HIV-1-infection
Conditions
Keywords
HIV-1, Colo-rectal transmission, seminal plasma
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.
Interventions
A sample of HIV-1 infected patients's blood is collected
A sample of HIV-1 infected patients's sperm is collected
Sponsors
Study design
Eligibility
Inclusion criteria
* HIV-1 infected patients who have never been treated by antiretroviral therapy * Signature of informed consent * Affiliation to social service
Exclusion criteria
* 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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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. |
| 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 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. |
| 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). |
| 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. |
Countries
France