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Cited by 297

The DOI matches its Crossref record; 55 of the 55 references it cites were found in a registry or an index.

High Multiplicity Infection by HIV-1 in Men Who Have Sex with Men

Open access
Li, Hui, Bar, Katharine J., Wang, Shuyi, Decker, Julie M., Chen, Yalu, Sun, Chuanxi, Salazar-Gonzalez, Jesus F., Salazar, Maria G., Learn, Gerald H., Morgan, Charity J., Schumacher, Joseph E., Hraber, Peter, Giorgi, Elena E., Bhattacharya, Tanmoy, Korber, Bette T., Perelson, Alan S., Eron, Joseph J., Cohen, Myron S., Hicks, Charles B., Haynes, Barton F., Markowitz, Martin, Keele, Brandon F., Hahn, Beatrice H., Shaw, George M.·2010·PLoS Pathogens

Abstract

Elucidating virus-host interactions responsible for HIV-1 transmission is important for advancing HIV-1 prevention strategies. To this end, single genome amplification (SGA) and sequencing of HIV-1 within the context of a model of random virus evolution has made possible for the first time an unambiguous identification of transmitted/founder viruses and a precise estimation of their numbers. Here, we applied this approach to HIV-1 env analyses in a cohort of acutely infected men who have sex with men (MSM) and found that a high proportion (10 of 28; 36%) had been productively infected by more than one virus. In subjects with multivariant transmission, the minimum number of transmitted viruses ranged from 2 to 10 with viral recombination leading to rapid and extensive genetic shuffling among virus lineages. A combined analysis of these results, together with recently published findings based on identical SGA methods in largely heterosexual (HSX) cohorts, revealed a significantly higher frequency of multivariant transmission in MSM than in HSX [19 of 50 subjects (38%) versus 34 of 175 subjects (19%); Fisher's exact p = 0.008]. To further evaluate the SGA strategy for identifying transmitted/founder viruses, we analyzed 239 overlapping 5' and 3' half genome or env-only sequences from plasma viral RNA (vRNA) and blood mononuclear cell DNA in an MSM subject who had a particularly well-documented virus exposure history 3-6 days before symptom onset and 14-17 days before peak plasma viremia (47,600,000 vRNA molecules/ml). All 239 sequences coalesced to a single transmitted/founder virus genome in a time frame consistent with the clinical history, and a molecular clone of this genome encoded replication competent virus in accord with model predictions. Higher multiplicity of HIV-1 infection in MSM compared with HSX is consistent with the demonstrably higher epidemiological risk of virus acquisition in MSM and could indicate a greater challenge for HIV-1 vaccines than previously recognized.

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Metadata

Authors
Li, H., Bar, K. J., Wang, S., Decker, J. M., Chen, Y., Sun, C., Salazar-Gonzalez, J. F., Salazar, M. G., Learn, G. H., Morgan, C. J., Schumacher, J. E., Hraber, P., Giorgi, E. E., Bhattacharya, T., Korber, B. T., Perelson, A. S., Eron, J. J., Cohen, M. S., Hicks, C. B., Haynes, B. F., Markowitz, M., Keele, B. F., Hahn, B. H., & Shaw, G. M.
Venue
PLoS Pathogens
Published
2010-05-13
Volume
6
Issue
5
Pages
e1000890
ISSN
  • 1553-7366 (ISSN-L)
  • 1553-7374
OpenAlex
W1963704583
Cited by
297
References
55
FWCI
11.68
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: High Multiplicity Infection by HIV-1 in Men Who Have Sex with Men. https://app.cochat.ai/papers/10.1371/journal.ppat.1000890
The paper
Li, H., Bar, K. J., Wang, S., Decker, J. M., Chen, Y., Sun, C., Salazar-Gonzalez, J. F., Salazar, M. G., Learn, G. H., Morgan, C. J., Schumacher, J. E., Hraber, P., Giorgi, E. E., Bhattacharya, T., Korber, B. T., Perelson, A. S., Eron, J. J., Cohen, M. S., Hicks, C. B., . . . Shaw, G. M. (2010). High Multiplicity Infection by HIV-1 in Men Who Have Sex with Men. PLoS Pathogens. https://doi.org/10.1371/journal.ppat.1000890

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.