Quantitative deep sequencing reveals dynamic HIV-1 escape and large population shifts during CCR5 antagonist therapy in vivo.

Quantitative deep sequencing reveals dynamic HIV-1 escape and large population shifts during CCR5 antagonist therapy in vivo.
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定量深度测序揭示了体内 CCR5 拮抗剂治疗期间 HIV-1 的动态逃逸和大规模群体变化。

DOI:
10.1371/journal.pone.0005683
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发表时间:
2009-05-25
期刊:
影响因子:
3.7
通讯作者:
Kuritzkes DR
Kuritzkes DR
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Tsibris AM;Korber B;Arnaout R;Russ C;Lo CC;Leitner T;Gaschen B;Theiler J;Paredes R;Su Z;Hughes MD;Gulick RM;Greaves W;Coakley E;Flexner C;Nusbaum C;Kuritzkes DR

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High-throughput sequencing platforms provide an approach for detecting rare HIV-1 variants and documenting more fully quasispecies diversity. We applied this technology to the V3 loop-coding region of env in samples collected from 4 chronically HIV-infected subjects in whom CCR5 antagonist (vicriviroc [VVC]) therapy failed. Between 25,000–140,000 amplified sequences were obtained per sample. Profound baseline V3 loop sequence heterogeneity existed; predicted CXCR4-using populations were identified in a largely CCR5-using population. The V3 loop forms associated with subsequent virologic failure, either through CXCR4 use or the emergence of high-level VVC resistance, were present as minor variants at 0.8–2.8% of baseline samples. Extreme, rapid shifts in population frequencies toward these forms occurred, and deep sequencing provided a detailed view of the rapid evolutionary impact of VVC selection. Greater V3 diversity was observed post-selection. This previously unreported degree of V3 loop sequence diversity has implications for viral pathogenesis, vaccine design, and the optimal use of HIV-1 CCR5 antagonists.
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