Table 1.
Characteristics of various modes of transmission
Route of Transmission | Epithelial Barrier | Target Cell Availability | Key Advantages | Limitations | Selected References | |
---|---|---|---|---|---|---|
Rectal | Columnar | Abundant | Most widely used infection route, consistent infection rate, requires limited dose, primary site of infection in developed countries | Frequently overdosed, atraumatic model only | [31,32,41] | |
Female Genital Tract |
Vagina/Ectocervix Endocervix |
Squamous Columnar |
Abundant Limited |
Widely used infection route, modeling the most frequent mode of infection globally | Inconsistent infection rate, typically includes monitoring menstrual cycle, requires significant inoculum dose | [33,44,45] |
Male Genital Tract |
Foreskin Urethra |
Keratinized Squamous Columnar |
Limited Limited |
Recently developed as a transmission model, frequent site of male infections | Technically challenging to perform, requires significant inoculum dose | [34,46–48] |
Oral | Squamous & Columnar | Variable | Understudied, but important site of transmission | Logistically challenging to establish model | [49,50] | |
Non Mucosal | No Barrier | Abundant | Consistent infection rate, simple to administer | Typically not used to model transmission | -- |