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Title: Antiretroviral therapy reveals triphasic decay of intact SIV genomes and persistence of ancestral variants

Abstract

The decay kinetics of HIV-1-infected cells are critical to understand virus persistence. We evaluated the frequency of simian immunodeficiency virus (SIV)-infected cells for 4 years of antiretroviral therapy (ART). The intact proviral DNA assay (IPDA) and an assay for hypermutated proviruses revealed short- and long-term infected cell dynamics in macaques starting ART ~1 year after infection. Intact SIV genomes in circulating CD4+T cells showed triphasic decay with an initial phase slower than the decay of the plasma virus, a second phase faster than the second phase decay of intact HIV-1, and a stable third phase reached after 1.6–2.9 years. Hypermutated proviruses showed bi- or mono-phasic decay, reflecting different selective pressures. Viruses replicating at ART initiation had mutations conferring antibody escape. With time on ART, viruses with fewer mutations became more prominent, reflecting decay of variants replicating at ART initiation. Collectively, these findings confirm ART efficacy and indicate that cells enter the reservoir throughout untreated infection.

Authors:
 [1];  [1];  [1];  [2];  [2];  [2];  [1];  [3];  [3];  [4];  [4];  [5]; ORCiD logo [2]; ORCiD logo [2]; ORCiD logo [2];  [3];  [1];  [6]
  1. Johns Hopkins Univ., Baltimore, MD (United States). School of Medicine
  2. Los Alamos National Lab. (LANL), Los Alamos, NM (United States)
  3. Beth Israel Deaconess Medical Center, Boston, MA (United States)
  4. Wisconsin National Primate Research Center, Madison, WI (United States)
  5. Gilead Sciences, Foster City, CA (United States)
  6. Johns Hopkins Univ., Baltimore, MD (United States). School of Medicine; Howard Hughes Medical Inst., Baltimore, MD (United States)
Publication Date:
Research Org.:
Los Alamos National Lab. (LANL), Los Alamos, NM (United States)
Sponsoring Org.:
National Institutes of Health (NIH), National Institute of Dental and Craniofacial Research (NIDCR); USDOE National Nuclear Security Administration (NNSA)
OSTI Identifier:
1963653
Report Number(s):
LA-UR-22-30227
Journal ID: ISSN 1931-3128
Grant/Contract Number:  
89233218CNA000001; UM1AI164556; R01- AI028433; R01-OD011095; P01-AI131365; R01-AI15270301; UM1-AI164561
Resource Type:
Accepted Manuscript
Journal Name:
Cell Host & Microbe
Additional Journal Information:
Journal Volume: 31; Journal Issue: 3; Journal ID: ISSN 1931-3128
Publisher:
Elsevier
Country of Publication:
United States
Language:
English
Subject:
60 APPLIED LIFE SCIENCES; biological science; SIV, non-human primates, latency; latent reservoir; decay; clonal expansion; defective provirus

Citation Formats

Fray, Emily J., Wu, Fengting, Simonetti, Francesco R., Zitzmann, Carolin, Sambaturu, Narmada, Molina-Paris, Carmen, Bender, Alexandra M., Liu, Po-Ting, Ventura, John D., Wiseman, Roger W., O’Connor, David H., Geleziunas, Romas, Leitner, Thomas Kenneth, Ribeiro, Ruy Miguel, Perelson, Alan S., Barouch, Dan H., Siliciano, Janet D., and Siliciano, Robert F. Antiretroviral therapy reveals triphasic decay of intact SIV genomes and persistence of ancestral variants. United States: N. p., 2023. Web. doi:10.1016/j.chom.2023.01.016.
Fray, Emily J., Wu, Fengting, Simonetti, Francesco R., Zitzmann, Carolin, Sambaturu, Narmada, Molina-Paris, Carmen, Bender, Alexandra M., Liu, Po-Ting, Ventura, John D., Wiseman, Roger W., O’Connor, David H., Geleziunas, Romas, Leitner, Thomas Kenneth, Ribeiro, Ruy Miguel, Perelson, Alan S., Barouch, Dan H., Siliciano, Janet D., & Siliciano, Robert F. Antiretroviral therapy reveals triphasic decay of intact SIV genomes and persistence of ancestral variants. United States. https://doi.org/10.1016/j.chom.2023.01.016
Fray, Emily J., Wu, Fengting, Simonetti, Francesco R., Zitzmann, Carolin, Sambaturu, Narmada, Molina-Paris, Carmen, Bender, Alexandra M., Liu, Po-Ting, Ventura, John D., Wiseman, Roger W., O’Connor, David H., Geleziunas, Romas, Leitner, Thomas Kenneth, Ribeiro, Ruy Miguel, Perelson, Alan S., Barouch, Dan H., Siliciano, Janet D., and Siliciano, Robert F. Wed . "Antiretroviral therapy reveals triphasic decay of intact SIV genomes and persistence of ancestral variants". United States. https://doi.org/10.1016/j.chom.2023.01.016. https://www.osti.gov/servlets/purl/1963653.
@article{osti_1963653,
title = {Antiretroviral therapy reveals triphasic decay of intact SIV genomes and persistence of ancestral variants},
author = {Fray, Emily J. and Wu, Fengting and Simonetti, Francesco R. and Zitzmann, Carolin and Sambaturu, Narmada and Molina-Paris, Carmen and Bender, Alexandra M. and Liu, Po-Ting and Ventura, John D. and Wiseman, Roger W. and O’Connor, David H. and Geleziunas, Romas and Leitner, Thomas Kenneth and Ribeiro, Ruy Miguel and Perelson, Alan S. and Barouch, Dan H. and Siliciano, Janet D. and Siliciano, Robert F.},
abstractNote = {The decay kinetics of HIV-1-infected cells are critical to understand virus persistence. We evaluated the frequency of simian immunodeficiency virus (SIV)-infected cells for 4 years of antiretroviral therapy (ART). The intact proviral DNA assay (IPDA) and an assay for hypermutated proviruses revealed short- and long-term infected cell dynamics in macaques starting ART ~1 year after infection. Intact SIV genomes in circulating CD4+T cells showed triphasic decay with an initial phase slower than the decay of the plasma virus, a second phase faster than the second phase decay of intact HIV-1, and a stable third phase reached after 1.6–2.9 years. Hypermutated proviruses showed bi- or mono-phasic decay, reflecting different selective pressures. Viruses replicating at ART initiation had mutations conferring antibody escape. With time on ART, viruses with fewer mutations became more prominent, reflecting decay of variants replicating at ART initiation. Collectively, these findings confirm ART efficacy and indicate that cells enter the reservoir throughout untreated infection.},
doi = {10.1016/j.chom.2023.01.016},
journal = {Cell Host & Microbe},
number = 3,
volume = 31,
place = {United States},
year = {Wed Mar 08 00:00:00 EST 2023},
month = {Wed Mar 08 00:00:00 EST 2023}
}

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