Reduced Replication Capacity of NL4-3 Recombinant Viruses Encoding Reverse Transcriptase Integrase Sequences From HIV-1 Elite Controllers

  • Zabrina L. Brumme ,
  • Chun Li ,
  • Toshiyuki Miura ,
  • Jennifer Sela ,
  • Pamela C. Rosato ,
  • Chanson J. Brumme ,
  • Tristan J. Markle ,
  • Eric Martin ,
  • Brian L. Block ,
  • Alicja Trocha ,
  • Carl Kadie ,
  • Todd M. Allen ,
  • Florencia Pereyra ,
  • ,
  • Bruce D. Walker ,
  • Mark A. Brockman

J Acquir Immune Defic Syndr. |

Publication

Background

Identifying viral and host determinants of HIV-1 elite control may help inform novel therapeutic and/or vaccination strategies. Previously, we observed decreased replication capacity in controller-derived viruses suggesting that fitness consequences of HLA class I-associated escape mutations in Gag may contribute to this phenotype. This study examines whether similar functional defects occur in Pol proteins of elite controllers.

Methods

Recombinant NL4-3 viruses encoding plasma RNA-derived Reverse Transcriptase (RT)-Integrase sequences from 58 elite controllers and 50 untreated chronic progressors were constructed and replication capacity measured in vitro using a GFP reporter T-cell assay. Sequences were analyzed for drug resistance and HLA-associated viral polymorphisms.

Results

Controller-derived viruses displayed significantly lower replication capacity compared to those from progressors (p<0.0001). Among controllers, the most attenuated viruses were generated from individuals expressing HLA-B*57 or B*51. In viruses from B*57+ progressors (N=8), a significant inverse correlation was observed between B*57-associated RT-Integrase escape mutations and replication capacity (R=−0.89; p=0.003); a similar trend was observed in B*57+ controller-derived viruses (N=20, R=−0.36; p=0.08).

Conclusions

HIV-1 Pol function appeared to be compromised in elite controllers. As observed previously for Gag, HLA-associated immune pressure in Pol may contribute to viral attenuation and subsequent control of viremia.