Productive HIV-1 infection of tissue macrophages by fusion with infected CD4+ T cells

Rémi Mascarau1,2, Marie Woottum3, Léa Fromont1

  • 1Institut de Pharmacologie et Biologie Structurale (IPBS), Université de Toulouse, Centre National de la Recherche Scientifique, Université Toulouse III - Paul Sabatier (UPS) , Toulouse, France.

Insights

Human immunodeficiency virus type 1 (HIV-1) infects tissue macrophages through fusion with infected CD4+ T cells. This cell-to-cell transmission is crucial for establishing persistent viral reservoirs in patients.

Area of Science:

  • Immunology
  • Virology
  • Cell Biology

Background:

  • Macrophages are critical for human immunodeficiency virus type 1 (HIV-1) pathogenesis and serve as major viral reservoirs.
  • Tissue macrophages are widely infected in vivo but are poorly susceptible to cell-free HIV-1 infection, necessitating investigation into alternative transmission routes.

Purpose of the Study:

  • To elucidate the mechanism by which HIV-1 infects tissue macrophages.
  • To identify the cellular players and molecular pathways involved in HIV-1 transfer to macrophages.

Main Methods:

  • Investigated heterotypic cell fusion between HIV-1-infected CD4+ T lymphocytes and various human tissue macrophage populations.
  • Analyzed the role of macrophage polarization state in HIV-1 infection.
  • Examined the involvement of CD81 tetraspanin and RhoA/ROCK signaling in the fusion process.

Main Results:

  • Fusion of infected CD4+ T lymphocytes with human macrophages results in efficient and productive HIV-1 infection.
  • Synovial, placental, lung alveolar, and tonsil macrophages are susceptible to this fusion-mediated infection.
  • Macrophage polarization state influences the efficiency of this infection mode.
  • CD81 tetraspanin regulates the fusion process via RhoA/ROCK-dependent actomyosin contractility.

Conclusions:

  • Cell-to-cell fusion represents a significant pathway for HIV-1 infection of tissue-resident macrophages.
  • Understanding this mechanism provides insights into the establishment of persistent HIV-1 reservoirs in patients.