bioRxiv · 10.64898/2025.12.04.692392
Dietary Indoles Modulate Gut Barrier Integrity via the AhR-IL-22 Axis in ART-Treated SIV Infection
Abstract
HIV infection rapidly impairs the gastrointestinal (GI) barrier, contributing to persistent mucosal immune dysfunction, microbial translocation, and systemic inflammation despite antiretroviral therapy (ART). Using SIV-infected rhesus macaques on long-term ART, we investigated mechanisms underlying impairment in gut barrier-protective IL-17/IL-22 responses and the potential modulation of this pathway by dietary indoles. Longitudinal profiling of colonic epithelial and lamina propria cells revealed a selective loss of IL-17/IL-22-producing {gamma}{delta} T cells and type 3 innate lymphoid cells (ILC3s). This loss correlated with reduced expression of the transcription factors AhR and ROR{gamma}t and was associated with elevated plasma markers of intestinal epithelial barrier disruption (IEBD), including intestinal fatty acid-binding protein (iFABP), zonulin, and LPS-binding protein (LBP). Targeting this transcriptional deficiency, dietary indole supplementation for one month restored colonic AhR IL-22-producing {gamma}{delta} T cells and ROR{gamma}t ILC3s and V{delta}1 T cells, and was associated with reduced iFABP and zonulin levels. Our findings indicate that disruption of the AhR-ROR{gamma}t-IL-17/IL-22 axis is a key pathogenic mechanism underlying persistent IEBD in chronic SIV/HIV infection. Modulation of gut AhR signaling may represent a potential approach to reinforce mucosal barrier function and reduce chronic inflammation that persists in people living with HIV.
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Thirugnanam, S., Van Zandt, A. R., McNally, A. B., Hart, V. A., Berthelot, I., Doyle-Meyers, L. A., Welsh, D. A., MacLean, A., Rout, N.. 2025-12-08. Dietary Indoles Modulate Gut Barrier Integrity via the AhR-IL-22 Axis in ART-Treated SIV Infection. https://doi.org/10.64898/2025.12.04.692392
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