Dangerous liaisons at the virological synapse
J. Clin. Invest. Vincent Piguet, et al. 114:605 doi:10.1172/JCI22812 [
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Figure 1Three mechanisms of HIV propagation. (
A) Cell-free viral transmission. The classical route of viral propagation occurs via the binding of cell-free virions to a permissive host cell via CD4 and viral coreceptors (CCR5 or CXCR4), followed by viral entry into the cytoplasm by fusion and subsequent viral replication. (
B) DC–T cell viral transmission. In the mucosal epithelia, DCs capture HIV virions via viral binding to C-type lectin–related (CLR) molecules or other cell-surface receptors, without necessarily becoming infected, and re-present infectious virus to CD4
+ T cells after migration to the lymph nodes. (
C) T cell–T cell viral transmission. An HIV-1–infected CD4
+T cell infects a second CD4+ T cell without the requirement for release of cell-free virions into the surrounding extracellular milieu, which represents viral propagation through direct cell-to-cell transmission.