Proposition de sujet de thèse à l’appui d’une demande de contrat doctoral 2016-2017 
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Nom, prénom du directeur de l'unité de recherche : CLAVEL François 
Numéro de l'unité de recherche (et établissement de rattachement) : Inserm U941, Hôpital Saint-Louis 
Nom, prénom du responsable de l'équipe d'accueil (EAD) : MAMMANO Fabrizio 
Nom, prénom du directeur de thèse : MAMMANO Fabrizio 
Titre du sujet de thèse proposé :  
 
Reactivating and characterizing replication-competent HIV genomes from the T-cell reservoir  
 
Citer 5 mots clés : HIV-1, latency, reservoirs, antiretroviral treatment, persistance 
 
Candidat pressenti :   OUI     NON 
 
Contenu scientifique du programme de la thèse (en anglais)   
 
One of the main obstacles to HIV cure is the persistence of a large reservoir of integrated HIV 
genomes in memory CD4 T-cells. This reservoir is established early in the course of the infection in vivo, 
appears to be insensitive to the action of antiretroviral drugs, and is thought to be the principal source of 
the  resurgence  of  HIV  replication  after  interruption  of  antiretroviral  treatment  (ART).  HIV  integration  is 
favored  in  loci  of  the  host  genome  that  are  transcriptionally  active,  a  pattern  that  facilitates  optimal 
expression  of  HIV  following  stimulation  of  T-cells.  In  quiescent  T-cells,  however,  HIV  transcription 
remains generally silent.  
In vivo, most T-cell clones are bound to experience some level of antigen-driven stimulation and 
homeostatic cell  division, potentially  leading to  expression  of  HIV antigens.  Since  T-cells  in  which  the 
expression  of  HIV  antigens  is  more  easily  triggered  are  more  likely  to  be  eliminated  (by  immune 
responses  or  intrinsic  viral  toxicity),  it  is  reasonable  to  assume  that  the  duration  of  suppressive  ART 
could  lead  to  the  selection  of  proviruses  that  are  in  a  state  of  deeper  latency  and  transcriptional 
silencing. 
   We propose that the HIV T-cell reservoir must be viewed not only in terms of its size and nature, 
but  also  in  terms  of  the  depth  and  intensity  of  HIV  transcriptional  silencing.    For  some  latent  HIV 
genomes,  transcription  could  be  easy  to  stimulate  through  the  regular  transcriptional  activation 
pathways, such as TCR stimulation.  In others, transcription could be intrinsically hindered, and require 
more potent exogenous stimulation to be relieved.  
We will test these hypotheses, by comparing the requirements for different stimulations ex vivo 
for  induction  and  virus  outgrowth.  We  will  explore  these  properties  in  CD4+  lymphocytes  from  the 
peripheral  blood  of  patients  with  different  treatment  duration,  to  elucidate  potential  associations.  Our 
study aims  at disclosing and  quantifying the  depth of latency, a  neglected dimension of the HIV T-cell 
reservoir. 
 
Indiquez les cinq meilleures publications récentes de l’équipe : 
- HIV cell-to-cell transmission requires the  production  of infectious virus particles, and  does  not proceed  through 
Env-mediated fusion pores. Journal of Virology, 2012  (PMID:  22258237). Monel B.,  Beaumont  E., Vendrame  D., 
Schwartz O., Brand D., and Mammano F.  
- Impact of the HIV integrase genetic context on the phenotypic expression and in vivo emergence of raltegravir 
resistance mutations. J. of Antimicrobial Chemotherapy, 2014 (PMID: 25336162). Nguyen T.T.N., Rato S. Molina 
J.M., Clavel F., Delaugerre C., Mammano F. 
- Quantifying the Antiviral Effect of IFN on HIV-1 Replication in Cell Culture. Scientific Reports (Nature Pub. Group) 
2015 (PMID: 26119462). Ikeda H., Godinho-Santos A., Rato S., Vanwalscappel B., Clavel F., Aihara K., Iwami S., 
Mammano F. 
-  Cell-to-cell  infection  by  HIV  contributes  over  half  of  virus  infection.  Elife.  2015  (PMID:  26441404).  Iwami  S., 
Takeuchi J.S., Nakaoka S., Mammano F., Clavel F., Inaba H., Kobayashi T., Misawa N., Aihara K., Koyanagi Y, 
and Sato K. 
- Kinetics of the establishment of HIV-1 viral interference and comprehensive analysis of the contribution of viral