Diversity and tropism of HIV-1 rebound virus populations in plasma level after treatment discontinuation

MM Bednar, BM Hauser, S Zhou… - The Journal of …, 2016 - academic.oup.com
MM Bednar, BM Hauser, S Zhou, JM Jacobson, JJ Eron Jr, I Frank, R Swanstrom
The Journal of Infectious Diseases, 2016academic.oup.com
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 …
Abstract
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.
Oxford University Press