HIV-1 Efficient Entry in Inner Foreskin Is Mediated by Elevated CCL5/RANTES that Recruits T Cells and Fuels Conjugate Formation with Langerhans Cells
2011

How HIV-1 Enters the Inner Foreskin

Sample size: 6 publication 10 minutes Evidence: high

Author Information

Author(s): Zhou Zhicheng, Barry de Longchamps, Schmitt Alain, Zerbib Marc, Vacher-Lavenu Marie-Cécile, Bomsel Morgane, Ganor Yonatan

Primary Institution: Cochin Institute, CNRS (UMR 8104), Paris, France

Hypothesis

HIV-1 entry in the inner foreskin is mediated by elevated CCL5/RANTES that recruits T cells and fuels conjugate formation with Langerhans cells.

Conclusion

HIV-1 modifies chemokine secretion in the inner foreskin, leading to T-cell recruitment and efficient viral entry.

Supporting Evidence

  • Male circumcision reduces acquisition of HIV-1 by 60%.
  • HIV-1-infected cells induce T-cell recruitment into the inner foreskin epidermis.
  • CCL5/RANTES mediates T-cell recruitment into the inner foreskin epidermis.
  • HIV-1 is captured by Langerhans cells in the inner foreskin.

Takeaway

HIV-1 can enter the body through the inner foreskin, where it attracts immune cells to help it spread.

Methodology

Foreskin explants were inoculated with HIV-1-infected cells for 4 hours, and chemokine secretion and immune cell distribution were analyzed.

Potential Biases

Potential bias in the selection of foreskin samples from circumcised males.

Limitations

The study may not fully represent in vivo conditions as it uses ex vivo explants.

Participant Demographics

Healthy adult males, mean age 32 years, undergoing elective circumcision.

Statistical Information

P-Value

0.0105

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.ppat.1002100

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