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      HIV-1 Cell to Cell Transfer across an Env-induced, Actin-dependent Synapse

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          Abstract

          Direct cell–cell transfer is an efficient mechanism of viral dissemination within an infected host, and human immunodeficiency virus 1 (HIV-1) can exploit this mode of spread. Receptor recognition by HIV-1 occurs via interactions between the viral surface envelope glycoprotein (Env), gp120, and CD4 and a chemokine receptor, CCR5 or CXCR4. Here, we demonstrate that the binding of CXCR4-using HIV-1–infected effector T cells to primary CD4 +/CXCR4 + target T cells results in rapid recruitment to the interface of CD4, CXCR4, talin, and lymphocyte function–associated antigen 1 on the target cell, and of Env and Gag on the effector cell. Recruitment of these membrane molecules into polarized clusters was dependent on Env engagement of CD4 and CXCR4 and required remodelling of the actin cytoskeleton. Transfer of Gag from effector to target cell was observed by 1 h after conjugate formation, was independent of cell–cell fusion, and was probably mediated by directed virion fusion with the target cell. We propose that receptor engagement by Env directs the rapid, actin-dependent recruitment of HIV receptors and adhesion molecules to the interface, resulting in a stable adhesive junction across which HIV infects the target cell.

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          Most cited references43

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          Actin-based cell motility and cell locomotion.

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            Recruitment of HIV and its receptors to dendritic cell-T cell junctions.

            Monocyte-derived dendritic cells (MDDCs) can efficiently bind and transfer HIV infectivity without themselves becoming infected. Using live-cell microscopy, we found that HIV was recruited to sites of cell contact in MDDCs. Analysis of conjugates between MDDCs and T cells revealed that, in the absence of antigen-specific signaling, the HIV receptors CD4, CCR5, and CXCR4 on the T cell were recruited to the interface while the MDDCs concentrated HIV to the same region. We propose that contact between dendritic cells and T cells facilitates transmission of HIV by locally concentrating virus, receptor, and coreceptor during the formation of an infectious synapse.
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              Potent suppression of HIV-1 replication in humans by T-20, a peptide inhibitor of gp41-mediated virus entry.

              T-20, a synthetic peptide corresponding to a region of the transmembrane subunit of the HIV-1 envelope protein, blocks cell fusion and viral entry at concentrations of less than 2 ng/ml in vitro. We administered intravenous T-20 (monotherapy) for 14 days to sixteen HIV-infected adults in four dose groups (3, 10, 30 and 100 mg twice daily). There were significant, dose-related declines in plasma HIV RNA in all subjects who received higher dose levels. All four subjects receiving 100 mg twice daily had a decline in plasma HIV RNA to less than 500 copies/ml, by bDNA assay. A sensitive RT-PCR assay (detection threshold 40 copies/ml) demonstrated that, although undetectable levels were not achieved in the 14-day dosing period, there was a 1.96 log10 median decline in plasma HIV RNA in these subjects. This study provides proof-of-concept that viral entry can be successfully blocked in vivo. Short-term administration of T-20 seems safe and provides potent inhibition of HIV replication comparable to anti-retroviral regimens approved at present.
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                Author and article information

                Journal
                J Exp Med
                The Journal of Experimental Medicine
                The Rockefeller University Press
                0022-1007
                1540-9538
                19 January 2004
                : 199
                : 2
                : 283-293
                Affiliations
                [1 ]The Sir William Dunn School of Pathology, The University of Oxford, Oxford OX1 3RE, UK
                [2 ]The Jefferiss Trust Laboratories, The Wright-Fleming Institute, Imperial College Faculty of Medicine, London W2 1PG, UK
                [3 ]The Henry Wellcome Imaging Suite, The Wright-Fleming Institute, Imperial College Faculty of Medicine, London W2 1PG, UK
                Author notes

                Address correspondence to Quentin J. Sattentau, The Sir William Dunn School of Pathology, University of Oxford, South Parks Road, Oxford OX1 3RE, UK. Phone: 01-86-52-75-511; Fax: 01-86-52-75-515; email: quentin.sattentau@ 123456pathology.ox.ac.uk

                Article
                20030648
                10.1084/jem.20030648
                2211771
                14734528
                e4e5dc3f-b8b1-43b3-aa6e-81edea000fd9
                Copyright © 2004, The Rockefeller University Press
                History
                : 21 April 2003
                : 2 December 2003
                Categories
                Article

                Medicine
                cd4,cxcr4,adhesion molecules,cytoskeleton,t cells
                Medicine
                cd4, cxcr4, adhesion molecules, cytoskeleton, t cells

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