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  4. Replicative fitness of transmitted HIV-1 drives acute immune activation, proviral load in memory CD4+ T cells, and disease progression
 
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Replicative fitness of transmitted HIV-1 drives acute immune activation, proviral load in memory CD4+ T cells, and disease progression
File(s)
Claiborne 2015 PNAS Replicative Fitness of Transmitted HIV.pdf (1.57 MB)
Accepted version
Author(s)
Claiborne, DT
Prince, JL
Scully, E
Macharia, G
Micci, L
more
Type
Journal Article
Abstract
HIV-1 infection is characterized by varying degrees of chronic immune activation and disruption of T-cell homeostasis, which impact the rate of disease progression. A deeper understanding of the factors that influence HIV-1-induced immunopathology and subsequent CD4+ T-cell decline is critical to strategies aimed at controlling or eliminating the virus. In an analysis of 127 acutely infected Zambians, we demonstrate a dramatic and early impact of viral replicative capacity (vRC) on HIV-1 immunopathogenesis that is independent of viral load (VL). Individuals infected with high-RC viruses exhibit a distinct inflammatory cytokine profile as well as significantly elevated T-cell activation, proliferation, and CD8+ T-cell exhaustion, during the earliest months of infection. Moreover, the vRC of the transmitted virus is positively correlated with the magnitude of viral burden in naive and central memory CD4+ T-cell populations, raising the possibility that transmitted viral phenotypes may influence the size of the initial latent viral reservoir. Taken together, these findings support an unprecedented role for the replicative fitness of the founder virus, independent of host protective genes and VL, in influencing multiple facets of HIV-1-related immunopathology, and that a greater focus on this parameter could provide novel approaches to clinical interventions.
Date Issued
2015
Date Acceptance
2015-01-21
Citation
Proc Natl Acad Sci U S A, 2015
URI
http://hdl.handle.net/10044/1/23404
URL
internal-pdf://2454470862/Claiborne%202015%20PNAS%20Replicative%20Fitness%20of%20Tra.pdf
DOI
https://www.dx.doi.org/10.1073/pnas.1421607112
ISSN
1091-6490
Publisher
National Academy of Sciences
Start Page
E1480
End Page
E1489
Journal / Book Title
Proc Natl Acad Sci U S A
Volume
112
Issue
12
Copyright Statement
The final publication is available at
https://dx.doi.org/10.1073/pnas.1421607112
License URL
http://www.rioxx.net/licenses/all-rights-reserved
Identifier
http://www.ncbi.nlm.nih.gov/pubmed/25730868
Publication Status
Published
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