Molecular evolution of HIV-1 integrase during the 20 years prior to the first approval of integrase inhibitors

Abstract Background Detailed knowledge of the evolutionary potential of polymorphic sites in a viral protein is important for understanding the development of drug resistance in the presence of an inhibitor. We therefore set out to analyse the molecular evolution of the HIV-1 subtype B integrase at...

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Main Authors: Karolin Meixenberger, Kaveh Pouran Yousef, Maureen Rebecca Smith, Sybille Somogyi, Stefan Fiedler, Barbara Bartmeyer, Osamah Hamouda, Norbert Bannert, Max von Kleist, Claudia Kücherer
Format: Article
Language:English
Published: BMC 2017-11-01
Series:Virology Journal
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Online Access:http://link.springer.com/article/10.1186/s12985-017-0887-1
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author Karolin Meixenberger
Kaveh Pouran Yousef
Maureen Rebecca Smith
Sybille Somogyi
Stefan Fiedler
Barbara Bartmeyer
Osamah Hamouda
Norbert Bannert
Max von Kleist
Claudia Kücherer
author_facet Karolin Meixenberger
Kaveh Pouran Yousef
Maureen Rebecca Smith
Sybille Somogyi
Stefan Fiedler
Barbara Bartmeyer
Osamah Hamouda
Norbert Bannert
Max von Kleist
Claudia Kücherer
author_sort Karolin Meixenberger
collection DOAJ
description Abstract Background Detailed knowledge of the evolutionary potential of polymorphic sites in a viral protein is important for understanding the development of drug resistance in the presence of an inhibitor. We therefore set out to analyse the molecular evolution of the HIV-1 subtype B integrase at the inter-patient level in Germany during a 20-year period prior to the first introduction of integrase strand inhibitors (INSTIs). Methods We determined 337 HIV-1 integrase subtype B sequences (amino acids 1–278) from stored plasma samples of antiretroviral treatment-naïve individuals newly diagnosed with HIV-1 between 1986 and 2006. Shannon entropy was calculated to determine the variability at each amino acid position. Time trends in the frequency of amino acid variants were identified by linear regression. Direct coupling analysis was applied to detect covarying sites. Results Twenty-two time trends in the frequency of amino acid variants demonstrated either single amino acid exchanges or variation in the degree of polymorphy. Covariation was observed for 17 amino acid variants with a temporal trend. Some minor INSTI resistance mutations (T124A, V151I, K156 N, T206S, S230 N) and some INSTI-selected mutations (M50I, L101I, T122I, T124 N, T125A, M154I, G193E, V201I) were identified at overall frequencies >5%. Among these, the frequencies of L101I, T122I, and V201I increased over time, whereas the frequency of M154I decreased. Moreover, L101I, T122I, T124A, T125A, M154I, and V201I covaried with non-resistance-associated variants. Conclusions Time-trending, covarying polymorphisms indicate that long-term evolutionary changes of the HIV-1 integrase involve defined clusters of possibly structurally or functionally associated sites independent of selective pressure through INSTIs at the inter-patient level. Linkage between polymorphic resistance- and non-resistance-associated sites can impact the selection of INSTI resistance mutations in complex ways. Identification of these sites can help in improving genotypic resistance assays, resistance prediction algorithms, and the development of new integrase inhibitors.
