2016
DOI: 10.1016/j.tim.2016.02.006
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T FH in HIV Latency and as Sources of Replication-Competent Virus

Abstract: During untreated disease, HIV replication is concentrated within T follicular helper cells (TFH). Heightened permissiveness, the presence of highly infectious virions on follicular dendritic cells (FDC), low frequencies of virus-specific cytotoxic T lymphocytes (CTL) in B cell follicles, expansions in TFH, and TFH dysfunction all likely promote replication in TFH. Limited data suggest that memory TFH play a role in the latent or subclinical reservoir of HIV during antiretroviral therapy (ART), potentially for … Show more

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Cited by 49 publications
(51 citation statements)
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“…Resting memory CD4+ T cell reservoirs have been estimated to have a half-life of 44 months, meaning that their clearance during ART may take as long as 73 years [13, 17, 18]. Subsequently, distinct populations of CD4+ T cells have also been recognized to contribute to the pool of latently infected cells [1921], although those are outside the scope of the present review. The half-life of resting memory CD4+ T cell reservoirs corresponds to the long-phase decay of residual plasma viremia in persons taking long-term ART [22].…”
Section: Usual and Unusual Suspectsmentioning
confidence: 99%
See 1 more Smart Citation
“…Resting memory CD4+ T cell reservoirs have been estimated to have a half-life of 44 months, meaning that their clearance during ART may take as long as 73 years [13, 17, 18]. Subsequently, distinct populations of CD4+ T cells have also been recognized to contribute to the pool of latently infected cells [1921], although those are outside the scope of the present review. The half-life of resting memory CD4+ T cell reservoirs corresponds to the long-phase decay of residual plasma viremia in persons taking long-term ART [22].…”
Section: Usual and Unusual Suspectsmentioning
confidence: 99%
“…FDCs transfer antigens in the B cell follicles of all secondary lymphoid tissues, and in the process may transfer HIV-1 to T follicular helper cells that are also present in the B cell follicles [21]. …”
Section: Usual and Unusual Suspectsmentioning
confidence: 99%
“…Evidence thus far is conflicting regarding productive infection of dendritic cells in vivo [29,30,54,63], although multiple studies support productive FIV infection of cultivated dendritic cells [43,63,64]. Likewise, reports may demonstrate productive HIV-1 infection of dendritic cells in vitro [65], but in vivo analyses suggest that extracellular virions bound to the cell surface of dendritic cells are the primary mode by which these cells transmit virus infection to CD4 T cells [13,66]. Evidence for productive replication of other subsets such as CD8+ T cells and B cells in vivo or in vitro has not been reported.…”
Section: Cell Reservoirs Of Fivmentioning
confidence: 99%
“…Similarly, Tfh cell frequencies in gut biopsies did not differ from those observed in treated HIV‐1‐positive and ‐negative individuals . Importantly, Tfh cells form an important reservoir during HIV/SIV infection …”
Section: Tfh Cell Differentiation and Functions Are Altered During Himentioning
confidence: 81%
“…22 Importantly, Tfh cells form an important reservoir during HIV/SIV infection. 23 Expansion of Tfh cells in LNs from chronically HIV-1infected individuals correlates with the viraemia 13 and is associated with gammaglobulinaemia and skewing of Bcell phenotype. 12,13,16 Importantly, Tfh cells exhibit the highest levels of HIV-1/SIV DNA and RNA compared with other LN CD4 + T-cell subsets, 13,14,18,24 and replicative HIV-1 virions can be recovered from activated Tfh cells isolated from viraemic patients.…”
Section: Tfh Cell Differentiation and Functions Are Altered During Himentioning
confidence: 99%