Higher selection pressure from antiretroviral drugs in vivo results in increased evolutionary distance in HIV-1 pol.

Abstract:

:We investigated the effect of selection pressures on evolution of HIV-1 pol in 51 patients after switching to a new antiretroviral combination reverse transcriptase (RT) inhibitor therapy. Evolution of the protease (PR) and RT reading frames were analysed separately. Pairwise evolutionary distances (ED) were calculated between sequences from baseline and week 8 and between baseline and week 48 of protocol therapy. ED were calculated for all substitutions and for synonymous and nonsynonymous substitutions separately. At week 8 when HIV RNA reduction (selection pressure) was high, significantly more divergence in pol in both synonymous and nonsynonymous substitutions was found in patients with substantial RNA reduction (strong responders). Separate analyses of PR and RT revealed significantly greater ED in the RT (under selection pressure) of strong compared with nonresponders, whereas divergence between PR genes (not under selection pressure) did not differ in those two groups. Such differential evolution indicates that PR and RT were genetically unlinked and suggests recombination. The rapid increase of ED over the first 8 weeks was followed by only a minimal further rise by week 48, suggesting that selection of preexisting quasispecies accounted for the early changes. A disproportionally high number of synonymous substitutions accounted for the observed divergence and indicated that such genetic changes may not be completely silent.

journal_name

Virology

journal_title

Virology

authors

Günthard HF,Leigh-Brown AJ,D'Aquila RT,Johnson VA,Kuritzkes DR,Richman DD,Wong JK

doi

10.1006/viro.1999.9774

subject

Has Abstract

pub_date

1999-06-20 00:00:00

pages

154-65

issue

1

eissn

0042-6822

issn

1096-0341

pii

S0042-6822(99)99774-X

journal_volume

259

pub_type

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