HIV-1 reservoirs in urethral macrophages of patients under suppressive antiretroviral therapy
- PMID: 30718846
- DOI: 10.1038/s41564-018-0335-z
HIV-1 reservoirs in urethral macrophages of patients under suppressive antiretroviral therapy
Abstract
Human immunodeficiency virus type 1 (HIV-1) eradication is prevented by the establishment on infection of cellular HIV-1 reservoirs that are not fully characterized, especially in genital mucosal tissues (the main HIV-1 entry portal on sexual transmission). Here, we show, using penile tissues from HIV-1-infected individuals under suppressive combination antiretroviral therapy, that urethral macrophages contain integrated HIV-1 DNA, RNA, proteins and intact virions in virus-containing compartment-like structures, whereas viral components remain undetectable in urethral T cells. Moreover, urethral cells specifically release replication-competent infectious HIV-1 following reactivation with the macrophage activator lipopolysaccharide, while the T-cell activator phytohaemagglutinin is ineffective. HIV-1 urethral reservoirs localize preferentially in a subset of polarized macrophages that highly expresses the interleukin-1 receptor, CD206 and interleukin-4 receptor, but not CD163. To our knowledge, these results are the first evidence that human urethral tissue macrophages constitute a principal HIV-1 reservoir. Such findings are determinant for therapeutic strategies aimed at HIV-1 eradication.
Comment in
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Urethral macrophages - a new HIV-1 reservoir.Nat Rev Urol. 2019 Apr;16(4):205. doi: 10.1038/s41585-019-0158-6. Nat Rev Urol. 2019. PMID: 30742046 No abstract available.
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Macrophages hide HIV in the urethra.Nat Microbiol. 2019 Apr;4(4):556-557. doi: 10.1038/s41564-019-0418-5. Nat Microbiol. 2019. PMID: 30899108 No abstract available.
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