Evolution of human immunodeficiency virus type 1 in perinatally infected infants with rapid and slow progression to

F Salvatori1, S Masiero, C Giaquinto

  • 1Department of Oncology and Surgical Sciences, AIDS Reference Center, University of Padova, Italy.

Journal of Virology
|June 1, 1997
PubMed

Insights

The origin of human immunodeficiency virus type 1 (HIV-1) infection in infants is linked to a single variant. Host immune pressure, particularly on the V3 region, influences viral evolution and disease progression over time.

Area of Science:

  • Virology
  • Immunology
  • Genetics

Background:

  • Perinatally infected infants often experience varying disease progression rates.
  • Understanding the initial viral variants and their evolution is crucial for predicting outcomes.

Purpose of the Study:

  • To investigate the relationship between the origin and evolution of human immunodeficiency virus type 1 (HIV-1) variants and disease progression in perinatally infected infants.
  • To analyze the V3 region of HIV-1 variants to understand early viral dynamics and host immune selective pressures.

Main Methods:

  • Phylogenetic analysis of V3 sequences from mother-infant pairs.
  • Sequential sampling of viral variants from infected infants over the first year of life.
  • Quantification of plasma HIV-1 RNA levels and analysis of synonymous/nonsynonymous substitutions.

Main Results:

  • A single HIV-1 variant initiated infection in all infants, regardless of disease progression speed.
  • Viral load initially increased then declined in slow progressors within the first six months.
  • Increased nonsynonymous substitutions in the second half of the year in slow progressors suggest stronger host selective pressure.

Conclusions:

  • The initial HIV-1 variant determines infection trajectory.
  • Host immune response to V3 may regulate viral levels later in life but is unlikely to drive early viral decline.
  • Differential selective pressures on viral evolution correlate with disease progression rates.

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