RT Journal Article SR Electronic T1 Incomplete inhibition of HIV infection results in more HIV infected lymph node cells by reducing cell death JF bioRxiv FD Cold Spring Harbor Laboratory SP 163352 DO 10.1101/163352 A1 Laurelle Jackson A1 Jessica Hunter A1 Sandile Cele A1 Isabella Markham Ferreira A1 Andrew Young A1 Farina Karim A1 Rajhmun Madansein A1 Kaylesh J. Dullabh A1 Chih-Yuan Chen A1 Noel J. Buckels A1 Yashica Ganga A1 Khadija Khan A1 Mikaël Boullé A1 Gila Lustig A1 Richard A. Neher A1 Alex Sigal YR 2017 UL http://biorxiv.org/content/early/2017/07/13/163352.abstract AB HIV has been reported to be cytotoxic in vitro and in lymph node infection models. Using a computational approach, we found that partial inhibition of transmission which involves multiple virions per cell could lead to increased numbers of live infected cells if the number of viral DNA copies remains above one after inhibition, as eliminating the surplus viral copies reduces cell death. Using a cell line, we observed increased numbers of live infected cells when infection was partially inhibited with the antiretroviral efavirenz or neutralizing antibody. We then used efavirenz at concentrations reported in lymph nodes to inhibit lymph node infection by partially resistant HIV mutants. We observed more live infected lymph node cells, but with fewer HIV DNA copies per cell, relative to no drug. Hence, counterintuitively, limited attenuation of HIV transmission per cell may increase live infected cell numbers in environments where the force of infection is high.