Chatziandreou Nikolaos, Arauz Ana Belen, Freitas Ines, Nyein Phyu Hninn, Fenton Gregory, Mehta Shruti H, Kirk Gregory D, Sagar Manish
Brigham and Women's Hospital, Boston, MA 02139, USA.
AIDS Res Hum Retroviruses. 2012 Dec;28(12):1584-93. doi: 10.1089/AID.2011.0319. Epub 2012 Jun 25.
As HIV-1 evolves over the course of infection, resistance against antiretrovirals may arise in the absence of drug pressure, especially against receptor and fusion blockers because of the extensive changes observed in the envelope glycoprotein. Here we show that viruses from the chronic phase of disease are significantly less sensitive to CCR5 receptor and fusion blockers compared to early infection variants. Differences in susceptibility to CCR5 antagonists were observed in spite of no demonstrable CXCR4 receptor utilization. No significant sensitivity differences were observed to another entry blocker, soluble CD4, or to reverse transcriptase, protease, or integrase inhibitors. Chronic as compared to early phase variants demonstrated greater replication when passaged in the presence of subinhibitory concentrations of fusion but not CCR5 receptor inhibitors. Fusion antagonist resistance, however, emerged from only one chronic phase virus culture. Because sensitivity to receptor and fusion antagonists is correlated with receptor affinity and fusion capacity, respectively, changes that occur in the envelope glycoprotein over the course of infection confer greater ability to use the CCR5 receptor and increased fusion ability. Our in vitro passage studies suggest that these evolving phenotypes increase the likelihood of resistance against fusion but not CCR5 receptor blockers.
随着HIV-1在感染过程中不断演变,在没有药物压力的情况下可能会出现对抗逆转录病毒药物的耐药性,尤其是针对受体和融合阻滞剂,这是因为包膜糖蛋白中观察到广泛的变化。在这里,我们表明,与早期感染变体相比,疾病慢性期的病毒对CCR5受体和融合阻滞剂的敏感性显著降低。尽管没有可证明的CXCR4受体利用情况,但仍观察到对CCR5拮抗剂敏感性的差异。对另一种进入阻滞剂、可溶性CD4或逆转录酶、蛋白酶或整合酶抑制剂未观察到显著的敏感性差异。与早期变体相比,慢性期变体在亚抑制浓度的融合抑制剂而非CCR5受体抑制剂存在下传代时表现出更大的复制能力。然而,仅从一种慢性期病毒培养物中出现了融合拮抗剂耐药性。由于对受体和融合拮抗剂的敏感性分别与受体亲和力和融合能力相关,感染过程中包膜糖蛋白发生的变化赋予了使用CCR5受体的更大能力和增强的融合能力。我们的体外传代研究表明,这些不断演变的表型增加了对融合阻滞剂而非CCR5受体阻滞剂产生耐药性的可能性。