HIV Persistence in Adipose Tissue Reservoirs
Jacob Couturier1, Dorothy E Lewis2
1Division of Infectious Diseases, Department of Internal Medicine, The University of Texas Health Science Center at Houston, 6431 Fannin St., MSB 2.112, Houston, TX, 77030, USA.
Current HIV/AIDS Reports
|February 10, 2018
Summary
Adipose tissue harbors latent HIV, posing a challenge for eradication. Immune cells within fat depots interact with adipocytes, potentially fueling viral persistence despite limited antiretroviral drug penetration.
Area of Science:
- Immunology
- Virology
- Cell Biology
Background:
- Adipose tissue is increasingly recognized as a significant reservoir for persistent HIV infection.
- Memory CD4 T cells and macrophages are key host cells for HIV that accumulate in adipose tissue during infection.
Purpose of the Study:
- To review evidence on adipose tissue as a reservoir for HIV-1.
- To understand how adipose tissue contributes to HIV persistence.
Main Methods:
- Review of existing literature on HIV reservoirs in adipose tissue.
- Analysis of immune cell populations and viral presence in adipose tissue.
- Assessment of adipocyte-immune cell interactions and drug distribution.
Main Results:
- Latently HIV-infected CD4 T cells are replication-competent and infectious within adipose tissue.
- Adipocytes promote immune cell activation and inflammation, supporting HIV persistence.
- Antiretroviral drug penetration into adipose tissue is limited and may be class-specific.
Conclusions:
- Adipose tissue serves as a critical reservoir for latent HIV, complicating eradication efforts.
- Immune cell interactions and inflammation within adipose tissue contribute to viral persistence.
- The unique characteristics of adipose tissue present a significant hurdle for achieving an HIV cure.
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