Review Article

Exosomes in Human Immunodeficiency Virus Type I Pathogenesis: Threat or Opportunity?

Table 1

Dual effects of body fluids-derived exosomes against HIV infection.

Viral/antiviral effectExosomal sourceActive componentReference

Promote HIV infectionBlood/plasma/serumCCR5 and CXCR4[43, 44]
Nef[37, 46, 47]
Gag [39]
Viral mRNA/miRNA[18]
TAR RNA[48]
CD45, CD86, and MHC-II[49]
ADAM17, TNF-α[51, 52]
Undefined (from DCs)[50]

Inhibit HIV infectionBlood/plasma/serumAPOBEC3G[29, 53, 54]
CD4[59]
Interferon-alpha (IFN-α)[63]
Interferon-beta (IFN-β)[64]
Tumor necrosis factor (TNF-α)[61, 65]
Interleukins[61, 62]
Undefined (from CD8+ T cells)[60]
Breast milkLewis X[66]
Bile lipase[67]
IgA and IgG antibodies[68]
Mucin 1 (MUC-1)[69]
Oligosaccharides[70]
Undefined [31]
SemenMucin 6[72]
Undefined[30, 71]

Promote/inhibit HIV infection (unexplored)UrineUnexploredUnexplored
Saliva
Ascites
Bronchoalveolar lavage liquid (BAL)
Amniotic fluid
Cerebrospinal fluid
Vaginal fluid