Oral SIV, SHIV, and HIV type 1 infection

R M Ruprecht1, T W Baba, V Liska

  • 1Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts 02115, USA.

Insights

Simian immunodeficiency virus (SIV) can infect macaques through intact oral mucosal surfaces. This finding highlights potential risks for human immunodeficiency virus type 1 (HIV-1) transmission during oral-genital contact.

Area of Science:

  • Virology
  • Immunology
  • Infectious Diseases

Background:

  • Simian immunodeficiency virus (SIV) and human immunodeficiency virus type 1 (HIV-1) are lentiviruses that cause immunodeficiency.
  • Mucosal transmission is a key route for lentivirus infection.
  • Understanding SIV oral transmission in macaques provides a model for HIV-1 transmission.

Purpose of the Study:

  • To investigate the efficiency of SIV oral mucosal transmission in rhesus macaques.
  • To determine if intact mucosal surfaces are a barrier to oral SIV infection.
  • To assess the implications for HIV-1 transmission.

Main Methods:

  • Oral inoculation of adult and neonatal rhesus macaques with various SIV and SHIV strains (cell-free and infected whole blood).
  • Assessment of viremia and disease development post-inoculation.
  • Comparison of oral versus rectal routes for SIV entry efficiency.

Main Results:

  • SIV strains, including uncloned and molecularly cloned, successfully crossed intact oral mucosal surfaces in both adult and neonatal macaques.
  • Oral inoculation with cell-free SIV and infected whole blood led to systemic infection and disease.
  • Neonatal macaques were persistently infected after oral exposure to a chimeric SHIV strain.
  • The oral route was more efficient than the rectal route for SIV entry in adult macaques after non-traumatic inoculation.

Conclusions:

  • Intact oral mucosal surfaces are permissive to SIV infection.
  • Oral exposure to various SIV strains, including T-cell tropic variants, can lead to systemic infection and disease.
  • The efficiency of oral SIV transmission has significant implications for understanding HIV-1 transmission during oral-genital contact.

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