Escape from humoral immunity is associated with treatment failure in HIV-1-infected patients receiving long-term antiretroviral therapy

Abstract Interindividual heterogeneity in the disease progression of HIV-1-infected patients receiving long-term antiretroviral therapy suggests that some host-related factors may have limited treatment efficacy. To understand the nature of factors contributing to treatment failure, we performed a r...

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Autores principales: Yabo Ouyang, Qianqian Yin, Wei Li, Zhenpeng Li, Desheng Kong, Yanling Wu, Kunxue Hong, Hui Xing, Yiming Shao, Shibo Jiang, Tianlei Ying, Liying Ma
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Publicado: Nature Portfolio 2017
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spelling oai:doaj.org-article:0a9c0dd248034bcfa50ff8cdab280a482021-12-02T12:32:59ZEscape from humoral immunity is associated with treatment failure in HIV-1-infected patients receiving long-term antiretroviral therapy10.1038/s41598-017-05594-52045-2322https://doaj.org/article/0a9c0dd248034bcfa50ff8cdab280a482017-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-05594-5https://doaj.org/toc/2045-2322Abstract Interindividual heterogeneity in the disease progression of HIV-1-infected patients receiving long-term antiretroviral therapy suggests that some host-related factors may have limited treatment efficacy. To understand the nature of factors contributing to treatment failure, we performed a retrospective cohort study of 45 chronically HIV-1-infected individuals sharing a similar demographics and route of infection, compared the differences between virologically suppressed (VS) and treatment failure (TF) patients with respect to clinical, immunological and virological characteristics. We found that the baseline diversity of HIV-1 env quasispecies was the major difference between VS and TF group, and higher baseline diversity in TF patients. We further predicted TF-related env mutations using a selection pressure-based approach, followed by an analysis of these mutations based on the available three-dimensional structures of gp120/gp41 or their complexes with neutralizing antibodies. Notably, almost all of the identified residues could be mapped to the epitopes of known HIV-1 neutralizing antibodies, especially the epitopes of broadly neutralizing antibodies, and these mutations tended to compromise antibody-antigen interactions. These results indicate that the escape of HIV-1 from host humoral immunity may play a direct role in TF in long-term antiretroviral-experienced patients and that based on env gene sequence of the viruses in the patients.Yabo OuyangQianqian YinWei LiZhenpeng LiDesheng KongYanling WuKunxue HongHui XingYiming ShaoShibo JiangTianlei YingLiying MaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-12 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yabo Ouyang
Qianqian Yin
Wei Li
Zhenpeng Li
Desheng Kong
Yanling Wu
Kunxue Hong
Hui Xing
Yiming Shao
Shibo Jiang
Tianlei Ying
Liying Ma
Escape from humoral immunity is associated with treatment failure in HIV-1-infected patients receiving long-term antiretroviral therapy
description Abstract Interindividual heterogeneity in the disease progression of HIV-1-infected patients receiving long-term antiretroviral therapy suggests that some host-related factors may have limited treatment efficacy. To understand the nature of factors contributing to treatment failure, we performed a retrospective cohort study of 45 chronically HIV-1-infected individuals sharing a similar demographics and route of infection, compared the differences between virologically suppressed (VS) and treatment failure (TF) patients with respect to clinical, immunological and virological characteristics. We found that the baseline diversity of HIV-1 env quasispecies was the major difference between VS and TF group, and higher baseline diversity in TF patients. We further predicted TF-related env mutations using a selection pressure-based approach, followed by an analysis of these mutations based on the available three-dimensional structures of gp120/gp41 or their complexes with neutralizing antibodies. Notably, almost all of the identified residues could be mapped to the epitopes of known HIV-1 neutralizing antibodies, especially the epitopes of broadly neutralizing antibodies, and these mutations tended to compromise antibody-antigen interactions. These results indicate that the escape of HIV-1 from host humoral immunity may play a direct role in TF in long-term antiretroviral-experienced patients and that based on env gene sequence of the viruses in the patients.
format article
author Yabo Ouyang
Qianqian Yin
Wei Li
Zhenpeng Li
Desheng Kong
Yanling Wu
Kunxue Hong
Hui Xing
Yiming Shao
Shibo Jiang
Tianlei Ying
Liying Ma
author_facet Yabo Ouyang
Qianqian Yin
Wei Li
Zhenpeng Li
Desheng Kong
Yanling Wu
Kunxue Hong
Hui Xing
Yiming Shao
Shibo Jiang
Tianlei Ying
Liying Ma
author_sort Yabo Ouyang
title Escape from humoral immunity is associated with treatment failure in HIV-1-infected patients receiving long-term antiretroviral therapy
title_short Escape from humoral immunity is associated with treatment failure in HIV-1-infected patients receiving long-term antiretroviral therapy
title_full Escape from humoral immunity is associated with treatment failure in HIV-1-infected patients receiving long-term antiretroviral therapy
title_fullStr Escape from humoral immunity is associated with treatment failure in HIV-1-infected patients receiving long-term antiretroviral therapy
title_full_unstemmed Escape from humoral immunity is associated with treatment failure in HIV-1-infected patients receiving long-term antiretroviral therapy
title_sort escape from humoral immunity is associated with treatment failure in hiv-1-infected patients receiving long-term antiretroviral therapy
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/0a9c0dd248034bcfa50ff8cdab280a48
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