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通过HIV-1的中和特性探究其在中枢神经系统中的区室化。

Probing the compartmentalization of HIV-1 in the central nervous system through its neutralization properties.

作者信息

Stefic Karl, Chaillon Antoine, Bouvin-Pley Mélanie, Moreau Alain, Braibant Martine, Bastides Frédéric, Gras Guillaume, Bernard Louis, Barin Francis

机构信息

Université François Rabelais, Inserm U966, Tours, France.

Laboratoire de Bactériologie-Virologie, CHU Bretonneau, Tours, France.

出版信息

PLoS One. 2017 Aug 25;12(8):e0181680. doi: 10.1371/journal.pone.0181680. eCollection 2017.

Abstract

Compartmentalization of HIV-1 has been observed in the cerebrospinal fluid (CSF) of patients at different clinical stages. Considering the low permeability of the blood-brain barrier, we wondered if a reduced selective pressure by neutralizing antibodies (NAb) in the central nervous system (CNS) could favor the evolution of NAb-sensitive viruses in this compartment. Single genome amplification (SGA) was used to sequence full-length HIV-1 envelope variants (453 sequences) from paired CSF and blood plasma samples in 9 subjects infected by HIV variants of various clades and suffering from diverse neurologic disorders. Dynamics of viral evolution were evaluated with a bayesian coalescent approach for individuals with longitudinal samples. Pseudotyped viruses expressing envelope glycoproteins variants representative of the quasi-species present in each compartment were generated, and their sensitivity to autologous neutralization, broadly neutralizing antibodies (bNAbs) and entry inhibitors was assessed. Significant compartmentalization of HIV populations between blood and CSF were detected in 5 out of 9 subjects. Some of the previously described genetic determinants for compartmentalization in the CNS were observed regardless of the HIV-1 clade. There was no difference of sensitivity to autologous neutralization between blood- and CSF-variants, even for subjects with compartmentalization, suggesting that selective pressure by autologous NAb is not the main driver of HIV evolution in the CNS. However, we observed major differences of sensitivity to sCD4 or to at least one bNAb targeting either the N160-V1V2 site, the N332-V3 site or the CD4bs, between blood- and CSF-variants in all cases. In particular, HIV-1 variants present in the CSF were more resistant to bNAbs than their blood counterpart in some cases. Considering the possible migration from CSF to blood, the CNS could be a reservoir of bNAb resistant viruses, an observation that should be considered for immunotherapeutic approaches.

摘要

在不同临床阶段的患者脑脊液(CSF)中已观察到HIV-1的区室化现象。鉴于血脑屏障的低通透性,我们想知道中枢神经系统(CNS)中中和抗体(NAb)选择性压力的降低是否会促进该区室中对NAb敏感的病毒的进化。采用单基因组扩增(SGA)技术对9名感染了不同分支HIV变体且患有各种神经系统疾病的受试者的配对CSF和血浆样本中的全长HIV-1包膜变体(453个序列)进行测序。采用贝叶斯合并方法对有纵向样本的个体评估病毒进化动态。生成了表达代表每个区室中存在的准种的包膜糖蛋白变体的假型病毒,并评估了它们对自体中和作用、广泛中和抗体(bNAb)和进入抑制剂的敏感性。在9名受试者中有5名检测到血液和CSF之间HIV群体的显著区室化。无论HIV-1分支如何,都观察到了一些先前描述的CNS区室化的遗传决定因素。血液和CSF变体之间对自体中和作用的敏感性没有差异,即使是对于有区室化的受试者,这表明自体NAb的选择性压力不是CNS中HIV进化的主要驱动因素。然而,在所有情况下,我们观察到血液和CSF变体之间对sCD4或至少一种靶向N160-V1V2位点、N332-V3位点或CD4bs的bNAb的敏感性存在重大差异。特别是,在某些情况下,CSF中存在的HIV-1变体比其血液对应物对bNAb更具抗性。考虑到可能从CSF迁移到血液,CNS可能是bNAb抗性病毒的储存库,这一观察结果在免疫治疗方法中应予以考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e12e/5571919/652d184fcc24/pone.0181680.g001.jpg

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