2013
DOI: 10.1128/jvi.03108-12
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Efficiency of Cell-Free and Cell-Associated Virus in Mucosal Transmission of Human Immunodeficiency Virus Type 1 and Simian Immunodeficiency Virus

Abstract: Effective strategies are needed to block mucosal transmission of human immunodeficiency virus type 1 (HIV-1). Here, we address a crucial question in HIV-1 pathogenesis: whether infected donor mononuclear cells or cell-free virus plays the more important role in initiating mucosal infection by HIV-1. This distinction is critical, as effective strategies for blocking cell-free and cell-associated virus transmission may be different. We describe a novel ex vivo model system that utilizes sealed human colonic muco… Show more

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Cited by 59 publications
(73 citation statements)
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References 34 publications
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“…Much evidence has been provided for this hypothesis in animal studies, as well as through assessments of human transmission partners (8)(9)(10)(11)13). Prophylactic human vaccines may need to prevent the transmission of HIV-1-infected allogeneic lymphocytes, as well as free virions.…”
Section: Discussionmentioning
confidence: 99%
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“…Much evidence has been provided for this hypothesis in animal studies, as well as through assessments of human transmission partners (8)(9)(10)(11)13). Prophylactic human vaccines may need to prevent the transmission of HIV-1-infected allogeneic lymphocytes, as well as free virions.…”
Section: Discussionmentioning
confidence: 99%
“…Lymphocytes infected with SIV and HIV-1 robustly infect macaques and chimpanzees, respectively (9)(10)(11). Indeed, virus-infected lymphocytes are more efficient at establishing infection than free virus (8,10). Further, the number of infected cells required for infection is more reflective of the quantity of these cells that are found in the semen of HIV-1-infected men than is the amount of free virus used to establish infection (8).…”
mentioning
confidence: 93%
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“…Evidence demonstrating the efficiency of cell-to-cell HIV-1 transmission and the inability to abolish cell-associated virus (3,13,(16)(17)(18) emphasizes the need to determine which therapeutic or preventive agents neutralize cell-associated in addition to cell-free HIV-1. Viral inhibitors used as microbicides and antiretroviral therapy (ART) drugs have been developed to prevent HIV-1 transmission or to treat individuals infected with HIV-1 (19)(20)(21).…”
mentioning
confidence: 99%
“…Most HIV studies have relied on the use of cell-free virus for infection due to convenience even though it is clear that cell-associated transmission is also important (37,38), with some reports indicating that infection via cell-free versus cell-associated routes might occur at different speeds and efficiencies (39). A recent report indicates that cell-to-cell transmission is required to trigger apoptosis of infected CD4 ϩ T cells (40).…”
Section: Discussionmentioning
confidence: 99%