Unmapped exome reads implicate a role for Anelloviridae in childhood HIV-1 long-term non-progression.

Unmapped exome reads implicate a role for Anelloviridae in childhood HIV-1 long-term non-progression.
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DOI:
10.1038/s41525-021-00185-w
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发表时间:
2021-03-19
影响因子:
5.3
通讯作者:
Hanchard NA
Hanchard NA
中科院分区:
医学2区
文献类型:
--
作者:
Mwesigwa S;Williams L;Retshabile G;Katagirya E;Mboowa G;Mlotshwa B;Kyobe S;Kateete DP;Wampande EM;Wayengera M;Mpoloka SW;Mirembe AN;Kasvosve I;Morapedi K;Kisitu GP;Kekitiinwa AR;Anabwani G;Joloba ML;Matovu E;Mulindwa J;Noyes H;Botha G;Collaborative African Genomics Network (CAfGEN);TrypanoGEN Research Group;Brown CW;Mardon G;Matshaba M;Hanchard NA

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人类免疫缺陷病毒(HIV)感染仍然是全球重大的公共卫生负担。病毒合并感染在 HIV 感染进展速度中的作用已被提出,但尚未经过实证检验,特别是在儿童中。我们从博茨瓦纳和乌干达 813 名 HIV 感染儿童的全外显子组测序 (WES) 数据中提取并分类了 42 种病毒,分为长期非进展者 (LTNP) 或快速进展者 (RP)。与博茨瓦纳相比,乌干达参与者的病毒群落多样性指数更高(p = 4.6 × 10−13),LTNP 中检测到的病毒序列比 RP 中更常见(24% vs 16%;p = 0.008;OR,1.9;95% CI,1.6–2.3),指环病毒科与LTNP 状态(p = 3 × 10−4;q = 0.004,OR,3.99;95% CI,1.74–10.25)。当按国家、性别和测序平台分层时,以及在调整年龄、性别、国家和测序平台的逻辑回归分析后,这种趋势仍然很明显(p = 0.02;q = 0.03;OR,7.3;95% CI,1.6-40.5)。占指环病毒科读数 95% 的 Torque teno 病毒 (TTV) 与免疫激活降低有关。我们确定了病毒合并感染与延长无艾滋病生存状态之间的关联,该关联可能可作为 LTNP 的生物标志物,并可以为儿童 HIV 进展提供机制见解,证明在队列研究中询问脱靶 WES 读数的附加价值。
Human immunodeficiency virus (HIV) infection remains a significant public health burden globally. The role of viral co-infection in the rate of progression of HIV infection has been suggested but not empirically tested, particularly among children. We extracted and classified 42 viral species from whole-exome sequencing (WES) data of 813 HIV-infected children in Botswana and Uganda categorised as either long-term non-progressors (LTNPs) or rapid progressors (RPs). The Ugandan participants had a higher viral community diversity index compared to Batswana (p = 4.6 × 10−13), and viral sequences were more frequently detected among LTNPs than RPs (24% vs 16%; p = 0.008; OR, 1.9; 95% CI, 1.6–2.3), with Anelloviridae showing strong association with LTNP status (p = 3 × 10−4; q = 0.004, OR, 3.99; 95% CI, 1.74–10.25). This trend was still evident when stratified by country, sex, and sequencing platform, and after a logistic regression analysis adjusting for age, sex, country, and the sequencing platform (p = 0.02; q = 0.03; OR, 7.3; 95% CI, 1.6–40.5). Torque teno virus (TTV), which made up 95% of the Anelloviridae reads, has been associated with reduced immune activation. We identify an association between viral co-infection and prolonged AIDs-free survival status that may have utility as a biomarker of LTNP and could provide mechanistic insights to HIV progression in children, demonstrating the added value of interrogating off-target WES reads in cohort studies.
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