“…Similarly, the presence of HIV-1-infected syncytia derived from DCs and expressing specific markers of DCs and T cells was found at the surface of the nasopharyngeal tonsils, adenoids and parotid glands of HIV-1-infected patients [ 206 , 207 , 208 ]. While several groups showed the presence of infected multinucleated macrophages or DCs in tissues, and, more specifically, in the brain of HIV-1-infected patients and monkeys experimentally infected with SIVs, the cellular and molecular mechanisms related to this MGC formation remained poorly investigated [ 175 , 176 , 177 , 178 , 179 , 180 , 181 , 182 , 183 , 184 , 185 , 186 , 187 , 188 , 189 , 190 , 191 , 192 , 193 , 194 , 195 , 196 , 197 , 198 , 199 , 200 , 201 , 202 , 203 , 204 , 205 , 206 , 207 , 208 , 209 ]. Interestingly, we have recently revealed that HIV-1 uses a specific and common two-step cell-cell fusion mechanism for virus transfer and dissemination from infected CD4+ T lymphocytes to myeloid target cells, including macrophages, immature DCs, and osteoclasts [ 191 , 192 , 210 ].…”