HIV reservoir quantification using cross-subtype multiplex ddPCR

Summary: A major barrier to conducting HIV cure research in populations with the highest HIV burden is the lack of an accurate assay to quantify the replication-competent reservoir across the dominant global HIV-1 subtypes. Here, we modify a subtype B HIV-1 assay that quantifies both intact and defe...

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Main Authors: Noah A.J. Cassidy, Carolyn S. Fish, Claire N. Levy, Pavitra Roychoudhury, Daniel B. Reeves, Sean M. Hughes, Joshua T. Schiffer, Sarah Benki-Nugent, Grace John-Stewart, Dalton Wamalwa, Keith R. Jerome, Julie Overbaugh, Florian Hladik, Dara A. Lehman
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:iScience
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589004221015856
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author Noah A.J. Cassidy
Carolyn S. Fish
Claire N. Levy
Pavitra Roychoudhury
Daniel B. Reeves
Sean M. Hughes
Joshua T. Schiffer
Sarah Benki-Nugent
Grace John-Stewart
Dalton Wamalwa
Keith R. Jerome
Julie Overbaugh
Florian Hladik
Dara A. Lehman
author_facet Noah A.J. Cassidy
Carolyn S. Fish
Claire N. Levy
Pavitra Roychoudhury
Daniel B. Reeves
Sean M. Hughes
Joshua T. Schiffer
Sarah Benki-Nugent
Grace John-Stewart
Dalton Wamalwa
Keith R. Jerome
Julie Overbaugh
Florian Hladik
Dara A. Lehman
author_sort Noah A.J. Cassidy
collection DOAJ
description Summary: A major barrier to conducting HIV cure research in populations with the highest HIV burden is the lack of an accurate assay to quantify the replication-competent reservoir across the dominant global HIV-1 subtypes. Here, we modify a subtype B HIV-1 assay that quantifies both intact and defective proviral DNA, adapting it to accommodate cross-subtype HIV-1 sequence diversity. We show that the cross-subtype assay works on subtypes A, B, C, D, and CRF01_AE and can detect a single copy of intact provirus. In longitudinal blood samples from Kenyan infants infected with subtypes A and D, patterns of intact and total HIV DNA follow the decay of plasma viral load over time during antiretroviral therapy, with intact HIV DNA comprising 7% (range 1%–33%) of the total HIV DNA during HIV RNA suppression. This high-throughput cross-subtype reservoir assay will be useful in HIV cure research in Africa and Asia, where HIV prevalence is highest.
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spelling doaj.art-e707195846a348508f652a81b92d9da22022-12-22T04:15:26ZengElsevieriScience2589-00422022-01-01251103615HIV reservoir quantification using cross-subtype multiplex ddPCRNoah A.J. Cassidy0Carolyn S. Fish1Claire N. Levy2Pavitra Roychoudhury3Daniel B. Reeves4Sean M. Hughes5Joshua T. Schiffer6Sarah Benki-Nugent7Grace John-Stewart8Dalton Wamalwa9Keith R. Jerome10Julie Overbaugh11Florian Hladik12Dara A. Lehman13Division of Human Biology, Fred Hutchinson Cancer Research Center, Seattle, WA, USADivision of Human Biology, Fred Hutchinson Cancer Research Center, Seattle, WA, USADepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USAVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA; Department of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USAVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USADepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USAVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA; Department of Medicine, University of Washington, Seattle, WA, USADepartment of Global Health, University of Washington, Seattle, WA, USADepartment of Global Health, University of Washington, Seattle, WA, USA; Department of Medicine, University of Washington, Seattle, WA, USA; Department of Epidemiology, University of Washington, Seattle, WA, USA; Department of Pediatrics, University of Washington, Seattle, WA, USADepartment of Pediatrics and Child Health, University of Nairobi, Kenyatta National Hospital, Nairobi, KenyaVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA; Department of Laboratory Medicine and Pathology, University of Washington, Seattle, WA, USADivision of Human Biology, Fred Hutchinson Cancer Research Center, Seattle, WA, USADepartment of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA; Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA; Department of Medicine, University of Washington, Seattle, WA, USADivision of Human Biology, Fred Hutchinson Cancer Research Center, Seattle, WA, USA; Department of Global Health, University of Washington, Seattle, WA, USA; Corresponding authorSummary: A major barrier to conducting HIV cure research in populations with the highest HIV burden is the lack of an accurate assay to quantify the replication-competent reservoir across the dominant global HIV-1 subtypes. Here, we modify a subtype B HIV-1 assay that quantifies both intact and defective proviral DNA, adapting it to accommodate cross-subtype HIV-1 sequence diversity. We show that the cross-subtype assay works on subtypes A, B, C, D, and CRF01_AE and can detect a single copy of intact provirus. In longitudinal blood samples from Kenyan infants infected with subtypes A and D, patterns of intact and total HIV DNA follow the decay of plasma viral load over time during antiretroviral therapy, with intact HIV DNA comprising 7% (range 1%–33%) of the total HIV DNA during HIV RNA suppression. This high-throughput cross-subtype reservoir assay will be useful in HIV cure research in Africa and Asia, where HIV prevalence is highest.http://www.sciencedirect.com/science/article/pii/S2589004221015856VirologyGenotyping
spellingShingle Noah A.J. Cassidy
Carolyn S. Fish
Claire N. Levy
Pavitra Roychoudhury
Daniel B. Reeves
Sean M. Hughes
Joshua T. Schiffer
Sarah Benki-Nugent
Grace John-Stewart
Dalton Wamalwa
Keith R. Jerome
Julie Overbaugh
Florian Hladik
Dara A. Lehman
HIV reservoir quantification using cross-subtype multiplex ddPCR
iScience
Virology
Genotyping
title HIV reservoir quantification using cross-subtype multiplex ddPCR
title_full HIV reservoir quantification using cross-subtype multiplex ddPCR
title_fullStr HIV reservoir quantification using cross-subtype multiplex ddPCR
title_full_unstemmed HIV reservoir quantification using cross-subtype multiplex ddPCR
title_short HIV reservoir quantification using cross-subtype multiplex ddPCR
title_sort hiv reservoir quantification using cross subtype multiplex ddpcr
topic Virology
Genotyping
url http://www.sciencedirect.com/science/article/pii/S2589004221015856
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