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Virology
Volume 354, Issue 1, 10 October 2006, Pages 35-47
 
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doi:10.1016/j.virol.2006.04.039    How to Cite or Link Using DOI (Opens New Window)
Copyright © 2006 Published by Elsevier Inc.

Reactivation of ancestral strains of HIV-1 in the gp120 V3 env region in patients failing antiretroviral therapy and subjected to structured treatment interruption

Wilson Pereira Silvaa, Domingos E.M. Santosa, Elcio Leala, Adriana Brunsteina, Maria Cecilia A. Sucupiraa, Ester C. Sabinob and Ricardo Sobhie Diaza, Corresponding Author Contact Information, E-mail The Corresponding Author

aEscola Paulista de Medicina, Universidade Federal de São Paulo, Rua Pedro de Toledo, 781-16 andar-CEP 04039-032, São Paulo, SP, Brazil bFundação Pró-Sangue. Av. Dr. Enéas de Carvalho Aguiar, 155-1 andar-CEP 05403-000, São Paulo, SP, Brazil

Received 16 January 2006; 
revised 15 February 2006; 
accepted 19 April 2006. 
Available online 25 July 2006.

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Abstract

We analyzed gp120V3 HIV-1 env region genetic diversity of 27 patients failing antiretrovirals and subjected to 12-week structured treatment interruption (STI). Based on heteroduplex mobility assays, eight patients presented low pre- and post-STI genetic diversity (G1); five presented high pre-STI but low post-STI diversity (G2); five presented low pre-STI and high post-STI diversity (G3); and nine, high pre- and post-STI diversity (G4). One patient from G1, two from G2 and two from G3 were subjected to proviral DNA end-point PCR and sequencing. In three patients, the dramatic disturbance caused by STI resulted in ancestral viral progeny activation, which repopulated the cell reservoir. In two patients presenting highly homogeneous sequences and low immune selective pressure (dN/dS ratio <1), this phenomenon was not observed. The mechanisms involved in viral evolution, in which antiretroviral therapy also applies selective pressure, sometimes affects coreceptor usage of circulating viruses, leading to the suppression of ×4 strains.

Keywords: Structured treatment interruption; HIV-1; Envelope gene; Antiretroviral resistance

Article Outline

Introduction
Results
Genetic characterization of HIV-1 populations
Virologic and immunologic markers during STI
Antiretroviral resistance-related mutations during STI
Genetic diversity of the C2-V3-C3 region
Phylogenetic and coalescent analysis
Discussion
Methods
Sample collection
Nucleic acid purification
cDNA synthesis
Nested PCR amplification
Heteroduplex mobility analysis
End-point PCR
DNA sequencing
Predicting the HIV-1 phenotype
Genetic diversity
Selection pressures
Alignment and phylogenetic inference
Acknowledgements
References







Virology
Volume 354, Issue 1, 10 October 2006, Pages 35-47
 
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