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Departments of
* Medicine,
Anatomic Pathology,
Dermatology,
Biochemistry,
¶ Microbiology and Immunology, and ||Pathology and Laboratory Medicine, Indiana University, Indianapolis, IN 46202
Haemophilus ducreyi causes the sexually transmitted
disease chancroid, which facilitates HIV-1 transmission. Skin biopsies
were obtained from subjects experimentally infected with H.
ducreyi to study the evolution of the immune response and
immunophenotypes relevant to transmission of HIV-1. Compared with
peripheral blood, there was an enrichment of T cells and macrophages
after 48 h of infection in the skin. Neutrophils became the
predominant cell type by 79 days. By immunohistochemistry,
macrophage-inflammatory protein-1
was not present early in
infection, but was abundant at later stages. RANTES was present
throughout the papular and pustular stages of experimental infection,
but not present in uninfected control skin. Stromal cell-derived
factor-1 was present at low levels in all samples examined. Macrophages
in lesions had significantly increased expression of CCR5 and CXCR4
compared with peripheral blood cells, and CD4 T cells had significant
up-regulation of CCR5. The magnitude of increased expression of these
receptors was not replicated when PBMCs were incubated with H.
ducreyi or H. ducreyi lipooligosaccharide in
vitro. Together with the disruption of mucosal and skin barriers, the
presence of cells with up-regulated HIV-1 coreceptors in H.
ducreyi-infected lesions may provide an environment that
facilitates the acquisition of R5 (CCR5), X4 (CXCR4), and dual-tropic
HIV-1 strains.
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