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OpenTrials
Completed

NCT Number: NCT01895920

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

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.

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Service de Médecine Interne, CHU Kremlin-Bicêtre

Le Kremlin-Bicêtre, 94270, France

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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

Exclusion criteria

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

Treatment and study plan

blood sample

Other

Primary outcomes

  1. The percentage of HIV positive patients with cells producing biofilms.

    Time frame: 2 years

Secondary outcomes

  1. The number of cells with biofilms identified among the HIV positive patients presenting such structures.

    Time frame: 2 years

Sponsors and collaborators

Lead sponsor

ANRS, Emerging Infectious Diseases

Other Gov

Registry information

Acronym: TRANSBioHIV

Important dates

Study start
2013
Primary completion
2018
Study completion
2018
First posted
Jul 11, 2013
Registry last updated
Feb 27, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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