HIV-1 penetrates coronary artery endothelial cells by transcytosis

C Gujuluva1, A R Burns, T Pushkarsky

  • 1Department of Medicine, UCLA School of Medicine, Los Angeles, CA, USA.

Insights

Human Immunodeficiency Virus type 1 (HIV-1) can cross the endothelium, not through cell junctions, but by forming vacuoles within endothelial cells. This transcellular pathway allows HIV-1 to penetrate the heart and brain barriers.

Area of Science:

  • Cardiovascular Science
  • Virology
  • Cell Biology

Background:

  • The mechanism of HIV-1 cardiomyopathy pathogenesis remains unclear, despite HIV-1 detection in heart muscle cells.
  • It is unknown if HIV-1 infects coronary artery endothelial cells (CAEC) or uses transcellular/paracellular routes to cross the endothelium.

Purpose of the Study:

  • To investigate the mechanism of HIV-1 penetration across the coronary artery endothelial cell (CAEC) barrier.
  • To determine if HIV-1 infection of CAEC is productive or abortive.

Main Methods:

  • Constructed a CAEC barrier model using primary human CAEC.
  • Utilized PCR, infectious assays, immunofluorescence, and transmission electron microscopy to study HIV-1 infection and barrier integrity.
  • Measured HIV-1 invasion, paracellular permeability, and changes in tight junction proteins.

Main Results:

  • HIV-1 infection of CAEC was abortive, with no productive replication observed.
  • HIV-1 significantly penetrated the CAEC barrier within 24 hours post-infection.
  • HIV-1 induced cytoplasmic vacuolization in CAEC and brain microvascular endothelial cells (BMVEC), facilitating virus passage.

Conclusions:

  • The endothelium is permeable to HIV-1.
  • HIV-1 utilizes a transcellular route, forming vacuoles within endothelial cells, to cross the coronary and brain barriers.
Abstract

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