaldo Cruz/ PT - Journal Article PT - Review DEP - 20210118 PL - Switzerland TA - Life (Basel) JT - Life (Basel, Switzerland) JID - 101580444 PMC - PMC7831327 OTO - NOTNLM OT - HIV OT - immune reconstitution inflammatory syndrome (IRIS) OT - mycobacteria OT - systemic inflammation COIS- The authors declare no conflict of interest. EDAT- 2021/01/23 06:00 MHDA- 2021/01/23 06:01 PMCR- 2021/01/18 CRDT- 2021/01/22 01:02 PHST- 2020/11/16 00:00 [received] PHST- 2021/01/13 00:00 [revised] PHST- 2021/01/14 00:00 [accepted] PHST- 2021/01/22 01:02 [entrez] PHST- 2021/01/23 06:00 [pubmed] PHST- 2021/01/23 06:01 [medline] PHST- 2021/01/18 00:00 [pmc-release] AID - life11010065 [pii] AID - life-11-00065 [pii] AID - 10.3390/life11010065 [doi] PST - epublish SO - Life (Basel). 2021 Jan 18;11(1):65. doi: 10.3390/life11010065.