HIV-1 Group M Capsid Amino Acid Variability : Implications for Sequence Quality Control of Genotypic Resistance Testing

BACKGROUND: With the approval of the HIV-1 capsid inhibitor, lenacapavir, capsid sequencing will be required for managing lenacapavir-experienced individuals with detectable viremia. Successful sequence interpretation will require examining new capsid sequences in the context of previously published sequence data.

METHODS: We analyzed published HIV-1 group M capsid sequences from 21,012 capsid-inhibitor naïve individuals to characterize amino acid variability at each position and influence of subtype and cytotoxic T lymphocyte (CTL) selection pressure. We determined the distributions of usual mutations, defined as amino acid differences from the group M consensus, with a prevalence ≥ 0.1%. Co-evolving mutations were identified using a phylogenetically-informed Bayesian graphical model method.

RESULTS: 162 (70.1%) positions had no usual mutations (45.9%) or only conservative usual mutations with a positive BLOSUM62 score (24.2%). Variability correlated independently with subtype-specific amino acid occurrence (Spearman rho = 0.83; p < 1 × 10-9) and the number of times positions were reported to contain an HLA-associated polymorphism, an indicator of CTL pressure (rho = 0.43; p = 0.0002).

CONCLUSIONS: Knowing the distribution of usual capsid mutations is essential for sequence quality control. Comparing capsid sequences from lenacapavir-treated and lenacapavir-naïve individuals will enable the identification of additional mutations potentially associated with lenacapavir therapy.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Viruses - 15(2023), 4 vom: 18. Apr.

Sprache:

Englisch

Beteiligte Personen:

Tao, Kaiming [VerfasserIn]
Rhee, Soo-Yon [VerfasserIn]
Tzou, Philip L [VerfasserIn]
Osman, Zachary A [VerfasserIn]
Pond, Sergei L Kosakovsky [VerfasserIn]
Holmes, Susan P [VerfasserIn]
Shafer, Robert W [VerfasserIn]

Links:

Volltext

Themen:

Amino Acids
Anti-HIV Agents
Capsid
Capsid Proteins
Cytotoxic T lymphocytes
Drug resistance
HIV-1
Journal Article
Lenacapavir
Research Support, N.I.H., Extramural
Subtype

Anmerkungen:

Date Completed 01.05.2023

Date Revised 06.12.2023

published: Electronic

Citation Status MEDLINE

doi:

10.3390/v15040992

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM356165469