Membrane nanotubes physically connect T cells over long distances presenting a novel route for HIV-1 transmission

Transmission of HIV-1 via intercellular connections has been estimated as 100-1000 times more efficient than a cell-free process, perhaps in part explaining persistent viral spread in the presence of neutralizing antibodies(1,2). Such effective intercellular transfer of HIV-1 could occur through virological synapses(3-5) or target-cell filopodia connected to infected cells(6). Here we report that membrane nanotubes, formed when T cells make contact and subsequently part, provide a new route for HIV-1 transmission. Membrane nanotubes are known to connect various cell types, including neuronal and immune cells(7-13), and allow calcium-mediated signals to spread between connected myeloid cells(9). However, T-cell nanotubes are distinct from open-ended membranous tethers between other cell types(7,12), as a dynamic junction persists within T-cell nanotubes or at their contact with cell bodies. We also report that an extracellular matrix scaffold allows T-cell nanotubes to adopt variably shaped contours. HIV-1 transfers to uninfected T cells through nanotubes in a receptor-dependent manner. These data lead us to propose that HIV-1 can spread using nanotubular connections formed by short-term intercellular unions in which T cells specialize.