Diversity of HIV type 1 envelope (V3-V5) sequence in HIV type 1-infected Indian children

Somi Sankaran Prakash1, Rajesh Kalra, Rakesh Lodha

  • 1Department of Biochemistry, All India Institute of Medical Sciences, New Delhi, India.

Insights

Sequence diversity in the HIV-1 envelope was assessed in 13 Indian children. All children had subtype C infections, with unique findings including coreceptor usage and V4 region deletion, highlighting significant viral diversity.

Area of Science:

  • Virology
  • Immunology
  • Genetics

Background:

  • Human Immunodeficiency Virus type 1 (HIV-1) infection remains a global health concern.
  • Understanding viral genetic diversity is crucial for developing effective treatments and vaccines.
  • Pediatric HIV-1 infection presents unique challenges in disease progression and management.

Purpose of the Study:

  • To analyze the sequence diversity of the HIV-1 viral envelope (V3-V5 region) in Indian children.
  • To identify specific genetic characteristics within the viral envelope, such as coreceptor usage and sequence variations.
  • To characterize the genetic landscape of HIV-1 in a pediatric cohort from North India.

Main Methods:

  • Viral RNA extraction from patient samples.
  • Sequencing of the HIV-1 envelope V3-V5 region.
  • Bioinformatic analysis including coreceptor usage prediction (Web PSSM, Geno2pheno).
  • Phylogenetic analysis to determine HIV-1 subtype.

Main Results:

  • All 13 children were infected with HIV-1 subtype C.
  • One viral sequence showed predicted CXCR4 coreceptor usage, associated with a longer V3 region (37 amino acids) and a specific motif (GRGQ).
  • A unique finding was the complete deletion of the V4 region in another viral sequence.
  • High sequence diversity was observed across the viral envelope sequences in the cohort.

Conclusions:

  • HIV-1 subtype C is prevalent in this cohort of Indian children.
  • Significant genetic diversity exists within the viral envelope, including unusual features like coreceptor tropism and regional deletions.
  • These findings underscore the importance of characterizing viral diversity in pediatric populations for targeted therapeutic strategies.