Retrovirology

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Open Access Short report

Local replication of simian immunodeficiency virus in the breast milk compartment of chronically-infected, lactating rhesus monkeys

Sallie R Permar1,2*, Helen H Kang1, Andrew B Wilks1, Linh V Mach1, Angela Carville3, Keith G Mansfield3, Gerald H Learn4, Beatrice H Hahn4 and Norman L Letvin1

Author Affiliations

1 Division of Viral Pathogenesis, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215, USA

2 Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts 02115, USA

3 New England Regional Primate Center, Harvard Medical School, Southborough, Massachusetts 01772, USA

4 Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama 35294, USA

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Retrovirology 2010, 7:7 doi:10.1186/1742-4690-7-7

Published: 1 February 2010

Abstract

Breast milk transmission remains a major mode of infant HIV acquisition, yet anatomic and immunologic forces shaping virus quasispecies in milk are not well characterized. In this study, phylogenic analysis of envelope sequences of milk SIV variants revealed groups of nearly identical viruses, indicating local virus production. However, comparison of the patterns and rates of CTL escape of blood and milk virus demonstrated only subtle differences between the compartments. These findings suggest that a substantial fraction of milk viruses are produced by locally-infected cells, but are shaped by cellular immune pressures similar to that in the blood.