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spelling doaj.art-d7848cda650745b98b6753332569e0202022-12-22T01:29:28ZengBMCVirology Journal1743-422X2017-11-0114111310.1186/s12985-017-0887-1Molecular evolution of HIV-1 integrase during the 20 years prior to the first approval of integrase inhibitorsKarolin Meixenberger0Kaveh Pouran Yousef1Maureen Rebecca Smith2Sybille Somogyi3Stefan Fiedler4Barbara Bartmeyer5Osamah Hamouda6Norbert Bannert7Max von Kleist8Claudia Kücherer9HIV and other Retroviruses, Robert Koch InstituteDepartment of Mathematics and Computer Science, Freie Universität BerlinDepartment of Mathematics and Computer Science, Freie Universität BerlinHIV and other Retroviruses, Robert Koch InstituteHIV and other Retroviruses, Robert Koch InstituteHIV/AIDS, STI and Blood-borne Infections, Robert Koch InstituteHIV/AIDS, STI and Blood-borne Infections, Robert Koch InstituteHIV and other Retroviruses, Robert Koch InstituteDepartment of Mathematics and Computer Science, Freie Universität BerlinHIV and other Retroviruses, Robert Koch InstituteAbstract Background Detailed knowledge of the evolutionary potential of polymorphic sites in a viral protein is important for understanding the development of drug resistance in the presence of an inhibitor. We therefore set out to analyse the molecular evolution of the HIV-1 subtype B integrase at the inter-patient level in Germany during a 20-year period prior to the first introduction of integrase strand inhibitors (INSTIs). Methods We determined 337 HIV-1 integrase subtype B sequences (amino acids 1–278) from stored plasma samples of antiretroviral treatment-naïve individuals newly diagnosed with HIV-1 between 1986 and 2006. Shannon entropy was calculated to determine the variability at each amino acid position. Time trends in the frequency of amino acid variants were identified by linear regression. Direct coupling analysis was applied to detect covarying sites. Results Twenty-two time trends in the frequency of amino acid variants demonstrated either single amino acid exchanges or variation in the degree of polymorphy. Covariation was observed for 17 amino acid variants with a temporal trend. Some minor INSTI resistance mutations (T124A, V151I, K156 N, T206S, S230 N) and some INSTI-selected mutations (M50I, L101I, T122I, T124 N, T125A, M154I, G193E, V201I) were identified at overall frequencies >5%. Among these, the frequencies of L101I, T122I, and V201I increased over time, whereas the frequency of M154I decreased. Moreover, L101I, T122I, T124A, T125A, M154I, and V201I covaried with non-resistance-associated variants. Conclusions Time-trending, covarying polymorphisms indicate that long-term evolutionary changes of the HIV-1 integrase involve defined clusters of possibly structurally or functionally associated sites independent of selective pressure through INSTIs at the inter-patient level. Linkage between polymorphic resistance- and non-resistance-associated sites can impact the selection of INSTI resistance mutations in complex ways. Identification of these sites can help in improving genotypic resistance assays, resistance prediction algorithms, and the development of new integrase inhibitors.http://link.springer.com/article/10.1186/s12985-017-0887-1HIVIntegraseDrug resistancePolymorphismsTime trendCovariation
spellingShingle Karolin Meixenberger
Kaveh Pouran Yousef
Maureen Rebecca Smith
Sybille Somogyi
Stefan Fiedler
Barbara Bartmeyer
Osamah Hamouda
Norbert Bannert
Max von Kleist
Claudia Kücherer
Molecular evolution of HIV-1 integrase during the 20 years prior to the first approval of integrase inhibitors
Virology Journal
HIV
Integrase
Drug resistance
Polymorphisms
Time trend
Covariation
title Molecular evolution of HIV-1 integrase during the 20 years prior to the first approval of integrase inhibitors
title_full Molecular evolution of HIV-1 integrase during the 20 years prior to the first approval of integrase inhibitors
title_fullStr Molecular evolution of HIV-1 integrase during the 20 years prior to the first approval of integrase inhibitors
title_full_unstemmed Molecular evolution of HIV-1 integrase during the 20 years prior to the first approval of integrase inhibitors
title_short Molecular evolution of HIV-1 integrase during the 20 years prior to the first approval of integrase inhibitors
title_sort molecular evolution of hiv 1 integrase during the 20 years prior to the first approval of integrase inhibitors
topic HIV
Integrase
Drug resistance
Polymorphisms
Time trend
Covariation
url http://link.springer.com/article/10.1186/s12985-017-0887-1
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