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PMID: 15452240 Published · ppublish English Journal Article Research Support, U.S. Gov't, P.H.S.

Multiple V1/V2 env variants are frequently present during primary infection with human immunodeficiency virus type 1.

Journal of virology ·Vol. 78 ·No. 20 ·2004-10-00 ·Pages 11208-18

Ritola K, Pilcher CD, Fiscus SA, Hoffman NG, Nelson JA, Kitrinos KM, Hicks CB, Eron JJ, Swanstrom R

Abstract

Human immunodeficiency virus type 1 (HIV-1) exists as a complex population of multiple genotypic variants in persons with chronic infection. However, acute HIV-1 infection via sexual transmission is a low-probability event in which there is thought to be low genetic complexity in the initial inoculum. In order to assess the viral complexity present during primary HIV-1 infection, the V1/V2 and V3 variable regions of the env gene were examined by using a heteroduplex tracking assay (HTA) capable of resolving these genotypic variants. Blood plasma samples from 26 primary HIV-1-infected subjects were analyzed for their level of diversity. Half of the subjects had more than one V1/V2 viral variant during primary infection, indicating the frequent transmission of multiple variants. This observation is inconsistent with the idea of infrequent transmission based on a small transmitting inoculum of cell-free virus. In chronically infected subjects, the complexity of the viral populations was even greater in both the V1/V2 and the V3 regions than in acutely infected subjects, indicating that in spite of the presence of multiple variants in acute infection, the virus does pass through a genetic bottleneck during transmission. We also examined how well the infecting virus penetrated different anatomical compartments by using the HTA. Viral variants detected in blood plasma were compared to those detected in seminal plasma and/or cerebral spinal fluid of six individuals. The virus in each of these compartments was to a large extent identical to virus in blood plasma, a finding consistent with rapid penetration of the infecting variant(s). The low-probability transmission of multiple variants could be the result of transient periods of hyperinfectiousness or hypersusceptibility. Alternatively, the inefficient transfer of a multiply infected cell could account for both the low probability of transmission and the transfer of multiple variants.

MeSH Terms
Acute Disease Cerebrospinal Fluid/virology Cohort Studies Female Gene Products, env/genetics Genetic Variation HIV Infections/virology HIV-1/classification,genetics Heteroduplex Analysis Humans Male Molecular Sequence Data RNA, Viral/blood Semen/virology Sequence Analysis, DNA Viral Load
Chemicals
Gene Products, env RNA, Viral
Authors & Affiliations
9 authors, click to expand affiliations / ORCID
Ritola Kimberly
University of North Carolina at Chapel Hill, 22-062 Lineberger Cancer Center, CB 7295, Chapel Hill, NC 27599-7295, USA.
Pilcher Christopher D
Fiscus Susan A
Hoffman Noah G
Nelson Julie A E
Kitrinos Kathryn M
Hicks Charles B
Eron Joseph J
Swanstrom Ronald
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Article Info
Journal
Journal of virology
Abbr.
J Virol
ISSN
0022-538X
Published
2004-10-00
Pages
11208-18
Language
English
Region
United States
NLM ID
0113724
PMCID
PMC521858
Subset
IM
Grants
NIAID NIH HHS · T32 AI 007419 · United States
NCRR NIH HHS · M01 RR000046 · United States
NIAID NIH HHS · K23 AI 01781 · United States
NIAID NIH HHS · T32 AI007419 · United States
NCRR NIH HHS · RR 00046 · United States
NIAID NIH HHS · K24 AI001608 · United States
NIDDK NIH HHS · R01 DK049381 · United States
NIAID NIH HHS · K23 AI001781 · United States
NIDDK NIH HHS · R01 DK 49381 · United States
NIAID NIH HHS · R01 AI044667 · United States
NIAID NIH HHS · P30 AI 50410 · United States
NIAID NIH HHS · R01 AI 44667 · United States
NIAID NIH HHS · K24 AI 01608 · United States
NIAID NIH HHS · P30 AI050410 · United States
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