Mucosal transmission of R5 and X4 tropic HIV-1 via vaginal and rectal routes in humanized Rag2-/-γc-/- (RAG-hu) mice

Bradford K. Berges, Sarah R. Akkina, Joy M. Folkvord, Elizabeth Connick, Ramesh Akkina

Research output: Contribution to journalArticlepeer-review

116 Scopus citations


Studies on HIV-1 mucosal transmission to evaluate early events in pathogenesis and the development of effective preventive/prophylactic methods have thus far been hampered by the lack of a suitable animal model susceptible to HIV-1 infection by either vaginal and/or rectal routes. In this regard, while primate-SIV/SHIV and cat-FIV models provided useful surrogate platforms to derive comparative data, these viruses are distinct and different from that of HIV-1. Therefore an optimal model that permits direct study of HIV-1 transmission via mucosal routes is highly desirable. The new generation of humanized NOD/SCID BLT, NOD/SCIDγc-/-, and Rag2-/-γc-/- mouse models show great promise to achieve this goal. Here, we show that humanized Rag2-/-γc-/- mice (RAG-hu) engrafted with CD34 hematopoietic progenitor cells harbor HIV-1-susceptible human cells in the rectal and vaginal mucosa and are susceptible to HIV-1 infection when exposed to cell-free HIV-1 either via vagina or rectum. Infection could be established without any prior hormonal conditioning or mucosal abrasion. Both R5 and X4 tropic viruses were capable of mucosal infection resulting in viremia and associated helper T cell depletion. There was systemic spread of the virus with infected cells detected in different organs including the intestinal mucosa. R5 virus was highly efficient in mucosal transmission by both routes whereas X4 virus was relatively less efficient in causing infection. HIV-1 infection of RAG-hu mice by vaginal and rectal routes as shown here represents the first in vivo model of HIV-1 transmission across intact mucosal barriers and as such may prove very useful for studying early events in HIV-1 pathogenesis in vivo, as well as the testing of microbicides, anti-HIV vaccines/therapeutics, and other novel strategies to prevent HIV-1 transmission.

Original languageEnglish (US)
Pages (from-to)342-351
Number of pages10
Issue number2
StatePublished - Apr 10 2008
Externally publishedYes


  • Animal disease models
  • HIV vaginal and rectal transmission
  • HIV-1 mucosal transmission/infection
  • HIV/AIDS pathogenesis
  • Hematopoietic stem cells
  • Humanized mice
  • Microbicides
  • RAG-hu mice
  • Rag2γc mice
  • SCID-hu mice

ASJC Scopus subject areas

  • Virology


Dive into the research topics of 'Mucosal transmission of R5 and X4 tropic HIV-1 via vaginal and rectal routes in humanized Rag2-/-γc-/- (RAG-hu) mice'. Together they form a unique fingerprint.

Cite this