Consistent viral evolutionary changes associated with the progression of human immunodeficiency virus type 1 infection.

Published

Journal Article

To understand the high variability of the asymptomatic interval between primary human immunodeficiency virus type 1 (HIV-1) infection and the development of AIDS, we studied the evolution of the C2-V5 region of the HIV-1 env gene and of T-cell subsets in nine men with a moderate or slow rate of disease progression. They were monitored from the time of seroconversion for a period of 6 to 12 years until the development of advanced disease in seven men. Based on the analysis of viral divergence from the founder strain, viral population diversity within sequential time points, and the outgrowth of viruses capable of utilizing the CXCR4 receptor (X4 viruses), the existence of three distinct phases within the asymptomatic interval is suggested: an early phase of variable duration during which linear increases ( approximately 1% per year) in both divergence and diversity were observed; an intermediate phase lasting an average of 1.8 years, characterized by a continued increase in divergence but with stabilization or decline in diversity; and a late phase characterized by a slowdown or stabilization of divergence and continued stability or decline in diversity. X4 variants emerged around the time of the early- to intermediate-phase transition and then achieved peak representation and began a decline around the transition between the intermediate and late phases. The late-phase transition was also associated with failure of T-cell homeostasis (defined by a downward inflection in CD3(+) T cells) and decline of CD4(+) T cells to

Full Text

Duke Authors

Cited Authors

  • Shankarappa, R; Margolick, JB; Gange, SJ; Rodrigo, AG; Upchurch, D; Farzadegan, H; Gupta, P; Rinaldo, CR; Learn, GH; He, X; Huang, XL; Mullins, JI

Published Date

  • December 1999

Published In

Volume / Issue

  • 73 / 12

Start / End Page

  • 10489 - 10502

PubMed ID

  • 10559367

Pubmed Central ID

  • 10559367

Electronic International Standard Serial Number (EISSN)

  • 1098-5514

International Standard Serial Number (ISSN)

  • 0022-538X

Language

  • eng