Document 0736 DOCN M9550736 TI Mechanisms of HIV/SIV mucosal transmission. DT 9505 AU Milman G; Sharma O; Division of AIDS, National Institute of Allergy and Infectious; Disease, National Institutes of Health, Bethesda, Maryland 20892. SO AIDS Res Hum Retroviruses. 1994 Oct;10(10):1305-12. Unique Identifier : AIDSLINE MED/95151368 AB The Division of AIDS (DAIDS), National Institute of Allergy and Infectious Diseases (NIAID), organized a Workshop on HIV/SIV Pathogenesis and Mucosal Transmission on March 14-17, 1994, attended by over 300 participants. The purpose of the workshop was to foster research in the areas of HIV pathogenesis, mucosal transmission, and host factors modulating HIV infection and disease. This article summarizes workshop presentations that focused on mechanisms of HIV or SIV mucosal transmission. The following are highlights from the workshop. The epidemiological data indicating a low probability of infection from a single sexual exposure are consistent with observations that infectious cell-free or cell-associated HIV could be isolated from only 10-57% of semen samples, and that high levels of SIV are required for infection by a mucosal route. Several lines of circumstantial evidence suggest that an important property of a transmitted HIV or SIV is the ability to infect macrophages. A potential mechanism for cell-associated mucosal transmission is provided by the observations that CD4-negative epithelial cells in culture are efficiently infected by direct contact with HIV-infected T cells, and that HIV-infected epithelial cells are observed in vivo. Cell-free HIV virions contain partial reverse transcripts of viral RNA into DNA, and conditions that promote DNA reverse transcripts, such as incubation in seminal fluid, increase viral infectivity. Finally, evidence is accumulating that transient or abortive infection with short-term recovery of infectious virus in blood can occur in the absence of seroconversion. DE Animal Cervix Uteri/VIROLOGY DNA, Viral/ISOLATION & PURIF Female Human *HIV/ISOLATION & PURIF HIV Infections/*TRANSMISSION Intestinal Mucosa/VIROLOGY Mucous Membrane/*VIROLOGY National Institutes of Health (U.S.) Rectum RNA, Viral/ISOLATION & PURIF Semen/VIROLOGY Simian Acquired Immunodeficiency Syndrome/*TRANSMISSION Support, Non-U.S. Gov't *SIV United States Vagina/VIROLOGY MEETING REPORT JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).