Genetic Diversity, Compartmentalization, and Age of HIV Proviruses Persisting in CD4 + T Cell Subsets during Long-Term Combination Antiretroviral Therapy
Open accessAbstract
The main barrier to HIV cure is the ability of a genetically diverse pool of proviruses, integrated into the genomes of infected CD4 + T cells, to persist despite long-term suppressive combination antiretroviral therapy (cART). CD4 + T cells, however, constitute a heterogeneous population due to their maturation across a developmental continuum, and the genetic “landscapes” of latent proviruses archived within them remains incompletely understood. We applied phylogenetic techniques, largely novel to HIV persistence research, to reconstruct within-host HIV evolutionary history and characterize proviral diversity in CD4 + T cell subsets in five individuals on long-term cART. Participants varied widely in terms of proviral burden, genetic diversity, and age distribution between CD4 + T cell subsets, revealing that proviral landscapes can differ between individuals and between infected cell types within an individual. Our findings expose each within-host latent reservoir as unique in its genetic complexity and support personalized strategies for HIV eradication.
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Studies have suggested a close genetic relatedness of recovered viruses, suggesting that viral re- and deactivation and organ homing are interconnected for different body compartments.
“Studies have suggested a close genetic relatedness of recovered viruses, suggesting that viral reand deactivation and organ homing are interconnected for different body compartments. 13,14,44,45”
From Revealing viral and cellular dynamics of HIV-1 at the single-cell level during early treatment periods (2023) · cites this paper as [44]
The Results (page unavailable) report identical proviral sequences in two CD4+ T-cell subsets, supporting genetic relatedness. The Discussion (page unavailable) says that only peripheral-blood cells were studied. The paper does not establish that viral reactivation, deactivation, and organ homing are interconnected across body compartments. (LLM, conf=0.87)
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HIV-1 variants are archived throughout infection and persist in the reservoir
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Self-citationLau, C., Adan, M. A., & Maldarelli, F. M. (2021) · Viruses · doi:10.3390/v13122512 · Cited by 44 · see citing works
IFI27 is a potential therapeutic target for HIV infection
Huang, H., Lv, J., Huang, Y., Mo, Z., Xu, H.-S., Huang, Y., Yang, L., Wu, Z., Li, H., & Qin, Y. (2022) · Annals of Medicine · doi:10.1080/07853890.2021.1995624 · Cited by 23 · see citing works
HIV reservoirs are dominated by genetically younger and clonally enriched proviruses
Kinloch, N. N., Shahid, A., Dong, W., Kirkby, D., Jones, B. R., Beelen, C. J., MacMillan, D., Lee, G. Q., Mota, T. M., Sudderuddin, H., et al. (2023) · mBio · doi:10.1128/mbio.02417-23 · Cited by 21 · see citing works
Self-citationAssessment of HIV-1 integration in tissues and subsets across infection stages
Wu, V. H., Nobles, C. L., Kuri-Cervantes, L., McCormick, K., Everett, J. K., Nguyen, S., Estrada, P. M. D. R., González-Navarro, M., Torres-Ruiz, F., Ávila‐Ríos, S., et al. (2020) · JCI Insight · doi:10.1172/jci.insight.139783 · Cited by 19 · see citing works
Sheykhhasan, M., Foroutan, A., Manoochehri, H., Khoei, S. G., Poondla, N., & Saidijam, M. (2021) · Life Sciences · doi:10.1016/j.lfs.2021.119451 · Cited by 20 · see citing works
Addressing an HIV cure in LMIC
Ismail, S. D., Pankrac, J., Ndashimye, E., Prodger, J. L., Abrahams, M.-R., Mann, J. F. S., Redd, A. D., & Arts, E. J. (2021) · Retrovirology · doi:10.1186/s12977-021-00565-1 · Cited by 18 · see citing works
Omondi, F. H., Sudderuddin, H., Shahid, A., Kinloch, N. N., Jones, B. R., Miller, R. L., Tsai, O., MacMillan, D., Piechocka‐Trocha, A., Brockman, M. A., et al. (2021) · mBio · doi:10.1128/mbio.02490-21 · Cited by 17 · see citing works
Self-citationShahid, A., MacLennan, S., Jones, B. R., Sudderuddin, H., Dang, Z., Cobarrubias, K. D., Duncan, M. C., Kinloch, N. N., Dapp, M. J., Archin, N. M., et al. (2024) · Journal of Virology · doi:10.1128/jvi.01655-23 · Cited by 16 · see citing works
Self-citationMin, A. K., Javidfar, B., Missall, R. D., Doanman, D., Durens, M., Vil, S. S., Masih, Z., Graziani, M., Mordelt, A., Marro, S. G., et al. (2023) · Journal of Virology · doi:10.1128/jvi.01595-23 · Cited by 16 · see citing works
Identifying physiological tissue niches that support the HIV reservoir in T cells
Ikeogu, N. M., Ajibola, O., Zayats, R., & Murooka, T. T. (2023) · mBio · doi:10.1128/mbio.02053-23 · Cited by 15 · see citing works
