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Updated: Aug 9, 2026

Genotypic Inference of HIV-1 Tropism Using Population-based Sequencing of V3
Published on: December 28, 2010
HIV-1 subtype C syncytium- and non-syncytium-inducing phenotypes and coreceptor usage among Ethiopian patients with
A Abebe1, D Demissie, J Goudsmit
1Ethiopian-Netherlands AIDS Research Project, Ethiopian Health and Nutrition Research Institute, Addis Ababa. enarp@telecom.net.et
Insights
Ethiopian AIDS patients predominantly harbor non-syncytium-inducing (NSI) HIV-1 subtype C viruses, with a low frequency of syncytium-inducing (SI) strains. Coreceptor usage, primarily CCR5 for NSI viruses, correlates with their biological phenotypes.
Area of Science:
- Virology
- Immunology
- Infectious Diseases
Background:
- Human Immunodeficiency Virus type 1 (HIV-1) exhibits diverse biological properties, including syncytium-inducing (SI) and non-syncytium-inducing (NSI) phenotypes.
- These phenotypes are associated with different coreceptor usage (CCR5, CXCR4) and disease progression.
- Understanding HIV-1 diversity in specific populations is crucial for therapeutic strategies.
Purpose of the Study:
- To determine the frequency of SI and NSI HIV-1 isolates in Ethiopian AIDS patients.
- To analyze coreceptor usage of these HIV-1 isolates.
- To characterize the gp120 V3 sequences of HIV-1 subtype C.
Main Methods:
- A cross-sectional study involving 48 hospitalized Ethiopian AIDS patients (CD4 count < 200 cells/mm³).
- HIV-1 phenotypes (SI/NSI) were determined using the MT-2 assay.
- Coreceptor usage was assessed using U87 cell transfectants and peripheral blood mononuclear cells (PBMCs).
- HIV-1 gp120 V3 sequences were analyzed using RT-PCR and phylogenetic methods.
Main Results:
- A low frequency of SI viruses (6%) was observed in Ethiopian AIDS patients.
- Patients with SI viruses had lower mean absolute CD4 counts compared to those with NSI viruses.
- All isolates were identified as HIV-1 subtype C.
- NSI viruses primarily used CCR5, while SI viruses utilized CXCR4, CCR5, and/or CCR3.
Conclusions:
- Ethiopian AIDS patients infected with HIV-1 subtype C exhibit a low prevalence of SI phenotype viruses.
- The observed coreceptor usage patterns correlate with the biological phenotypes of the HIV-1 isolates.
- These findings contribute to understanding HIV-1 diversity in the Ethiopian population.
Objective:
To assess syncytium-inducing (SI) and non-syncytium-inducing (NSI) frequencies, coreceptor usage and gp120 V3 sequences of HIV-1 isolates from Ethiopian AIDS patients.
Patients:
Cross-sectional study on 48 hospitalized AIDS patients (CD4 T cells < 200 x 10(6) cell/l) with stage III or IV of the WHO staging system for HIV-1 infection and disease.
Methods:
Peripheral blood mononuclear cells (PBMC) from all 48 patients were tested by MT-2 assay to determine SI/NSI phenotypes. Lymphocyte subsets were enumerated using Coulter counting and FACScan analysis. Viral load determination used a nucleic acid sequence-based amplification assay (NASBA). Coreceptor usage of HIV-1 biological clones was measured using U87 CD4/chemokine receptor transfectants and phytohemagglutinin-stimulated PBMC of healthy donors with wild-type CCR5 and homozygous mutation CCR5delta32 (a 32 base-pair deletion in CCR5). Reverse transcriptase polymerase chain reaction sequencing was performed on the third variable region (V3) of the HIV-1 gene gp120. Sequence alignments were done manually; phylogenetic analyses used PHYLIP software packages.
Results:
SI viruses were detected for 3/48 (6%) AIDS patients only. Lower mean absolute CD4 counts were determined in patients with SI virus compared with NSI (P = 0.04), but no differences in viral load were observed. All patients were found to be infected with HIV-1 subtype C, based on V3 sequencing. NSI biological clones used CCR5 as coreceptor; SI biological clones used CXCR4 and/or CCR5 and/or CCR3.
Conclusions:
Ethiopian patients with HIV-1 C-subtype AIDS harbour a remarkably low frequency of SI phenotype viruses. Coreceptor usage of these viruses correlates with their biological phenotypes.
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