Blood and Lymph Node Dissemination of Clonal Genome-Intact Human Immunodeficiency Virus 1 DNA Sequences During Suppressive Antiretroviral Therapy

J Infect Dis. 2020 Jul 23;222(4):655-660. doi: 10.1093/infdis/jiaa137.

Abstract

The majority of cells with latent human immunodeficiency virus 1 infection are located in lymphoid tissues that are difficult to access. In the current study, we used single-genome near-full-length proviral sequencing to evaluate intact and defective proviruses in blood and lymph node CD4 T cells enriched for specific functional polarizations. We observed minor variations between the frequencies of proviral sequences within individual CD4 T-cell subsets and across tissue compartments. However, we noted multiple clonal clusters of identical intact or defective proviral sequences from distinct compartments and CD4 T-cell subpopulations, suggesting frequent interchanges between viral reservoir cells in blood and tissues.

Keywords: CD4 T cells; HIV-1; Lymph node; proviral sequencing; reservoir.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Retroviral Agents / therapeutic use
  • Base Sequence
  • CD4-Positive T-Lymphocytes / virology*
  • DNA, Viral / blood
  • HIV Infections / blood*
  • HIV Infections / drug therapy
  • HIV-1 / genetics*
  • Humans
  • Lymph Nodes / virology*
  • Proviruses / genetics*
  • T-Lymphocyte Subsets / virology*
  • Viral Load

Substances

  • Anti-Retroviral Agents
  • DNA, Viral