Scientific article
OA Policy
English

Heritability of the HIV-1 reservoir size and decay under long-term suppressive ART

CollaboratorsKaiser, Laurent
Published inNature Communications, vol. 11, no. 1, 5542
Publication date2020
Abstract

The HIV-1 reservoir is the major hurdle to curing HIV-1. However, the impact of the viral genome on the HIV-1 reservoir, i.e. its heritability, remains unknown. We investigate the heritability of the HIV-1 reservoir size and its long-term decay by analyzing the distribution of those traits on viral phylogenies from both partial-pol and viral near full-length genome sequences. We use a unique nationwide cohort of 610 well-characterized HIV-1 subtype-B infected individuals on suppressive ART for a median of 5.4 years. We find that a moderate but significant fraction of the HIV-1 reservoir size 1.5 years after the initiation of ART is explained by genetic factors. At the same time, we find more tentative evidence for the heritability of the long-term HIV-1 reservoir decay. Our findings indicate that viral genetic factors contribute to the HIV-1 reservoir size and hence the infecting HIV-1 strain may affect individual patients' hurdle towards a cure.

Keywords
  • Adult
  • Anti-Retroviral Agents/pharmacology
  • CD4-Positive T-Lymphocytes/virology
  • Cohort Studies
  • DNA
  • Viral/genetics
  • Female
  • Genome
  • Viral
  • HIV Infections/virology
  • HIV-1/drug effects/genetics
  • Humans
  • Male
  • Time Factors
  • Viral Load
Citation (ISO format)
WAN, Chenjie et al. Heritability of the HIV-1 reservoir size and decay under long-term suppressive ART. In: Nature Communications, 2020, vol. 11, n° 1, p. 5542. doi: 10.1038/s41467-020-19198-7
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Article (Published version)
Identifiers
Journal ISSN2041-1723
266views
105downloads

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