Impact of pre-adapted HIV transmission

Human leukocyte antigen class I (HLA)-restricted CD8(+) T lymphocyte (CTL) responses are crucial to HIV-1 control. Although HIV can evade these responses, the longer-term impact of viral escape mutants remains unclear, as these variants can also reduce intrinsic viral fitness. To address this, we he...

Full description

Bibliographic Details
Main Authors: Carlson, J, Du, V, Pfeifer, N, Bansal, A, Tan, V, Power, K, Brumme, C, Kreimer, A, DeZiel, C, Fusi, N, Schaefer, M, Brockman, M, Gilmour, J, Price, M, Kilembe, W, Haubrich, R, John, M, Mallal, S, Shapiro, R, Frater, J, Harrigan, P, Ndung'u, T, Allen, S, Heckerman, D, Sidney, J, Allen, T, Goulder, P, Brumme, Z, Hunter, E, Goepfert, P
Format: Journal article
Language:English
Published: Nature Publishing Group 2016
_version_ 1797103703940923392
author Carlson, J
Du, V
Pfeifer, N
Bansal, A
Tan, V
Power, K
Brumme, C
Kreimer, A
DeZiel, C
Fusi, N
Schaefer, M
Brockman, M
Gilmour, J
Price, M
Kilembe, W
Haubrich, R
John, M
Mallal, S
Shapiro, R
Frater, J
Harrigan, P
Ndung'u, T
Allen, S
Heckerman, D
Sidney, J
Allen, T
Goulder, P
Brumme, Z
Hunter, E
Goepfert, P
author_facet Carlson, J
Du, V
Pfeifer, N
Bansal, A
Tan, V
Power, K
Brumme, C
Kreimer, A
DeZiel, C
Fusi, N
Schaefer, M
Brockman, M
Gilmour, J
Price, M
Kilembe, W
Haubrich, R
John, M
Mallal, S
Shapiro, R
Frater, J
Harrigan, P
Ndung'u, T
Allen, S
Heckerman, D
Sidney, J
Allen, T
Goulder, P
Brumme, Z
Hunter, E
Goepfert, P
author_sort Carlson, J
collection OXFORD
description Human leukocyte antigen class I (HLA)-restricted CD8(+) T lymphocyte (CTL) responses are crucial to HIV-1 control. Although HIV can evade these responses, the longer-term impact of viral escape mutants remains unclear, as these variants can also reduce intrinsic viral fitness. To address this, we here developed a metric to determine the degree of HIV adaptation to an HLA profile. We demonstrate that transmission of viruses that are pre-adapted to the HLA molecules expressed in the recipient is associated with impaired immunogenicity, elevated viral load and accelerated CD4(+) T cell decline. Furthermore, the extent of pre-adaptation among circulating viruses explains much of the variation in outcomes attributed to the expression of certain HLA alleles. Thus, viral pre-adaptation exploits 'holes' in the immune response. Accounting for these holes may be key for vaccine strategies seeking to elicit functional responses from viral variants, and to HIV cure strategies that require broad CTL responses to achieve successful eradication of HIV reservoirs.
first_indexed 2024-03-07T06:23:53Z
format Journal article
id oxford-uuid:f39ba95a-f90e-4f35-a35c-11eb4d7cedae
institution University of Oxford
language English
last_indexed 2024-03-07T06:23:53Z
publishDate 2016
publisher Nature Publishing Group
record_format dspace
spelling oxford-uuid:f39ba95a-f90e-4f35-a35c-11eb4d7cedae2022-03-27T12:13:30ZImpact of pre-adapted HIV transmissionJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f39ba95a-f90e-4f35-a35c-11eb4d7cedaeEnglishSymplectic Elements at OxfordNature Publishing Group2016Carlson, JDu, VPfeifer, NBansal, ATan, VPower, KBrumme, CKreimer, ADeZiel, CFusi, NSchaefer, MBrockman, MGilmour, JPrice, MKilembe, WHaubrich, RJohn, MMallal, SShapiro, RFrater, JHarrigan, PNdung'u, TAllen, SHeckerman, DSidney, JAllen, TGoulder, PBrumme, ZHunter, EGoepfert, PHuman leukocyte antigen class I (HLA)-restricted CD8(+) T lymphocyte (CTL) responses are crucial to HIV-1 control. Although HIV can evade these responses, the longer-term impact of viral escape mutants remains unclear, as these variants can also reduce intrinsic viral fitness. To address this, we here developed a metric to determine the degree of HIV adaptation to an HLA profile. We demonstrate that transmission of viruses that are pre-adapted to the HLA molecules expressed in the recipient is associated with impaired immunogenicity, elevated viral load and accelerated CD4(+) T cell decline. Furthermore, the extent of pre-adaptation among circulating viruses explains much of the variation in outcomes attributed to the expression of certain HLA alleles. Thus, viral pre-adaptation exploits 'holes' in the immune response. Accounting for these holes may be key for vaccine strategies seeking to elicit functional responses from viral variants, and to HIV cure strategies that require broad CTL responses to achieve successful eradication of HIV reservoirs.
spellingShingle Carlson, J
Du, V
Pfeifer, N
Bansal, A
Tan, V
Power, K
Brumme, C
Kreimer, A
DeZiel, C
Fusi, N
Schaefer, M
Brockman, M
Gilmour, J
Price, M
Kilembe, W
Haubrich, R
John, M
Mallal, S
Shapiro, R
Frater, J
Harrigan, P
Ndung'u, T
Allen, S
Heckerman, D
Sidney, J
Allen, T
Goulder, P
Brumme, Z
Hunter, E
Goepfert, P
Impact of pre-adapted HIV transmission
title Impact of pre-adapted HIV transmission
title_full Impact of pre-adapted HIV transmission
title_fullStr Impact of pre-adapted HIV transmission
title_full_unstemmed Impact of pre-adapted HIV transmission
title_short Impact of pre-adapted HIV transmission
title_sort impact of pre adapted hiv transmission
work_keys_str_mv AT carlsonj impactofpreadaptedhivtransmission
AT duv impactofpreadaptedhivtransmission
AT pfeifern impactofpreadaptedhivtransmission
AT bansala impactofpreadaptedhivtransmission
AT tanv impactofpreadaptedhivtransmission
AT powerk impactofpreadaptedhivtransmission
AT brummec impactofpreadaptedhivtransmission
AT kreimera impactofpreadaptedhivtransmission
AT dezielc impactofpreadaptedhivtransmission
AT fusin impactofpreadaptedhivtransmission
AT schaeferm impactofpreadaptedhivtransmission
AT brockmanm impactofpreadaptedhivtransmission
AT gilmourj impactofpreadaptedhivtransmission
AT pricem impactofpreadaptedhivtransmission
AT kilembew impactofpreadaptedhivtransmission
AT haubrichr impactofpreadaptedhivtransmission
AT johnm impactofpreadaptedhivtransmission
AT mallals impactofpreadaptedhivtransmission
AT shapiror impactofpreadaptedhivtransmission
AT fraterj impactofpreadaptedhivtransmission
AT harriganp impactofpreadaptedhivtransmission
AT ndungut impactofpreadaptedhivtransmission
AT allens impactofpreadaptedhivtransmission
AT heckermand impactofpreadaptedhivtransmission
AT sidneyj impactofpreadaptedhivtransmission
AT allent impactofpreadaptedhivtransmission
AT goulderp impactofpreadaptedhivtransmission
AT brummez impactofpreadaptedhivtransmission
AT huntere impactofpreadaptedhivtransmission
AT goepfertp impactofpreadaptedhivtransmission