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HIV-1 DNA sequence diversity and evolution during acute subtype C infection

Guinevere Q. Lee, Kavidha Reddy, Kevin B. Einkauf, Kamini Gounder, Joshua M. Chevalier, Krista L. Dong, Bruce D. Walker, Xu G. Yu, Thumbi Ndung’u and Mathias Lichterfeld ()
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Guinevere Q. Lee: Ragon Institute of MGH, MIT and Harvard
Kavidha Reddy: University of KwaZulu-Natal
Kevin B. Einkauf: Ragon Institute of MGH, MIT and Harvard
Kamini Gounder: University of KwaZulu-Natal
Joshua M. Chevalier: Ragon Institute of MGH, MIT and Harvard
Krista L. Dong: Ragon Institute of MGH, MIT and Harvard
Bruce D. Walker: Ragon Institute of MGH, MIT and Harvard
Xu G. Yu: Ragon Institute of MGH, MIT and Harvard
Thumbi Ndung’u: Ragon Institute of MGH, MIT and Harvard
Mathias Lichterfeld: Ragon Institute of MGH, MIT and Harvard

Nature Communications, 2019, vol. 10, issue 1, 1-11

Abstract: Abstract Little is known about the genotypic make-up of HIV-1 DNA genomes during the earliest stages of HIV-1 infection. Here, we use near-full-length, single genome next-generation sequencing to longitudinally genotype and quantify subtype C HIV-1 DNA in four women identified during acute HIV-1 infection in Durban, South Africa, through twice-weekly screening of high-risk participants. In contrast to chronically HIV-1-infected patients, we found that at the earliest phases of infection in these four participants, the majority of viral DNA genomes are intact, lack APOBEC-3G/F-associated hypermutations, have limited genome truncations, and over one year show little indication of cytotoxic T cell-driven immune selections. Viral sequence divergence during acute infection is predominantly fueled by single-base substitutions and is limited by treatment initiation during the earliest stages of disease. Our observations provide rare longitudinal insights of HIV-1 DNA sequence profiles during the first year of infection to inform future HIV cure research.

Date: 2019
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DOI: 10.1038/s41467-019-10659-2

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