Multicenter comparison of lung and oral microbiomes of HIV-infected and HIV-uninfected individuals

Lung HIV Microbiome Project

Research output: Contribution to journalArticle

63 Scopus citations


Rationale: Improved understanding of the lung microbiome in HIV-infected individuals could lead to better strategies for diagnosis, therapy, and prophylaxis of HIV-associated pneumonias. Differences in the oral and lung microbiomes in HIV-infected and HIV-uninfected individuals are not well defined. Whether highly active antiretroviral therapy influences these microbiomes is unclear. Objectives: Wedetermined whether oral and lungmicrobiomes differed in clinically healthy groups of HIV-infected and HIV-uninfected subjects. Methods: Participating sites in the Lung HIV Microbiome Project contributed bacterial 16S rRNA sequencing data from oral washes and bronchoalveolar lavages(BALs)obtainedfromHIV-uninfectedindividuals (n = 86),HIV-infected individuals whowere treatment naive (n = 18), and HIV-infected individuals receiving antiretroviral therapy (n = 38). Measurements and Main Results: Microbial populations differed in the oral washes among the subject groups (Streptococcus, Actinomyces, Rothia, and Atopobium), but there were no individual taxa that differed among the BALs. Comparison of oral washes and BALs demonstrated similar patterns from HIV-uninfected individuals and HIV-infected individuals receiving antiretroviral therapy, with multiple taxa differing in abundance. The pattern observed from HIV-infected individuals who were treatment naive differed from the other two groups, with differences limited to Veillonella, Rothia, and Granulicatella. CD4 cell counts did not influence the oral or BAL microbiome in these relatively healthy, HIV-infected subjects. Conclusions: The overall similarity of the microbiomes in participants with and without HIV infection was unexpected, because HIV-infected individuals with relatively preserved CD4 cell counts are at higher risk for lower respiratory tract infections, indicating impaired local immune function.

Original languageEnglish (US)
Pages (from-to)1335-1344
Number of pages10
JournalAmerican journal of respiratory and critical care medicine
Issue number11
StatePublished - Dec 1 2015


  • Bronchoalveolar lavage
  • Bronchoscopy
  • HIV infection
  • Lung
  • Microbiome

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

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