“…A hypothesis for T-cell dysfunction and depletion within the AIDS patient has recently been advanced by Ameisen and Capron (1991), within the framework of "programmed cell death" or apoptosis (Laurent-Crawford et al, 1991). On the other hand, it is certainly not beyond the bounds of possibility that the slow incorporation of activated viral-producing CD4 + lymphocytes, available from the pool of latently infected cells (McElrath et al, 1991;Zack et al, 1991), into binucleate or trinucleate cells following fusion with uninfected lymphocytes could account for the CD4 + (helper) T-lymphocyte depletion (Fauci, 1988;Haseltine, 1990Haseltine, , 1991Harris et al, 1989). This would be very difficult to detect histologically, for the reasons previously advanced (Section I), except when larger MNGCs are formed.…”