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

Primary Purpose

HIV Infection

Status
Completed
Phase
Not Applicable
Locations
France
Study Type
Interventional
Intervention
Blood sample
Sponsored by
ANRS, Emerging Infectious Diseases
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for HIV Infection focused on measuring HIV, Biofilm, Transmission

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

Sites / Locations

  • Service de Médecine Interne, CHU Kremlin-Bicêtre

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

HIV infection

Arm Description

20 HIV infected subjects

Outcomes

Primary Outcome Measures

The percentage of HIV positive patients with cells producing biofilms.

Secondary Outcome Measures

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

Full Information

First Posted
July 2, 2013
Last Updated
February 26, 2018
Sponsor
ANRS, Emerging Infectious Diseases
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1. Study Identification

Unique Protocol Identification Number
NCT01895920
Brief Title
Viral Biofilms: Hijacking T Cell Extracellular Matrix to Regulate HIV-1 Spread?
Acronym
TRANSBioHIV
Study Type
Interventional

2. Study Status

Record Verification Date
May 2017
Overall Recruitment Status
Completed
Study Start Date
January 2013 (Actual)
Primary Completion Date
February 2018 (Actual)
Study Completion Date
February 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ANRS, Emerging Infectious Diseases

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
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.
Detailed Description
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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV Infection
Keywords
HIV, Biofilm, Transmission

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A

8. Arms, Groups, and Interventions

Arm Title
HIV infection
Arm Type
Experimental
Arm Description
20 HIV infected subjects
Intervention Type
Other
Intervention Name(s)
Blood sample
Primary Outcome Measure Information:
Title
The percentage of HIV positive patients with cells producing biofilms.
Time Frame
2 years
Secondary Outcome Measure Information:
Title
The number of cells with biofilms identified among the HIV positive patients presenting such structures.
Time Frame
2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
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
Facility Information:
Facility Name
Service de Médecine Interne, CHU Kremlin-Bicêtre
City
Le Kremlin Bicêtre
ZIP/Postal Code
94270
Country
France

12. IPD Sharing Statement

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

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