Higher sequence diversity in the vaginal tract than in blood at early HIV-1 infection.
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| Abstract |    :  
                  In the majority of cases, human immunodeficiency virus type 1 (HIV-1) infection is transmitted through sexual intercourse. A single founder virus in the blood of the newly infected donor emerges from a genetic bottleneck, while in rarer instances multiple viruses are responsible for systemic infection. We sought to characterize the sequence diversity at early infection, between two distinct anatomical sites; the female reproductive tract vs. systemic compartment. We recruited 72 women from Uganda and Zimbabwe within seven months of HIV-1 infection. Using next generation deep sequencing, we analyzed the total genetic diversity within the C2-V3-C3 envelope region of HIV-1 isolated from the female genital tract at early infection and compared this to the diversity of HIV-1 in plasma. We then compared intra-patient viral diversity in matched cervical and blood samples with three or seven months post infection. Genetic analysis of the C2-V3-C3 region of HIV-1 env revealed that early HIV-1 isolates within blood displayed a more homogeneous genotype (mean 1.67 clones, range 1-5 clones) than clones in the female genital tract (mean 5.7 clones, range 3-10 clones) (p<0.0001). The higher env diversity observed within the genital tract compared to plasma was independent of HIV-1 subtype (A, C and D). Our analysis of early mucosal infections in women revealed high HIV-1 diversity in the vaginal tract but few transmitted clones in the blood. These novel in vivo finding suggest a possible mucosal sieve effect, leading to the establishment of a homogenous systemic infection.  | 
        
| Year of Publication |    :  
                  2018 
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| Journal |    :  
                  PLoS pathogens 
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| Volume |    :  
                  14 
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| Issue |    :  
                  1 
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| Number of Pages |    :  
                  e1006754 
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| ISSN Number |    :  
                  1553-7366 
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| URL |    :  
                  http://dx.plos.org/10.1371/journal.ppat.1006754 
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| DOI |    :  
                  10.1371/journal.ppat.1006754 
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| Short Title |    :  
                  PLoS Pathog 
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