HIV-1 variation before seroconversion in men who have sex with men: Analysis of acute/early HIV infection in the multicenter AIDS cohort study

Geoffrey S. Gottlieb, Laura Heath, David C. Nickle, Kim G. Wong, Stephanie E. Leach, Benjamin Jacobs, Surafel Gezahegne, Angélique B. Van 'T Wout, Lisa P. Jacobson, Joseph B. Margolick, James I. Mullins

Research output: Contribution to journalArticlepeer-review

54 Scopus citations

Abstract

Understanding the characteristics of human immunodeficiency virus (HIV) necessary for infection in a new host is a critical goal for acquired immunodeficiency syndrome (AIDS) research. We studied the characteristics of HIV-1 envelope genes in 38 men in the Multicenter AIDS Cohort Study cohort before seroconversion. We found a range of diversity (0.2%-5.6% [median, 0.86%]), V1-V2 loop length (58-93 aa), and potential N-linked glycosylation sites (n = 2-9). However, at least 46% of the men had replicating virus that appeared to have been derived from a single viral variant. Nearly all variants were predicted to be CCR5 tropic. We found no correlation between these viral characteristics and the HIV outcomes of time to clinical AIDS or death and/or a CD4 cell count <200 cells/μL.

Original languageEnglish (US)
Pages (from-to)1011-1015
Number of pages5
JournalJournal of Infectious Diseases
Volume197
Issue number7
DOIs
StatePublished - Apr 1 2008

ASJC Scopus subject areas

  • General Medicine

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