HIV‐1 Variation before Seroconversion in Men Who Have Sex with Men: Analysis of Acute/Early HIV Infection in the Multicenter AIDS Cohort Study
Author(s) -
Geoffrey S. Gottlieb,
Laura Heath,
David C. Nickle,
Kim Wong,
Stephanie E. Leach,
Benjamin Meir Jacobs,
Surafel Gezahegne,
Angélique B. van ’t Wout,
Lisa P. Jacobson,
Joseph B. Margolick,
James I. Mullins
Publication year - 2008
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1086/529206
Subject(s) - multicenter aids cohort study , seroconversion , human immunodeficiency virus (hiv) , medicine , cohort , men who have sex with men , cohort study , multicenter study , sida , immunology , virology , demography , viral disease , syphilis , sociology , randomized controlled trial
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/microL.
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