: The effect of innate cellular activation on HIV transmission efficiency, absent inflammation of the genital mucosa associated with active co-infections, remains unknown. Although some early attempts at answering this question have been tried, recent results now strongly justify revisiting this unresolved problem as new data support the premise that a specific arm of the innate activation response may be a significant factor in affecting HIV transmission in absence of co-infections. We will collect both direct and indirect correlative data to test the hypothesis that plasmacytoid dendritic cells (pDC) recruitment and activation into the cervicovaginal compartment by HIV-1 particles or infected cells not resulting in productive HIV-1 infection (low dose, defective particles) will result in both innate and Treg adaptive mechanisms able to lower infectivity of HIV-1 upon repeated exposure.
First aim will collect human cohort data on sex workers with high-risk behavior as compared to control groups to establish whether their sustained lack of seroconversion is associated with differential levels of cellular innate activation in vivo.
Second aim will establish in a non-human primate model whether pre-exposure to defective SIV particles in cervicovaginal compartment (association with pDC recruitment and activation) is associated with a lower transmission rate when animals are challenged with infectious SIV. The proposed study proposed can be considered """"""""high-risk/yield"""""""", as once completed it will either prove our hypothesis and open new targets for development of tactics of transmission interruption, or else it will lend further support to concepts on the relationship between inflammation and viral transmission. The research proposed represents a hypothesis-driven multi-disciplinary collaboration between the University of Puerto Rico, The University of Minnesota, The University of Massachusetts, NCI, University of Pennsylvania CFAR, Tulane University and The Wistar Institute.

Public Health Relevance

: There is a need to develop new strategies to prevent HIV-1 transmission in women. Our application seeks to understand correlates of lack of infection in women known to be exposed by their behavior and to determine if a particular immune response (specific innate immunity) is over-represented in them. We also will test directly the impact of the targeting the selective activation of the candidate innate response in non-human primates to be infected with SIV to obtain direct data as to whether this response will decrease viral transmission when activated locally.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Research Project (R01)
Project #
1R01AI084142-01
Application #
7737817
Study Section
Special Emphasis Panel (ZAI1-CCH-A (M2))
Program Officer
Sharma, Opendra K
Project Start
2009-09-12
Project End
2011-08-31
Budget Start
2009-09-12
Budget End
2010-08-31
Support Year
1
Fiscal Year
2009
Total Cost
$816,329
Indirect Cost
Name
Wistar Institute
Department
Type
DUNS #
075524595
City
Philadelphia
State
PA
Country
United States
Zip Code
19104