Shahid, A., Jones, B. R., Yang, J. S. W., Dong, W. W. Y., Shaipanich, T., Donohoe, K., Brumme, C. J., Joy, J. B., Leung, J. M., & Brumme, Z. L. (2022) · PLoS Pathogens · doi:10.1371/journal.ppat.1010613 · Cited by 10 · see citing works
Self-citationTeshima, T., Kobayashi, Y., Kawai, T., Kushihara, Y., Nagaoka, K., Miyakawa, J., Akiyama, Y., Yamada, Y., Sato, Y., Yamada, D., et al. (2022) · Oncology Letters · doi:10.3892/ol.2022.13384 · Cited by 7 · see citing works
Pham, H. T., Yoo, S., & Mésplède, T. (2020) · Expert Opinion on Investigational Drugs · doi:10.1080/13543784.2020.1724281 · Cited by 8 · see citing works
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Shahid, A., Jones, B. R., Duncan, M. C., MacLennan, S., Dapp, M. J., Kuniholm, M. H., Aouizerat, B. E., Archin, N. M., Gange, S. J., Ofotokun, I., et al. (2024) · Virus Evolution · doi:10.1093/ve/veae094 · Cited by 6 · see citing works
Self-citationSimulating within host human immunodeficiency virus 1 genome evolution in the persistent reservoir
Jones, B. R., & Joy, J. B. (2020) · Virus Evolution · doi:10.1093/ve/veaa089 · Cited by 6 · see citing works
Self-citationOtte, 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
Inferring Human Immunodeficiency Virus 1 Proviral Integration Dates With Bayesian Inference
Jones, B. R., & Joy, J. B. (2023) · Molecular Biology and Evolution · doi:10.1093/molbev/msad156 · Cited by 3 · see citing works
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SIV proviruses seeded later in infection are harbored in short-lived CD4+ T cells
Sambaturu, N., Fray, E. J., Hariharan, V., Wu, F., Zitzmann, C., Simonetti, F. R., Barouch, D. H., Siliciano, J. D., Siliciano, R. F., Ribeiro, R. M., et al. (2025) · Cell Reports · doi:10.1016/j.celrep.2025.115663 · Cited by 3 · see citing works
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Self-citationThe persistent pool of HIV-1-infected cells is formed episodically during untreated infection
Tyers, L., Moeser, M., Sondgeroth, A., Spielvogel, E., Richardson, B., Doolabh, D., Zhou, S., Emery, A., Archin, N. M., Shook‐Sa, B. E., et al. (2024) · Journal of Virology · doi:10.1128/jvi.00979-24 · Cited by 2 · see citing works
Sambaturu, N., Fray, E. J., Wu, F., Zitzmann, C., Simonetti, F. R., Barouch, D. H., Siliciano, J. D., Siliciano, R. F., Ribeiro, R. M., Perelson, A. S., et al. (2023) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2023.11.03.565539
Shahid, A., Jones, B. R., Duncan, M. C., MacLennan, S., Dapp, M. J., Kuniholm, M. H., Aouizerat, B. E., Archin, N. M., Gange, S. J., Ofotokun, I., et al. (2024) · Research Square · doi:10.21203/rs.3.rs-4549934/v1
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The pitfalls of HIV-1 DNA resistance genotyping: What it can and cannot tell us
Mchantaf, G., Morand‐Joubert, L., Chéret, A., Hocqueloux, L., & Avettand-Fènoël, V. (2026) · International Journal of Antimicrobial Agents · doi:10.1016/j.ijantimicag.2026.108026
- Authors
- Jones, B. R., Miller, R. L., Kinloch, N. N., Tsai, O., Rigsby, H., Sudderuddin, H., Shahid, A., Ganase, B., Brumme, C. J., Harris, M., Poon, A. F. Y., Brockman, M. A., Fromentin, R., Chomont, N., Joy, J. B., & Brumme, Z. L.
- Affiliations
- University of British Columbia (CA)
- Simon Fraser University (CA)
- Centre Hospitalier de l’Université de Montréal (CA)
- BC Centre for Excellence in HIV/AIDS (CA)
- Western University (CA)
- ORCID
- Venue
- Journal of Virology
- Publisher
- American Society for Microbiology
- Published
- 2020-02-14
- Volume
- 94
- Issue
- 5
- ISSN
- 0022-538X (ISSN-L)
- 1098-5514
- PMC
- PMC7022348
- OpenAlex
- W2990889228
- Cited by
- 29
- References
- 80
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 4 · 2023: 7 · 2022: 4 · 2021: 5 · 2020: 4
- FWCI
- 1.82
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Virology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- HHS | National Institutes of Health (NIHR21A127029)
- HHS | NIH | National Institute of Allergy and Infectious Diseases (UM1AI126617)
- Michael Smith Foundation for Health Research
- Canada Research Chairs
- Gouvernement du Canada | Canadian Institutes of Health Research (HB1-164063, PJT-159625)
- Fonds de Recherche du Québec - Santé
- 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 reservoir, HIV provirus, CD4+ T cell subsets, phylogenetic inference, highly active antiretroviral therapy, HIV cure
- MeSH terms
- Adolescent, Base Sequence, Child, DNA, Viral, Humans, Phylogeny, Proviruses, Genetic Variation, CD4-Positive T-Lymphocytes, HIV-1, HIV Infections, T-Lymphocyte Subsets, Viral Load, Anti-Retroviral Agents, Young Adult
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