2016
DOI: 10.1101/053983
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Establishment and stability of the latent HIV-1 DNA reservoir

Abstract: HIV-1 infection currently cannot be cured because the virus persists as integrated proviral DNA in long-lived cells despite years of suppressive antiretroviral therapy (ART). To characterize establishment, turnover, and evolution of viral DNA reservoirs we deep-sequenced the p17gag region of the HIV-1 genome from samples obtained from 10 patients after 3-18 years of suppressive ART. For each of these patients, whole genome deep-sequencing data of HIV-1 RNA populations before onset of ART were available from 6-… Show more

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Cited by 3 publications
(4 citation statements)
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References 33 publications
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“…Brodin et al 12 suggested that the decay of labile populations may produce false signals of evolution during treatment, even in the absence of viral replication. We used computer simulations of viral populations during acute infection and treatment to confirm this hypothesis.…”
mentioning
confidence: 99%
“…Brodin et al 12 suggested that the decay of labile populations may produce false signals of evolution during treatment, even in the absence of viral replication. We used computer simulations of viral populations during acute infection and treatment to confirm this hypothesis.…”
mentioning
confidence: 99%
“…Depending on template input, minor variation at frequencies down to 0.3% could be detected and frequencies could be reliably measured down to about 1% (see Zanini et al (2016) and Methods below). For some of the analyses below, we include one additional patient (p7) described in (Brodin et al, 2016), for a total of 82 plasma samples. Eight of the ten patients were infected with subtype B, one with subtype C, and one with subtype CRF01 AE.…”
Section: Resultsmentioning
confidence: 99%
“…Similarly, the functional latent reservoir of HIV-1 is unlikely to bias our estimates of mutations rates. In a recent study of proviral DNA in the same patients, we found that the latent reservoir is an accurate snapshot of the HIV-1 diversity circulating in the year prior to the sample (Brodin et al, 2016). Hence we don't expect that the accumulation of diversity is delayed in substantial ways by contributions from reactivated latent virus.…”
Section: Neutral Mutation Rate Matrixmentioning
confidence: 91%
“…The formation of a latently infected reservoir in CD4 T cells is a key barrier to an HIV cure (Chun et al, 1997;Finzi et al, 1997). The reservoir is highly stable, long lived, and resistant to current antiretroviral therapy (Brodin et al, 2016;Elsheikh et al, 2019;Ismail et al, 2021). Additionally, clonal expansion in vivo counteracts gradual erosion of infected cells (De Scheerder et al, 2019;Lau et al, 2021).…”
Section: Introductionmentioning
confidence: 99%