HIV-1 subverts the complement system in semen to enhance viral transmission

Mucosal Immunol. 2021 May;14(3):743-750. doi: 10.1038/s41385-021-00376-9. Epub 2021 Feb 10.

Abstract

Semen is important in determining HIV-1 susceptibility but it is unclear how it affects virus transmission during sexual contact. Mucosal Langerhans cells (LCs) are the first immune cells to encounter HIV-1 during sexual contact and have a barrier function as LCs are restrictive to HIV-1. As semen from people living with HIV-1 contains complement-opsonized HIV-1, we investigated the effect of complement on HIV-1 dissemination by human LCs in vitro and ex vivo. Notably, pre-treatment of HIV-1 with semen enhanced LC infection compared to untreated HIV-1 in the ex vivo explant model. Infection of LCs and transmission to target cells by opsonized HIV-1 was efficiently inhibited by blocking complement receptors CR3 and CR4. Complement opsonization of HIV-1 enhanced uptake, fusion, and integration by LCs leading to an increased transmission of HIV-1 to target cells. However, in the absence of both CR3 and CR4, C-type lectin receptor langerin was able to restrict infection of complement-opsonized HIV-1. These data suggest that complement enhances HIV-1 infection of LCs by binding CR3 and CR4, thereby bypassing langerin and changing the restrictive nature of LCs into virus-disseminating cells. Targeting complement factors might be effective in preventing HIV-1 transmission.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Blocking / metabolism
  • Antigens, CD / metabolism
  • Cell Line
  • Complement Activation
  • Disease Transmission, Infectious
  • HIV Infections / immunology*
  • HIV Infections / transmission
  • HIV-1 / pathogenicity
  • HIV-1 / physiology*
  • Host-Parasite Interactions
  • Humans
  • Immune Evasion
  • Integrin alphaXbeta2 / metabolism
  • Langerhans Cells / immunology*
  • Lectins, C-Type / metabolism
  • Macrophage-1 Antigen / metabolism
  • Mannose-Binding Lectins / metabolism
  • Opsonization
  • Semen / immunology*
  • Semen / virology

Substances

  • Antibodies, Blocking
  • Antigens, CD
  • CD207 protein, human
  • Integrin alphaXbeta2
  • Lectins, C-Type
  • Macrophage-1 Antigen
  • Mannose-Binding Lectins