Relationship between intact HIV-1 proviruses in circulating CD4 + T cells and rebound viruses emerging during treatment interruption
Open accessAbstract
Combination antiretroviral therapy controls but does not cure HIV-1 infection because a small fraction of cells harbor latent viruses that can produce rebound viremia when therapy is interrupted. The circulating latent virus reservoir has been documented by a variety of methods, most prominently by viral outgrowth assays (VOAs) in which CD4 + T cells are activated to produce virus in vitro, or more recently by amplifying proviral near full-length (NFL) sequences from DNA. Analysis of samples obtained in clinical studies in which individuals underwent analytical treatment interruption (ATI), showed little if any overlap between circulating latent viruses obtained from outgrowth cultures and rebound viruses from plasma. To determine whether intact proviruses amplified from DNA are more closely related to rebound viruses than those obtained from VOAs, we assayed 12 individuals who underwent ATI after infusion of a combination of two monoclonal anti–HIV-1 antibodies. A total of 435 intact proviruses obtained by NFL sequencing were compared with 650 latent viruses from VOAs and 246 plasma rebound viruses. Although, intact NFL and outgrowth culture sequences showed similar levels of stability and diversity with 39% overlap, the size of the reservoir estimated from NFL sequencing was larger than and did not correlate with VOAs. Finally, intact proviruses documented by NFL sequencing showed no sequence overlap with rebound viruses; however, they appear to contribute to recombinant viruses found in plasma during rebound.
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Env expression alone is more affected by genetic defects than the gag region, and assay formats exclusively based on free Gag protein as a reservoir marker only insufficiently assess the presence of infectious particles.
“Moreover, Env expression alone is more affected by genetic defects than the gag region, 36,53 and assay formats exclusively based on free Gag protein as a reservoir marker only insufficiently assess the presence of infectious particles.”
From Revealing viral and cellular dynamics of HIV-1 at the single-cell level during early treatment periods (2023) · cites this paper as [53]
The Results report that defective proviruses frequently have env deletions and that full-length env proviruses were 21 times less frequent than gag-positive proviruses. This supports a difference in genetic integrity, but the paper measured proviral DNA, not Env expression. The citation follows the first clause; the later claim about free Gag protein is not attributed to this source. (LLM, conf=0.82)
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Cites
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Defective proviruses rapidly accumulate during acute HIV-1 infection
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Otte, F., Zhang, Y., Spagnuolo, J., Thielen, A., Däumer, M., Wiethe, C., Stoeckle, M., Kusejko, K., Klein, F., Metzner, K. J., et al. (2023) · Cell Reports Methods · doi:10.1016/j.crmeth.2023.100485 · Cited by 4 · see citing works
Self-citation
- Authors
- Lu, C.-L., Pai, J. A., Nogueira, L., Mendoza, P., Gruell, H., Oliveira, T. Y., Barton, J., Lorenzi, J. C. C., Cohen, Y. Z., Cohn, L. B., Klein, F., Caskey, M., Nussenzweig, M. C., & Jankovic, M.
- Affiliations
- Rockefeller University (US)
- German Center for Infection Research (DE)
- University of California, Riverside (US)
- University of Cologne (DE)
- Howard Hughes Medical Institute (US)
- Laboratory of Molecular Immunology, The Rockefeller University, New York, NY 10065;
- Corresponding author
- Nussenzweig, Michel C.
- ORCID
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2018-11-12
- Volume
- 115
- Issue
- 48
- Pages
- E11341-E11348
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC6275529
- OpenAlex
- W2901737815
- Cited by
- 77
- References
- 2
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 7 · 2023: 6 · 2022: 8 · 2021: 13 · 2020: 16 · 2019: 12
- FWCI
- 5.37
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Kölner Universitäts PublikationsServer (Universität zu Köln) (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Funders
- National Institutes of Health (UL1TR001866)
- National Institute of Allergy and Infectious Diseases (UM1AI126620, R01AI129795, UM1AI100663, T32AI070084, P30AI124414)
- National Center for Advancing Translational Sciences
- Topics
- Life Sciences › Immunology and Microbiology › Virology › HIV Research and Treatment
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS drug development and treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Keywords
- HIV-1 latent reservoir, proviral DNA, CD4+ T cells, treatment interruption, viral outgrowth assay, viral recombination, HIV cure
- MeSH terms
- Broadly Neutralizing Antibodies, Humans, Phylogeny, Proviruses, Virus Replication, HIV Antibodies, CD4-Positive T-Lymphocytes, HIV-1, HIV Infections, Virus Latency, Anti-HIV Agents, Antibodies, Neutralizing, Antibodies, Monoclonal, Humanized
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