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临床试验/NCT01895920
NCT01895920已完成不适用

Viral Biofilms: Hijacking T Cell Extracellular Matrix to Regulate HIV-1 Spread?

ANRS, Emerging Infectious Diseases2 个研究点 分布在 1 个国家开始时间: 2013年1月最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
试验地点
2
主要终点
The percentage of HIV positive patients with cells producing biofilms.

研究概览

简要总结

This project aims at characterizing HIV-1 viral biofilms structural and functional properties and at deciphering its role as a new viral reservoir and as a new mode of viral spread. The prospective national study will be conducted on cells isolated from blood samples from 20 patients infected with HIV.

详细描述

The investigators' preliminary data indicate that besides " free " infectious viral particles, HIV-1 infected cluster of differentiation 4 (CD4+) lymphocytes also produce extracellular viral assemblies wrapped in an extracellular matrix cocoon and tightly bound to the surface of the cell. Importantly, these structures are infectious, transferred to target cells upon intercellular contacts and they are key role in HIV-1 spread between T lymphocytes. HIV-1 viral biofilm could be important not only for direct transmission of the virions but also for " trans-infection ", a process our objectives are:

  • to better characterize the molecular composition and the architecture of this biofilm (using proteomics, glycomic superresolution cell imaging approaches) with regard to its properties (infectivity, adhesiveness, protection of virions) and to determine whether cells from infected patients produce such structures.
  • to delineate the viral factors regulating the formation of these new infectious structures (with a particular attention on Tat, Vpu and Nef HIV-1 encoded using mutant viruses or expression vectors).
  • to investigate the lymphocyte pathways regulating the viral biofilms formation and composition in extracellular matrix (ECM) proteins (using quantitative polymerase chain reaction (qPCR) and siRNA).
  • to determine whether those viral biofilms are involved in HIV-1 transmission by transinfection
  • to study the contribution of those infectious structures and the dynamics of their transmission in lymph nodes.

This project may contribute to decipher the role of viral biofilms in HIV-1 transmission. Ultimately, we intend to determine how the interference of retroviral infections with T cell activation pathways modulates the pattern of ECM production by T cells, tuning viral biofilm composition and regulating viral dissemination.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Basic Science
盲法
None

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age ≥ 18 years
  • able to give written consent
  • HIV positive serology HIV1
  • Viral load > 10 000 copies/ml
  • CD4 T cells > 100 cells/mm3
  • or Treated by antiretroviral therapy (ARV) for less than 6 months
  • Covered by French Social Security

排除标准

  • Involved in a clinical trial
  • Pregnancy (inclusion can be postponed)
  • No covered by French Social Security

研究组 & 干预措施

HIV infection

Experimental

20 HIV infected subjects

干预措施: Blood sample (Other)

结局指标

主要结局

The percentage of HIV positive patients with cells producing biofilms.

时间窗: 2 years

次要结局

  • The number of cells with biofilms identified among the HIV positive patients presenting such structures.(2 years)

研究者

申办方类型
Other Gov
责任方
Sponsor

研究点 (2)

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