Abstract

Background Cord blood-derived CD4+ T cells have a naive phenotype and do not express CCR5, the mandatory co-receptor for transmitted HIV-1 R5 strains in infants. This leaves the question unanswered: what are the target cells for MTCT of HIV-1 and where do they reside? We hypothesized that in infant mucosal tissues, CD4+CCR5 + T cells may be present to facilitate mucosal transmission of HIV-1.

Highlights

  • Cord blood-derived CD4+ T cells have a naïve phenotype and do not express CCR5, the mandatory co-receptor for transmitted HIV-1 R5 strains in infants

  • These memory CD4+CCR5+T cells provide a large pool of susceptible cells for ingested HIV-1 at birth and during breastfeeding, indicating a mucosal route of MTCT of HIV-1, which can be targeted in future prevention strategies

  • Here, we demonstrate the previously unrecognized abundance of memory CD4+CCR5+ T cells in the human fetal and infant gut mucosa

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Summary

Introduction

Cord blood-derived CD4+ T cells have a naïve phenotype and do not express CCR5, the mandatory co-receptor for transmitted HIV-1 R5 strains in infants. Expanded memory CD4+ T Cells in the fetal and the infant Gut; a mucosal route for mother-to-child transmission of HIV-1 MJ Bunders*, C van der Loos, PL Klarenbeek, J van Hamme, J Wilde, N de Vries, RA van Lier, N Kootstra, ST Pals, TW Kuijpers From AIDS Vaccine 2012 Boston, MA, USA.

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