The principal objective is to define and compare the viral reservoir, mucosal immune responses and the microbiota of different HIV infection stages; viremic, aviremic (under treatment), natural elite controllers; The secondary objective is to compare the mucosal immune response and microbiota of HIV patients with the healthy control population of Milieu Interieur;
Although antiretroviral therapy (ART) efficiently suppresses viral replication HIV persists in CD4+ T cells in a form that is neither targeted by the immune system nor by ART, the complete eradication of replication competent HIV or the establishment of a long term remission state in infected individuals represents an outstanding challenge. The persistence of reservoirs has been mainly linked to the survival and clonal expansion of pools of long lived infected memory CD4+ T cells and to low level viral replication in tissues where ART penetration may be incomplete. One such tissue may be mucosal surfaces which are challenging to study in human populations. As part of the Milieu Interieur project, coordinated by Institut Pasteur, investigators have developed and validated a standardized approach for sampling the nasal mucosa. From this simple sampling procedure it is possible to analyze both the local mucosal host immune response at the proteomic and metabolomic level, and also the mucosal microbial flora. As part of Milieu Interieur investigators have defined these diverse phenotypes for a subset of donors and are currently extending the analysis to the 1,000 healthy donors cohort that will give reference range values for the nasal mucosa. Investigators wish to compare with relevant patient groups, in particular HIV infected individuals to see how infection, treatment, and natural host control may differentially impact the mucosal immune response and viral reservoir
Study Type
OBSERVATIONAL
Enrollment
110
Nasal swabs (right and left) will be performed (FLOQSwabTM) Blood samples of 20 mL EDTA will be taken in addition to the current care report
Pr GOUJARD Cécile
Le Kremlin-Bicêtre, France
RECRUITINGMeasurement of HIV p24 levels in the supernatants of nasal mucosa
Measurement of HIV p24 levels in the supernatants of nasal mucosa in HIV-infected patients in the 3 groups
Time frame: through study completion, an average of 2 years
HIV p24 levels in the supernatants and in the pellets of the nasal mucosa in HIV-infected patients
Quantification of HIV p24 levels in the supernatants and in the pellets of the nasal mucosa
Time frame: through study completion, an average of 2 years
Assessement of the microbiome in the nasal mucosa
Description of nasal mucosa microbiome diversity in the nasal mucosa of HIV-infected patients, and comparison with control subjects from the Milieu intérieur Cohort
Time frame: through study completion, an average of 2 years
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