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在接受治疗后仍持续存在的细胞发生HIV-1感染的时间,并不受前病毒的复制能力或细胞嗜性的强烈影响。

The timing of HIV-1 infection of cells that persist on therapy is not strongly influenced by replication competency or cellular tropism of the provirus.

作者信息

Joseph Sarah B, Abrahams Melissa-Rose, Moeser Matthew, Tyers Lynn, Archin Nancie M, Council Olivia D, Sondgeroth Amy, Spielvogel Ean, Emery Ann, Zhou Shuntai, Doolabh Deelan, Ismail Sherazaan D, Karim Salim Abdool, Margolis David M, Pond Sergei Kosakovsky, Garrett Nigel, Swanstrom Ronald, Williamson Carolyn

机构信息

Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.

Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.

出版信息

PLoS Pathog. 2024 Feb 29;20(2):e1011974. doi: 10.1371/journal.ppat.1011974. eCollection 2024 Feb.

Abstract

People with HIV-1 (PWH) on antiretroviral therapy (ART) can maintain undetectable virus levels, but a small pool of infected cells persists. This pool is largely comprised of defective proviruses that may produce HIV-1 proteins but are incapable of making infectious virus, with only a fraction (~10%) of these cells harboring intact viral genomes, some of which produce infectious virus following ex vivo stimulation (i.e. inducible intact proviruses). A majority of the inducible proviruses that persist on ART are formed near the time of therapy initiation. Here we compared proviral DNA (assessed here as 3' half genomes amplified from total cellular DNA) and inducible replication competent viruses in the pool of infected cells that persists during ART to determine if the original infection of these cells occurred at comparable times prior to therapy initiation. Overall, the average percent of proviruses that formed late (i.e. around the time of ART initiation, 60%) did not differ from the average percent of replication competent inducible viruses that formed late (69%), and this was also true for proviral DNA that was hypermutated (57%). Further, there was no evidence that entry into the long-lived infected cell pool was impeded by the ability to use the CXCR4 coreceptor, nor was the formation of long-lived infected cells enhanced during primary infection, when viral loads are exceptionally high. We observed that infection of cells that transitioned to be long-lived was enhanced among people with a lower nadir CD4+ T cell count. Together these data suggest that the timing of infection of cells that become long-lived is impacted more by biological processes associated with immunodeficiency before ART than the replication competency and/or cellular tropism of the infecting virus or the intactness of the provirus. Further research is needed to determine the mechanistic link between immunodeficiency and the timing of infected cells transitioning to the long-lived pool, particularly whether this is due to differences in infected cell clearance, turnover rates and/or homeostatic proliferation before and after ART.

摘要

接受抗逆转录病毒疗法(ART)的HIV-1感染者(PWH)可维持病毒水平检测不到,但仍有一小部分受感染细胞持续存在。这个细胞池主要由有缺陷的前病毒组成,这些前病毒可能产生HIV-1蛋白,但无法产生有传染性的病毒,其中只有一小部分(约10%)细胞携带完整的病毒基因组,其中一些在体外刺激后(即诱导性完整前病毒)产生有传染性的病毒。大多数在ART治疗期间持续存在的诱导性前病毒是在治疗开始时形成的。在这里,我们比较了ART治疗期间持续存在的受感染细胞池中前病毒DNA(此处评估为从总细胞DNA中扩增的3'半基因组)和诱导性复制能力病毒,以确定这些细胞的原始感染是否在治疗开始前的可比时间发生。总体而言,晚期形成的前病毒平均百分比(即ART开始时左右,60%)与晚期形成的具有复制能力的诱导性病毒平均百分比(69%)没有差异,对于高度突变的前病毒DNA(57%)也是如此。此外,没有证据表明使用CXCR4共受体的能力会阻碍进入长期存在的受感染细胞池,也没有证据表明在病毒载量极高的初次感染期间,长期存在的受感染细胞的形成会增强。我们观察到,在最低点CD4+T细胞计数较低的人群中,向长期存在的细胞的感染增强。这些数据共同表明,成为长期存在的细胞的感染时间更多地受到ART治疗前与免疫缺陷相关的生物学过程的影响,而不是感染病毒的复制能力和/或细胞嗜性或前病毒的完整性。需要进一步研究以确定免疫缺陷与受感染细胞转变为长期存在的细胞池的时间之间的机制联系,特别是这是否由于ART治疗前后受感染细胞清除、周转率和/或稳态增殖的差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef84/10931466/49c99614480f/ppat.1011974.g001.jpg

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