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深度测序分析个体 HIV-1 前病毒揭示了频繁的不对称长末端重复序列。

Deep Sequencing Analysis of Individual HIV-1 Proviruses Reveals Frequent Asymmetric Long Terminal Repeats.

机构信息

University of Pittsburgh, Department of Medicine, Division of Infectious Diseases, Pittsburgh, Pennsylvania, USA.

HIV Dynamics and Replication Program, National Cancer Institutegrid.48336.3a, Frederick, Maryland, USA.

出版信息

J Virol. 2022 Jul 13;96(13):e0012222. doi: 10.1128/jvi.00122-22. Epub 2022 Jun 8.

Abstract

Effective strategies to eliminate human immunodeficiency virus type 1 (HIV-1) reservoirs are likely to require more thorough characterizations of proviruses that persist on antiretroviral therapy (ART). The rarity of infected CD4 T-cells and related technical challenges have limited the characterization of integrated proviruses. Current approaches using next-generation sequencing can be inefficient and limited sequencing depth can make it difficult to link proviral sequences to their respective integration sites. Here, we report on an efficient method by which HIV-1 proviruses and their sites of integration are amplified and sequenced. Across five HIV-1-positive individuals on clinically effective ART, a median of 41.2% ( = 88 of 209) of amplifications yielded near-full-length proviruses and their 5'-host-virus junctions containing a median of 430 bp (range, 18 to 1,363 bp) of flanking host sequence. Unexpectedly, 29.5% ( = 26 of 88) of the sequenced proviruses had structural asymmetries between the 5' and 3' long terminal repeats (LTRs), commonly in the form of major 3' deletions. Sequence-intact proviruses were detected in 3 of 5 donors, and infected CD4 T-cell clones were detected in 4 of 5 donors. The accuracy of the method was validated by amplifying and sequencing full-length proviruses and flanking host sequences directly from peripheral blood mononuclear cell DNA. The individual proviral sequencing assay (IPSA) described here can provide an accurate, in-depth, and longitudinal characterization of HIV-1 proviruses that persist on ART, which is important for targeting proviruses for elimination and assessing the impact of interventions designed to eradicate HIV-1. The integration of human immunodeficiency virus type 1 (HIV-1) into chromosomal DNA establishes the long-term persistence of HIV-1 as proviruses despite effective antiretroviral therapy (ART). Characterizing proviruses is difficult because of their rarity in individuals on long-term suppressive ART, their highly polymorphic sequences and genetic structures, and the need for efficient amplification and sequencing of the provirus and its integration site. Here, we describe a novel, integrated, two-step method (individual proviral sequencing assay [IPSA]) that amplifies the host-virus junction and the full-length provirus except for the last 69 bp of the 3' long terminal repeat (LTR). Using this method, we identified the integration sites of proviruses, including those that are sequence intact and replication competent or defective. Importantly, this new method identified previously unreported asymmetries between LTRs that have implications for how proviruses are detected and quantified. The IPSA method reported is unaffected by LTR asymmetries, permitting a more accurate and comprehensive characterization of the proviral landscape.

摘要

有效的消除人类免疫缺陷病毒 1 型(HIV-1)储库的策略可能需要更彻底地描述在抗逆转录病毒治疗(ART)中持续存在的前病毒。受感染的 CD4 T 细胞的稀有性和相关的技术挑战限制了整合前病毒的特征。目前使用下一代测序的方法可能效率低下,并且有限的测序深度使得难以将前病毒序列与其各自的整合位点联系起来。在这里,我们报告了一种有效扩增和测序 HIV-1 前病毒及其整合位点的方法。在五名接受临床有效 ART 的 HIV-1 阳性个体中,中位数为 41.2%( = 209 个中的 88 个)的扩增产物产生了近乎全长的前病毒及其 5' - 宿主病毒接头,其中包含中位数为 430bp(范围为 18 至 1363bp)的侧翼宿主序列。出乎意料的是,29.5%( = 26 个中的 88 个)的测序前病毒在 5' 和 3' 长末端重复(LTR)之间存在结构不对称,通常以主要的 3' 缺失形式存在。在 5 名供体中的 3 名中检测到序列完整的前病毒,在 5 名供体中的 4 名中检测到感染的 CD4 T 细胞克隆。通过直接从外周血单核细胞 DNA 扩增和测序全长前病毒和侧翼宿主序列,验证了该方法的准确性。这里描述的个体前病毒测序分析(IPSA)可以提供对 ART 上持续存在的 HIV-1 前病毒的准确、深入和纵向特征描述,这对于针对前病毒进行消除以及评估旨在根除 HIV-1 的干预措施的影响非常重要。尽管有有效的抗逆转录病毒治疗(ART),但人类免疫缺陷病毒 1 型(HIV-1)整合到染色体 DNA 中建立了 HIV-1 的长期持久性,作为前病毒。由于长期抑制性 ART 个体中的前病毒数量稀少、其高度多态性序列和遗传结构以及前病毒及其整合位点的有效扩增和测序的需要,因此对前病毒进行特征描述具有挑战性。在这里,我们描述了一种新颖的、集成的两步法(个体前病毒测序分析 [IPSA]),该方法扩增了宿主病毒接头和全长前病毒,除了 3' 长末端重复(LTR)的最后 69bp 外。使用这种方法,我们确定了前病毒的整合位点,包括那些序列完整且具有复制能力或缺陷的整合位点。重要的是,这种新方法确定了以前未报告的 LTR 之间的不对称性,这对如何检测和定量前病毒具有影响。报道的 IPSA 方法不受 LTR 不对称性的影响,从而能够更准确和全面地描述前病毒景观。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5275/9278108/0cb945bd727d/jvi.00122-22-f001.jpg

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