HIV-1 enters target cells mainly via binding to CD4 and its coreceptors. Th
e presence of HIV-1 in CD4(-) cells suggests, however, that there exist oth
er mechanisms for viral entry, Here it is reported that HIV-1 DNA may be tr
ansferred from one cell to another by uptake of apoptotic bodies in a CD4-i
ndependent way. This was investigated by coculturing CD4(-), chemokine rece
ptor CCR5(-) and CXCR4(-) human fetal fibroblasts with apoptotic HIV-1-infe
cted HuT78 cells or apoptotic PBMC isolated from HIV-1-infected patients. A
fter 2 wk of coculture, fibroblasts contained HIV-1 DNA and expressed HIV-1
proteins p24 and gp120, Transfer of HIV-1 DNA was verified by coculturing
fibroblasts with apoptotic bodies derived from cells infected with a defect
ive HIV-1 virus. These cells contain one integrated copy of a reverse trans
criptase (RT)-negative HIV-1 strain (8E5/LAV RT- cells) and consequently ca
nnot produce free virus, Intracellular HIV-1 gag DNA was detected in both f
ibroblasts and dendritic cells after coculture with apoptotic 8E5/LAV RT- c
ells. Transfer of viral DNA after uptake of apoptotic bodies mag explain HI
V-1 infection of CD4(-) cells in vivo and furthermore may be relevant for A
g presentation.