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pubmed-article:9094984pubmed:abstractTextThe rarity of oral transmission of human immunodeficiency virus (HIV)-1 by saliva suggests the absence of HIV-1 in the oral cavity and/or the presence of viral inhibitory molecules. We analyzed salivary gland tissues from 55 individuals with acquired immune deficiency syndrome (AIDS) for the presence of HIV-1 by in situ hybridization and detected the virus in more than 30% of these salivary glands. These data, together with previous demonstrations of HIV-1 in oral secretions, implicate a key role for an anti-viral molecule(s) in suppressing transmission. Thus, we focused on the characterization and localization of the endogenous antiviral molecule secretory leukocyte protease inhibitor (SLPI), which inhibits HIV-1 infection in vitro. Expression of SLPI transcripts was evident in submandibular, parotid, and minor salivary glands from both HIV-1-infected and seronegative subjects. Gene expression was reflected by similar levels of SLPI protein by immunohistochemical analysis in the tissues and by enzyme-linked immunosorbent assay in the saliva. However, although SLPI accumulated in acinar cells or ductal epithelium, HIV-1 transcripts did not, and these viral transcripts were identified only in mononuclear cells within the salivary gland stroma. By in situ hybridization, we found no evidence of productive HIV-1 infection of salivary gland epithelium. Thus, HIV-1 was frequently identified in salivary gland tissue, but the virus was found in interstitial mononuclear cells only and did not co-localize with SLPI. Once within the oral cavity, HIV-1 exposure to antiviral levels of SLPI may impede infection of additional target cells, contributing to the virtual absence of oral transmission of HIV-1 by saliva. These studies emphasize the importance of innate, endogenous inhibitors of HIV-1, particularly SLPI, as effective inhibitors of HIV-1 transmission.lld:pubmed
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pubmed-article:9094984pubmed:authorpubmed-author:EisenbergSSlld:pubmed
pubmed-article:9094984pubmed:authorpubmed-author:WahlS MSMlld:pubmed
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pubmed-article:9094984pubmed:authorpubmed-author:FaschingCClld:pubmed
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pubmed-article:9094984pubmed:volume150lld:pubmed
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pubmed-article:9094984pubmed:pagination1275-84lld:pubmed
pubmed-article:9094984pubmed:dateRevised2009-11-18lld:pubmed
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pubmed-article:9094984pubmed:articleTitleAnatomic dissociation between HIV-1 and its endogenous inhibitor in mucosal tissues.lld:pubmed
pubmed-article:9094984pubmed:affiliationLaboratory of Immunology, National Institute of Dental Research, Bethesda, MD 20892-4352, USA.lld:pubmed
pubmed-article:9094984pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:9094984pubmed:publicationTypeResearch Support, U.S. Gov't, P.H.S.lld:pubmed
pubmed-article:9094984pubmed:publicationTypeResearch Support, U.S. Gov't, Non-P.H.S.lld:pubmed
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