Over the past decade, a series of observations linking 4 7, the principal gut-homing integrin, with various aspects of HIV-1 infection have generated considerable interest in the field of HIV-1 research. After the initial report that the major HIV-1 envelope glycoprotein, gp120, can bind to 4 7, intensive research efforts have been focused on the role of 4 7 as a key factor in HIV-1 pathogenesis and as a potential target for prevention and treatment. The interaction between 4 7 and its natural ligand, MAdCAM-1, directs infected CD4 + T cells and HIV-1 virions carrying incorporated 4 7 to the gut mucosa, which may facilitate HIV-1 seeding and replication in the intestinal compartment during the early stages of infection. In addition, cells that express high levels of 4 7, such as Th17 cells, represent preferential targets for infection, and their frequency in the circulation was shown to correlate with susceptibility to HIV-1 infection and disease progression. A number of in vivo studies in nonhuman primates have investigated whether blockage of 4 7 may affect SIV transmission and pathogenesis. Administration of a primatized anti-4 7 antibody that blocks MAdCAM-1 binding to 4 7 was reported to reduce SIV mucosal transmission in rhesus macaques. However, the mechanism responsible for such a protective effect is still undefined, and conflicting results have been reported on the effects of the same antibody, in combination with ART, during the early chronic phase of SIV infection. Thus, despite a series of tantalizing results accrued over the past decade, the jury is still out on the role of 4 7 in HIV-1 infection.