Molecular genotypes of gag sequences in HIV-1 infected children treated with antiretroviral therapy in Vietnam

Background: Gag protein of human immunodeficiency virus (HIV) has been reported to play a crucial role in establishing infection, viral replication, and disease progression; thus, gag might be related to treatment response. The objective of this study was to investigate molecular genotypes of the ga...

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Main Authors: Linh Vu Phuong Dang, Hung Viet Pham, Thanh Thi Dinh, Phuong Thi Vu, Lam Van Nguyen, Hai Thanh Le, Mattias Larsson, Linus Olson
Format: Article
Language:English
Published: SAGE Publishing 2020-09-01
Series:Therapeutic Advances in Infectious Disease
Online Access:https://doi.org/10.1177/2049936120958536
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author Linh Vu Phuong Dang
Hung Viet Pham
Thanh Thi Dinh
Phuong Thi Vu
Lam Van Nguyen
Hai Thanh Le
Mattias Larsson
Linus Olson
author_facet Linh Vu Phuong Dang
Hung Viet Pham
Thanh Thi Dinh
Phuong Thi Vu
Lam Van Nguyen
Hai Thanh Le
Mattias Larsson
Linus Olson
author_sort Linh Vu Phuong Dang
collection DOAJ
description Background: Gag protein of human immunodeficiency virus (HIV) has been reported to play a crucial role in establishing infection, viral replication, and disease progression; thus, gag might be related to treatment response. The objective of this study was to investigate molecular genotypes of the gag gene, particularly the important functional binding domains in relation to treatment outcomes. Methods: HIV-infected children enrolled and treated at Vietnam National Children’s Hospital were recruited in the study. A total of 25 gag sequences were generated and used to construct phylogenetic trees and aligned with a reference sequence comparing 17 functional domains. Results: We found that all patients in a treatment failure (TF) group belonged to one cluster of the phylogenetic tree. In addition, the rate of mutations was significantly higher in TF compared with a treatment success (TS) group, specifically the PIP2 recognition motif, and the nucleocapsid basic and zinc motif 2 domains [median and (interquartile range (IQR): 12.5 (6.25–12.5) versus 50 (25–50), p < 0.01; 0 (0–0) versus 0 (0–21.43), p = 0.03 and 0 (0–7.14) versus 7.14 (7.14–7.14), p = 0.04, respectively]. When analyzing gag sequences at different time points in seven patients, we did not observe a consistent mutation pattern related to treatment response. Conclusion: Gag mutations in certain domains might be associated with increased viral load; therefore, studying the molecular genotype of the gag gene might be beneficial in monitoring treatment response in HIV-infected children.
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spelling doaj.art-06702da8ac6c4ad6b97f76680eb6c71e2022-12-21T20:16:25ZengSAGE PublishingTherapeutic Advances in Infectious Disease2049-937X2020-09-01710.1177/2049936120958536Molecular genotypes of gag sequences in HIV-1 infected children treated with antiretroviral therapy in VietnamLinh Vu Phuong DangHung Viet PhamThanh Thi DinhPhuong Thi VuLam Van NguyenHai Thanh LeMattias LarssonLinus OlsonBackground: Gag protein of human immunodeficiency virus (HIV) has been reported to play a crucial role in establishing infection, viral replication, and disease progression; thus, gag might be related to treatment response. The objective of this study was to investigate molecular genotypes of the gag gene, particularly the important functional binding domains in relation to treatment outcomes. Methods: HIV-infected children enrolled and treated at Vietnam National Children’s Hospital were recruited in the study. A total of 25 gag sequences were generated and used to construct phylogenetic trees and aligned with a reference sequence comparing 17 functional domains. Results: We found that all patients in a treatment failure (TF) group belonged to one cluster of the phylogenetic tree. In addition, the rate of mutations was significantly higher in TF compared with a treatment success (TS) group, specifically the PIP2 recognition motif, and the nucleocapsid basic and zinc motif 2 domains [median and (interquartile range (IQR): 12.5 (6.25–12.5) versus 50 (25–50), p < 0.01; 0 (0–0) versus 0 (0–21.43), p = 0.03 and 0 (0–7.14) versus 7.14 (7.14–7.14), p = 0.04, respectively]. When analyzing gag sequences at different time points in seven patients, we did not observe a consistent mutation pattern related to treatment response. Conclusion: Gag mutations in certain domains might be associated with increased viral load; therefore, studying the molecular genotype of the gag gene might be beneficial in monitoring treatment response in HIV-infected children.https://doi.org/10.1177/2049936120958536
spellingShingle Linh Vu Phuong Dang
Hung Viet Pham
Thanh Thi Dinh
Phuong Thi Vu
Lam Van Nguyen
Hai Thanh Le
Mattias Larsson
Linus Olson
Molecular genotypes of gag sequences in HIV-1 infected children treated with antiretroviral therapy in Vietnam
Therapeutic Advances in Infectious Disease
title Molecular genotypes of gag sequences in HIV-1 infected children treated with antiretroviral therapy in Vietnam
title_full Molecular genotypes of gag sequences in HIV-1 infected children treated with antiretroviral therapy in Vietnam
title_fullStr Molecular genotypes of gag sequences in HIV-1 infected children treated with antiretroviral therapy in Vietnam
title_full_unstemmed Molecular genotypes of gag sequences in HIV-1 infected children treated with antiretroviral therapy in Vietnam
title_short Molecular genotypes of gag sequences in HIV-1 infected children treated with antiretroviral therapy in Vietnam
title_sort molecular genotypes of gag sequences in hiv 1 infected children treated with antiretroviral therapy in vietnam
url https://doi.org/10.1177/2049936120958536
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