HIV-1 variation before seroconversion in men who have sex with men: Analysis of acute/early HIV infection in the multicenter AIDS cohort study

被引:54
作者
Gottlieb, Geoffrey S. [1 ]
Heath, Laura [2 ]
Nickle, David C. [2 ]
Wong, Kim G. [2 ]
Leach, Stephanie E. [2 ]
Jacobs, Benjamin [2 ]
Gezahegne, Surafel [2 ]
van 't Wout, Angelique B. [2 ]
Jacobson, Lisa P. [3 ]
Margolick, Joseph B. [4 ]
Mullins, James I. [1 ,2 ]
机构
[1] Univ Washington, Dept Med, Div Allergy & Infect Dis, Seattle, WA USA
[2] Univ Washington, Sch Med, Dept Microbiol, Seattle, WA 98195 USA
[3] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA
[4] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Mol Microbiol & Immunol, Baltimore, MD USA
关键词
D O I
10.1086/529206
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Understanding the characteristics of human immunodeficiency virus ( HIV) necessary for infection in a new host is a critical goal for acquired immunodeficiency syndrome ( AIDS) research. We studied the characteristics of HIV-1 envelope genes in 38 men in the Multicenter AIDS Cohort Study cohort before seroconversion. We found a range of diversity ( 0.2%-5.6% [ median, 0.86%]), V1-V2 loop length ( 58-93 aa), and potential N-linked glycosylation sites ( n = 2-9). However, at least 46% of the men had replicating virus that appeared to have been derived from a single viral variant. Nearly all variants were predicted to be CCR5 tropic. We found no correlation between these viral characteristics and the HIV outcomes of time to clinical AIDS or death and/or a CD4 cell count < 200 cells/mu L.
引用
收藏
页码:1011 / 1015
页数:5
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