Correlation between SIV Tat evolution and AIDS progression in cerebrospinal fluid of morphine-dependent and control

Richard J Noel1, Ziomara Marrero-Otero, Rakesh Kumar

  • 1AIDS Research Program, Ponce School of Medicine, Ponce, PR 00732, USA; Department of Biochemistry, Ponce School of Medicine, Ponce, PR 00732. rnoel@psm.edu

Virology
|April 29, 2006
PubMed

Insights

Morphine abuse accelerates AIDS progression in macaques by altering Simian Immunodeficiency Virus (SIV) Tat protein evolution in cerebrospinal fluid. Rapid progressors showed less viral mutation, suggesting morphine impacts viral adaptation.

Area of Science:

  • Virology
  • Neuroscience
  • Immunology

Background:

  • Morphine abuse is linked to increased Simian Immunodeficiency Virus (SIV) replication and faster disease progression in a non-human primate model of Acquired Immunodeficiency Syndrome (AIDS).
  • Previous studies indicated that 50% of morphine-addicted macaques rapidly progress to AIDS, with two-thirds of these exhibiting severe neuropathogenesis.

Purpose of the Study:

  • To investigate the sequence evolution of the SIV Tat protein in the cerebrospinal fluid (CSF) of morphine-dependent and control macaques during the initial 20 weeks of infection.
  • To understand the role of SIV Tat evolution in AIDS neuropathology in the context of morphine dependence.

Main Methods:

  • Analysis of SIV Tat protein sequence evolution in the CSF of morphine-dependent and control macaques.
  • Comparison of viral evolution patterns between rapid progressors and normal progressors.
  • Assessment of mutation types (transitions vs. transversions) and distribution of changes in the SIV tat gene.

Main Results:

  • CSF SIV Tat evolution was inversely related to disease progression.
  • The highly neuropathogenic inoculum clone sequence was prevalent in the CSF of rapid progressors.
  • Divergence from the inoculum clone was significantly greater in morphine-dependent normal progressors and control macaques compared to morphine-dependent rapid progressors.
  • Morphine appeared to alter mutation types, increasing the transitions to transversions ratio, an effect exacerbated by rapid disease progression.

Conclusions:

  • Morphine abuse may alter the nature and extent of mutations driving SIV evolution, potentially influencing AIDS neuropathogenesis.
  • The findings suggest a complex interplay between morphine, viral evolution, and disease progression in the central nervous system.