1. Evolution and recombination of genes encoding HIV-1 drug resistance and tropism during antiretroviral therapy
- Author
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Shi, Binshan, Kitchen, Christina, Weiser, Barbara, Mayers, Douglas, Foley, Brian, Kemal, Kimdar, Anastos, Kathryn, Suchard, Marc, Parker, Monica, Brunner, Cheryl, and Burger, Harold
- Subjects
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DRUG resistance , *ANTIRETROVIRAL agents , *HIV , *VIREMIA , *VIRAL genomes , *GENETIC recombination , *VIRAL genetics , *VIRAL evolution - Abstract
Abstract: Characterization of residual plasma virus during antiretroviral therapy (ART) is a high priority to improve understanding of HIV-1 pathogenesis and therapy. To understand the evolution of HIV-1 pol and env genes in viremic patients under selective pressure of ART, we performed longitudinal analyses of plasma-derived pol and env sequences from single HIV-1 genomes. We tested the hypotheses that drug resistance in pol was unrelated to changes in coreceptor usage (tropism), and that recombination played a role in evolution of viral strains. Recombinants were identified by using Bayesian and other computational methods. High-level genotypic resistance was seen in ∼70% of X4 and R5 strains during ART. There was no significant association between resistance and tropism. Each patient displayed at least one recombinant encompassing env and representing a change in predicted tropism. These data suggest that, in addition to mutation, recombination can play a significant role in shaping HIV-1 evolution. [Copyright &y& Elsevier]
- Published
- 2010
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