HIV-1 Protease, Reverse Transcriptase, and Integrase Variation. 2016

Soo-Yon Rhee, and Kris Sankaran, and Vici Varghese, and Mark A Winters, and Christopher B Hurt, and Joseph J Eron, and Neil Parkin, and Susan P Holmes, and Mark Holodniy, and Robert W Shafer
Department of Medicine, Stanford University, Stanford, California, USA syrhee@stanford.edu.

HIV-1 protease (PR), reverse transcriptase (RT), and integrase (IN) variability presents a challenge to laboratories performing genotypic resistance testing. This challenge will grow with increased sequencing of samples enriched for proviral DNA such as dried blood spots and increased use of next-generation sequencing (NGS) to detect low-abundance HIV-1 variants. We analyzed PR and RT sequences from >100,000 individuals and IN sequences from >10,000 individuals to characterize variation at each amino acid position, identify mutations indicating APOBEC-mediated G-to-A editing, and identify mutations resulting from selective drug pressure. Forty-seven percent of PR, 37% of RT, and 34% of IN positions had one or more amino acid variants with a prevalence of ≥1%. Seventy percent of PR, 60% of RT, and 60% of IN positions had one or more variants with a prevalence of ≥0.1%. Overall 201 PR, 636 RT, and 346 IN variants had a prevalence of ≥0.1%. The median intersubtype prevalence ratios were 2.9-, 2.1-, and 1.9-fold for these PR, RT, and IN variants, respectively. Only 5.0% of PR, 3.7% of RT, and 2.0% of IN variants had a median intersubtype prevalence ratio of ≥10-fold. Variants at lower prevalences were more likely to differ biochemically and to be part of an electrophoretic mixture compared to high-prevalence variants. There were 209 mutations indicative of APOBEC-mediated G-to-A editing and 326 mutations nonpolymorphic treatment selected. Identification of viruses with a high number of APOBEC-associated mutations will facilitate the quality control of dried blood spot sequencing. Identifying sequences with a high proportion of rare mutations will facilitate the quality control of NGS. Most antiretroviral drugs target three HIV-1 proteins: PR, RT, and IN. These proteins are highly variable: many different amino acids can be present at the same position in viruses from different individuals. Some of the amino acid variants cause drug resistance and occur mainly in individuals receiving antiretroviral drugs. Some variants result from a human cellular defense mechanism called APOBEC-mediated hypermutation. Many variants result from naturally occurring mutation. Some variants may represent technical artifacts. We studied PR and RT sequences from >100,000 individuals and IN sequences from >10,000 individuals to quantify variation at each amino acid position in these three HIV-1 proteins. We performed analyses to determine which amino acid variants resulted from antiretroviral drug selection pressure, APOBEC-mediated editing, and naturally occurring variation. Our results provide information essential to clinical, research, and public health laboratories performing genotypic resistance testing by sequencing HIV-1 PR, RT, and IN.

UI MeSH Term Description Entries
D009154 Mutation Any detectable and heritable change in the genetic material that causes a change in the GENOTYPE and which is transmitted to daughter cells and to succeeding generations. Mutations
D005838 Genotype The genetic constitution of the individual, comprising the ALLELES present at each GENETIC LOCUS. Genogroup,Genogroups,Genotypes
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000071478 APOBEC Deaminases A family of conserved cytidine deaminases that catalyze the DEAMINATION of CYTIDINE to URIDINE. They are characterized by N and C-terminal zinc-dependent catalytic domains and have important functions in RNA EDITING; EPIGENTIC PROCESSES; and the INNATE IMMUNE RESPONSE against viruses. AID-APOBEC Deaminases,APOBEC Enzymes,APOBEC Family Proteins,Apolipoprotein B mRNA Editing Enzyme, Catalytic Polypeptides,AID APOBEC Deaminases,Deaminases, AID-APOBEC,Deaminases, APOBEC
D000595 Amino Acid Sequence The order of amino acids as they occur in a polypeptide chain. This is referred to as the primary structure of proteins. It is of fundamental importance in determining PROTEIN CONFORMATION. Protein Structure, Primary,Amino Acid Sequences,Sequence, Amino Acid,Sequences, Amino Acid,Primary Protein Structure,Primary Protein Structures,Protein Structures, Primary,Structure, Primary Protein,Structures, Primary Protein
D014644 Genetic Variation Genotypic differences observed among individuals in a population. Genetic Diversity,Variation, Genetic,Diversity, Genetic,Diversities, Genetic,Genetic Diversities,Genetic Variations,Variations, Genetic
D015497 HIV-1 The type species of LENTIVIRUS and the etiologic agent of AIDS. It is characterized by its cytopathic effect and affinity for the T4-lymphocyte. Human immunodeficiency virus 1,HIV-I,Human Immunodeficiency Virus Type 1,Immunodeficiency Virus Type 1, Human
D015658 HIV Infections Includes the spectrum of human immunodeficiency virus infections that range from asymptomatic seropositivity, thru AIDS-related complex (ARC), to acquired immunodeficiency syndrome (AIDS). HTLV-III Infections,HTLV-III-LAV Infections,T-Lymphotropic Virus Type III Infections, Human,HIV Coinfection,Coinfection, HIV,Coinfections, HIV,HIV Coinfections,HIV Infection,HTLV III Infections,HTLV III LAV Infections,HTLV-III Infection,HTLV-III-LAV Infection,Infection, HIV,Infection, HTLV-III,Infection, HTLV-III-LAV,Infections, HIV,Infections, HTLV-III,Infections, HTLV-III-LAV,T Lymphotropic Virus Type III Infections, Human
D016333 HIV Protease Enzyme of the human immunodeficiency virus that is required for post-translational cleavage of gag and gag-pol precursor polyproteins into functional products needed for viral assembly. HIV protease is an aspartic protease encoded by the amino terminus of the pol gene. HIV Proteinase,HTLV-III Protease,p16 pol gene product, HIV,p16 protease, HIV,HIV p16 protease,HTLV III Protease,Protease, HIV,Protease, HTLV-III
D054303 HIV Reverse Transcriptase A reverse transcriptase encoded by the POL GENE of HIV. It is a heterodimer of 66 kDa and 51 kDa subunits that are derived from a common precursor protein. The heterodimer also includes an RNAse H activity (RIBONUCLEASE H, HUMAN IMMUNODEFICIENCY VIRUS) that plays an essential role the viral replication process. Reverse Transcriptase, HIV,Reverse Transcriptase, Human Immunodeficiency Virus,Transcriptase, HIV Reverse

