VIH-1 Colo-rectal Transmission by Infected Semen Cells and Effects of Seminal Plasma ex Vivo (CellspermVIH)
- Conditions
- HIV-1-infection
- Registration Number
- NCT03075397
- Lead Sponsor
- University Hospital, Toulouse
- Brief Summary
- The objective of our project is to determine the infected seminal cell types and the molecular mechanisms involved in HIV cell-associated transmission in the colo-rectal mucosa, using conditions as close as possible to real life, i.e. seminal leukocytes and seminal plasma from HIV-infected donors and tissue explants 
- Detailed Description
- This project relies on: 
 * our expertise of HIV in semen and male genital tract and our experience in organotypic cultures;
 * a network of infectious diseases and reproductive biology clinicians to collect, analyze and process seminal cells and seminal plasma from HIV+ donors;
 * the expertise in confocal microscopy and ex vivo colo-rectal model. State of the art culture of colo-rectal tissues, primary cell culture and infection, confocal microscopy, flow cytometry, Polymerase Chain Reaction and Luminex assays for cytokine measurements will be the methodologies primarily used in this project.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Male
- Target Recruitment
- 15
- HIV-1 infected patients who have never been treated by antiretroviral therapy
- Signature of informed consent
- Affiliation to social service
- Patients' general condition not allowing protocol follow-up
- Patients with an ejaculation disorder
- Patients unable to perform semen sampling
- Patients with chemotherapy or radiotherapy antecedents
- Patients with very severe oligospermia (≤1million/mL of spermatozoa)
- Patients with active genital infection
- Protected subjects
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
- Name - Time - Method - Evaluate the potential of seminal HIV infected cells migration and adhesion. - 1 years - Assess the potential of seminal macrophages and CD4 T cells to adhere and transmigrate. - Characterize seminal HIV infected cells. - 1 years - Macrophages and CD4+ T lymphocytes characterization. - Determine the efficiency of seminal cell associated infection. - 1 years - The efficiency of seminal cell associated infection will be determinated in the colo-rectal explants. 
- Secondary Outcome Measures
- Name - Time - Method - Identify molecules expressed and involved in seminal cell adhesion and transmigration. - 1 years - Identify key adhesion molecules expressed by seminal leucocytes and epithelial cells involved in seminal cell adhesion/transmigration. - Determine the impact of seminal plasma/cells exposure on mucosal immune cell. - 1 years - Mucosal immune cell activation, trafficking and the factors involved, will be evaluated. - Identify seminal and mucosal molecules mediating seminal cell translocation. - 1 years - Seminal and mucosal soluble molecules mediating seminal cell translocation will be characterized (passive diffusion or active transmigration). 
Trial Locations
- Locations (3)
- CECOS Bretagne Rennes 🇫🇷- Rennes, Bretagne, France - CECOS Hôpital Paule de Viguier 🇫🇷- Toulouse, Midi-Pyrénées, France - CECOS Paris Bichat 🇫🇷- Paris, France CECOS Bretagne Rennes🇫🇷Rennes, Bretagne, France
