PMID- 34198803 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210705 IS - 2075-1729 (Print) IS - 2075-1729 (Electronic) IS - 2075-1729 (Linking) VI - 11 IP - 6 DP - 2021 Jun 5 TI - High Levels of TNF-alpha and TIM-3 as a Biomarker of Immune Reconstitution Inflammatory Syndrome in People with HIV Infection. LID - 10.3390/life11060527 [doi] LID - 527 AB - Immune reconstitution inflammatory syndrome (IRIS) is an exacerbated immune response that can occur to HIV+ patients after initiating antiretroviral therapy (ART). IRIS pathogenesis is unclear, but dysfunctional and exhausted cells have been reported in IRIS patients, and the TIM-3/Gal-9 axis has been associated with chronic phases of viral infection. This study aimed to evaluate the soluble levels of TIM-3 and Gal-9 and their relationship with IRIS development. TIM-3, Gal-9, TNF-alpha, IFN-gamma, IL-6, TNFR1, TNFR2, E-cadherin, ADAM10, and ADAM17 were measured to search for IRIS-associated biomarkers in plasma samples from 0-, 4-, 8-, 12-, and 24-weeks after ART initiation of 61 HIV+ patients (15 patients developed IRIS, and 46 did not). We found that patients who developed IRIS had higher levels of TIM-3 [median 4806, IQR: 3206-6182] at the time of the IRIS events, compared to any other follow-up time evaluated in these patients or compared with a control group of patients who did not develop IRIS. Similarly, IRIS patients had a higher TNF-alpha level [median 10.89, IQR: 8.36-12.34] at IRIS events than any other follow-up time evaluated. Other molecules related to the TIM-3 and TNF-alpha pathway (Gal-9, IL-6, IFN-gamma, TNFR1, TNFR2, ADAM-10, and ADAM-17) did not change during the IRIS events. In conclusion, our data suggest that a high level of soluble TIM-3 and TNF-alpha could be used as an IRIS biomarker. FAU - Ramon-Luing, Lucero A AU - Ramon-Luing LA AD - Laboratory of Integrative Immunology, Instituto Nacional de Enfermedades Respiratorias "Ismael Cosio Villegas", Mexico City 14080, Mexico. FAU - Ocana-Guzman, Ranferi AU - Ocana-Guzman R AD - Laboratory of Integrative Immunology, Instituto Nacional de Enfermedades Respiratorias "Ismael Cosio Villegas", Mexico City 14080, Mexico. FAU - Tellez-Navarrete, Norma A AU - Tellez-Navarrete NA AUID- ORCID: 0000-0002-2886-8317 AD - Laboratory of Integrative Immunology, Instituto Nacional de Enfermedades Respiratorias "Ismael Cosio Villegas", Mexico City 14080, Mexico. FAU - Preciado-Garcia, Mario AU - Preciado-Garcia M AD - Laboratory of Integrative Immunology, Instituto Nacional de Enfermedades Respiratorias "Ismael Cosio Villegas", Mexico City 14080, Mexico. FAU - Romero-Rodriguez, Damaris P AU - Romero-Rodriguez DP AD - Flow Cytometry Core Facility, Instituto Nacional de Enfermedades Respiratorias "Ismael Cosio Villegas", Mexico City 14080, Mexico. FAU - Espinosa, Enrique AU - Espinosa E AD - Laboratory of Integrative Immunology, Instituto Nacional de Enfermedades Respiratorias "Ismael Cosio Villegas", Mexico City 14080, Mexico. FAU - Reyes-Teran, Gustavo AU - Reyes-Teran G AD - Center for Infectious Diseases Research (CIENI), Instituto Nacional de Enfermedades Respiratorias "Ismael Cosio Villegas", Mexico City 14080, Mexico. FAU - Chavez-Galan, Leslie AU - Chavez-Galan L AUID- ORCID: 0000-0002-2334-0361 AD - Laboratory of Integrative Immunology, Instituto Nacional de Enfermedades Respiratorias "Ismael Cosio Villegas", Mexico City 14080, Mexico. LA - eng PT - Journal Article DEP - 20210605 PL - Switzerland TA - Life (Basel) JT - Life (Basel, Switzerland) JID - 101580444 PMC - PMC8227006 OTO - NOTNLM OT - ADAM OT - HIV OT - IRIS OT - TIM-3 OT - TNF-alpha COIS- The authors declare no conflict of interest. EDAT- 2021/07/03 06:00 MHDA- 2021/07/03 06:01 PMCR- 2021/06/05 CRDT- 2021/07/02 01:02 PHST- 2021/04/16 00:00 [received] PHST- 2021/05/23 00:00 [revised] PHST- 2021/05/31 00:00 [accepted] PHST- 2021/07/02 01:02 [entrez] PHST- 2021/07/03 06:00 [pubmed] PHST- 2021/07/03 06:01 [medline] PHST- 2021/06/05 00:00 [pmc-release] AID - life11060527 [pii] AID - life-11-00527 [pii] AID - 10.3390/life11060527 [doi] PST - epublish SO - Life (Basel). 2021 Jun 5;11(6):527. doi: 10.3390/life11060527.