Dendritic cells and macrophages can process extracellular antigens for pres
entation by MHC-I molecules. This exogenous pathway may have a crucial role
in the activation of CD8(+) cytotoxic T lymphocytes during human viral inf
ections. We show here that HIV-1 epitopes derived from incoming virions are
presented through the exogenous MHC-I pathway in primary human dendritic c
ells, and to a lower extent in macrophages, leading to cytotoxic T-lymphocy
te activation in the absence of viral protein synthesis. Exogenous antigen
presentation required adequate virus-receptor interactions and fusion of vi
ral and cellular membranes. These results provide new insights into how ant
i-HIV cytotoxic T lymphocytes can be activated and have implications for an
ti-HIV vaccine design.