Related Publications

Soo-Yon Rhee, and Kris Sankaran, and Vici Varghese, and Mark A Winters, and Christopher B Hurt, and Joseph J Eron, and Neil Parkin, and Susan P Holmes, and Mark Holodniy, and Robert W Shafer
August 1998, AIDS (London, England),
Soo-Yon Rhee, and Kris Sankaran, and Vici Varghese, and Mark A Winters, and Christopher B Hurt, and Joseph J Eron, and Neil Parkin, and Susan P Holmes, and Mark Holodniy, and Robert W Shafer
December 2010, Mini reviews in medicinal chemistry,
Soo-Yon Rhee, and Kris Sankaran, and Vici Varghese, and Mark A Winters, and Christopher B Hurt, and Joseph J Eron, and Neil Parkin, and Susan P Holmes, and Mark Holodniy, and Robert W Shafer
March 2013, FEBS letters,
Soo-Yon Rhee, and Kris Sankaran, and Vici Varghese, and Mark A Winters, and Christopher B Hurt, and Joseph J Eron, and Neil Parkin, and Susan P Holmes, and Mark Holodniy, and Robert W Shafer
August 2010, Bioorganic & medicinal chemistry letters,
Soo-Yon Rhee, and Kris Sankaran, and Vici Varghese, and Mark A Winters, and Christopher B Hurt, and Joseph J Eron, and Neil Parkin, and Susan P Holmes, and Mark Holodniy, and Robert W Shafer
January 1997, Science (New York, N.Y.),
Soo-Yon Rhee, and Kris Sankaran, and Vici Varghese, and Mark A Winters, and Christopher B Hurt, and Joseph J Eron, and Neil Parkin, and Susan P Holmes, and Mark Holodniy, and Robert W Shafer
January 1997, Science (New York, N.Y.),
Soo-Yon Rhee, and Kris Sankaran, and Vici Varghese, and Mark A Winters, and Christopher B Hurt, and Joseph J Eron, and Neil Parkin, and Susan P Holmes, and Mark Holodniy, and Robert W Shafer
January 1997, Science (New York, N.Y.),
Soo-Yon Rhee, and Kris Sankaran, and Vici Varghese, and Mark A Winters, and Christopher B Hurt, and Joseph J Eron, and Neil Parkin, and Susan P Holmes, and Mark Holodniy, and Robert W Shafer
August 2021, Pathogens (Basel, Switzerland),
Soo-Yon Rhee, and Kris Sankaran, and Vici Varghese, and Mark A Winters, and Christopher B Hurt, and Joseph J Eron, and Neil Parkin, and Susan P Holmes, and Mark Holodniy, and Robert W Shafer
April 2019, Pharmaceuticals (Basel, Switzerland),
Soo-Yon Rhee, and Kris Sankaran, and Vici Varghese, and Mark A Winters, and Christopher B Hurt, and Joseph J Eron, and Neil Parkin, and Susan P Holmes, and Mark Holodniy, and Robert W Shafer
December 2022, Viruses,
Copied contents to your clipboard!