Table 1.
Parameters and Values Incorporated into the Model
parameter | symbol | value | refs |
---|---|---|---|
HIV-1 | |||
diffusivity in CVM | Dv | 1.27 µm2/sa | 7a |
diffusivity in semen | assume same as in CVM | ||
viral load in semen | 8.4 × 105 copies/ejaculateb | 21, 22 | |
no. of Env trimer spikes | N* | 14 ± 7 (SD) | 24 |
IgG | |||
diffusivity in CVM | DAb | 40 µm2/s | 8 |
diffusivity in semen | assume same as in CVM | ||
IgG concentration in CVM | variable | ||
IgG–Env affinity | kon, koff | variable | |
IgG–mucin affinity | mon [M], moff | variable | |
ratio of DAb vs diffusivity in buffer | α | variable | |
vagina | |||
surface area of lumen | SAvagina | 145 cm2c | 18a,b |
volume of luminal CVM | VCVM | ~750 µL | 25 |
thickness of CVM layer | L | 50 µmd | |
volume of semen | Vsemen | ~3.0 mL | 22 |
thickness of semen layer | d | 200 µmd |
The geometrically averaged Deff for HIV was previously measured to be 0.25 µm2/s, but with a substantial fraction of viruses exhibiting more rapid mobility. For the current analysis, we used 1.27 µm2/s, which represents the top 25th percentile of virus mobility; this is in reasonable agreement with a more recent study of HIV diffusion in genital secretions.7c
Estimated on the basis of a median semen volume of 3.0 mL22 and 2.8 × 105 HIV-1 RNA copies/mL, which represents the upper limit of HIV-1 RNA copies/mL in seminal plasma from ref 21. This is in reasonable agreement with another report by Chakraboty et al., which estimated 5 × 105 HIV-1 RNA copies/ejaculate, with a maximum of about 2 × 107 HIV-1 RNA copies/ejaculate.26
The mean surface area of the vagina in the native state was previously estimated to be ~ 90 cm2 by injection of vinyl polysiloxane casts vaginally. Alternatively, the surface area of vaginal lumen may also be inferred by the surface area of the erect penis (average ~200 cm2) assuming complete insertion into the vagina. We took the average from the two approaches.
CVM (L) and semen (d) thicknesses are estimated by VCVM/SAvagina and Vsemen/SAvagina, respectively.