Human immunodeficiency virus(HIV)has been shown to evolve independently in different anatomical compartments.Characterizing HIV genetic evolution in different tissues and cells provides insights into the mechanisms th...Human immunodeficiency virus(HIV)has been shown to evolve independently in different anatomical compartments.Characterizing HIV genetic evolution in different tissues and cells provides insights into the mechanisms that maintain the viral reservoir.HIV compartmentalization has been well documented in the semen but rarely in male genital tract(MGT)organs.The precise mechanisms that result in the development of HIV compartmentalization in multiple genitourinary sites have been poorly explored due to the difficulty in accessing these tissues.Based on evidence from lymph nodes and gut tissues,mechanisms that may influence compartmentalization include immune pressures,local concentrations of antiviral drugs,clonal expansion of different cell types and inflammation that alters the cellular microenvironment.We reviewed phylogenetic evidences supporting viral compartmentalization between the blood and multiple genitourinary sites in HIV-infected people.Characterizing distinct viral subpopulations enhances our overall understanding of the HIV reservoir inMGTand could ultimately lead to the development of novel therapies to eradicate the virus in tissues.展开更多
基金This work was funded by the China Scholarship Council(No.201906325018)the Canadian Institutes of Health Research(CIHR+3 种基金grants MOP 103230 and PTJ 166049)the Vaccines&Immunotherapy Core of the CIHR Canadian HIV Trials Network(CTN,grant CTN 257)the CIHR-funded Canadian HIV Cure Enterprise(CanCURE)Team Grant HB2-164064This work was also supported by the Fonds de la Recherche Quebec-Sante(FRQ-S):Reseau SIDA/Maladies infectieuses and Therapie cellulaire.Stephane Isnard is supported by a Fond de Recherche Quebec Santefellowship and a CIHR/CTN Postdoctoral Fellowship Award.Jean-Pierre Routy is the holder of the Louis Lowenstein Chair in Hematology and Oncology,McGill University and William Turner award holder from the McGill University Health Centre.
文摘Human immunodeficiency virus(HIV)has been shown to evolve independently in different anatomical compartments.Characterizing HIV genetic evolution in different tissues and cells provides insights into the mechanisms that maintain the viral reservoir.HIV compartmentalization has been well documented in the semen but rarely in male genital tract(MGT)organs.The precise mechanisms that result in the development of HIV compartmentalization in multiple genitourinary sites have been poorly explored due to the difficulty in accessing these tissues.Based on evidence from lymph nodes and gut tissues,mechanisms that may influence compartmentalization include immune pressures,local concentrations of antiviral drugs,clonal expansion of different cell types and inflammation that alters the cellular microenvironment.We reviewed phylogenetic evidences supporting viral compartmentalization between the blood and multiple genitourinary sites in HIV-infected people.Characterizing distinct viral subpopulations enhances our overall understanding of the HIV reservoir inMGTand could ultimately lead to the development of novel therapies to eradicate the virus in tissues.