Diversity and Tropism of HIV-1 Rebound Virus Populations in Plasma Level After Treatment Discontinuation

被引:22
作者
Bednar, Maria M. [1 ]
Hauser, Blake M. [1 ]
Zhou, Shuntai [1 ]
Jacobson, Jeffrey M. [4 ,5 ,6 ]
Eron, Joseph J., Jr. [2 ]
Frank, Ian [7 ]
Swanstrom, Ronald [3 ]
机构
[1] Univ N Carolina, Lineberger Comprehens Canc Ctr, Campus Box 7295, Chapel Hill, NC 27599 USA
[2] Univ N Carolina, Div Infect Dis, Campus Box 7295, Chapel Hill, NC 27599 USA
[3] Univ N Carolina, Dept Biochem & Biophys, Campus Box 7295, Chapel Hill, NC 27599 USA
[4] Temple Univ, Dept Med, Philadelphia, PA 19122 USA
[5] Temple Univ, Dept Neurosci, Philadelphia, PA 19122 USA
[6] Temple Univ, Ctr Translat AIDS Res, Lewis Katz Sch Med, Philadelphia, PA 19122 USA
[7] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA
关键词
HIV-1; rebound virus; tropism; genetic diversity; reservoir; IDENTIFICATION; REPLICATION; RESERVOIR; CELLS;
D O I
10.1093/infdis/jiw172
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Human immunodeficiency virus-infected people discontinuing therapy experience a rebound in the virus level (hereafter, "rebound virus") from a persistent reservoir. We examined 10 samples from patients in AIDS Clinical Trials Group study A5068 with rebound virus, using single-genome amplification and Primer ID deep sequencing, to assess env genetic diversity of the virus population. Most rebound-virus populations showed significant diversity. All env examined required high levels of CD4 for entry, consistent with selection of replication in CD4(+) T cells. These results indicate that most people discontinuing therapy release a diverse population of virus and that this released virus has entry features of virus selected for replication in CD4(+) T cells, rather than in myeloid cells.
引用
收藏
页码:403 / 407
页数:5
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