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Journal of Virology, February 2005, p. 1975-1980, Vol. 79, No. 3
0022-538X/05/$08.00+0 doi:10.1128/JVI.79.3.1975-1980.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
G
A Hypermutation in Protease and Reverse Transcriptase Regions of Human Immunodeficiency Virus Type 1 Residing in Resting CD4+ T Cells In Vivo
Tara L. Kieffer,1
Patty Kwon,1
Richard E. Nettles,1
Yefei Han,1
Stuart C. Ray,1 and
Robert F. Siliciano1,2*
Department of Medicine, Johns Hopkins University School of Medicine,1
Howard Hughes Medical Institute, Baltimore, Maryland2
Received 10 August 2004/
Accepted 9 September 2004

ABSTRACT
In vitro studies have shown that the host cytidine deaminase
APOBEC3G causes lethal hypermutation in human immunodeficiency
virus type 1 reverse transcripts unless its incorporation into
virions is blocked by Vif. By examining stably archived sequences
in resting CD4
+ T cells, we show that hypermutation occurs in
most if not all infected individuals. Hypermutated sequences
comprised >9% of archived species in resting CD4
+ T cells
but were not found in plasma virus. Mutations occurred in predicted
contexts, with notable hotspots. Thus, defects in Vif function
in vivo give rise to hypermutated viral genomes that can be
integrated but do not produce progeny viruses.

TEXT
A component of innate immune defense against viruses is ABOBEC3G,
a cytidine deaminase which causes G

A hypermutation in retroviral
genomes (
9,
11,
16,
18,
26,
35,
36). ABOBEC3G is incorporated
into assembling virions and then deaminates cytidines of the
single-stranded viral cDNA that is initially synthesized by
reverse transcriptase (RT) upon entry of the virus into a new
host cell (
11,
16,
18,
35,
36). This C

U deamination on the minus
strand of the reverse transcript leads to fixation of G

A mutations.
Pioneering work by Sheehy et al. identified APOBEC3G as an antiviral
factor and showed that human immunodeficiency virus type 1 (HIV-1)
Vif overcomes its effects (
26). Vif counteracts APOBEC3G by
inhibiting its translation and accelerating its degradation,
thereby preventing APOBEC3G incorporation into HIV-1 virions
(
19,
20,
25,
27,
30). Studies of target sequence specificity
of ABOBEC3G have revealed a context dependence for the two nucleotides
immediately upstream of the targeted dC (
1,
11,
35), consistent
with reports of G

A hypermutation in HIV-1 sequences from infected
individuals (
3,
8,
13). In these studies, minus-strand C

U deamination
resulted in fixation of G

A mutations within
GA and
GG dinucleotides
with an extreme bias for
GGG sequences (
3,
13,
31). Within hypermutated
sequences, 20 to 94% of guanine nucleotides in these contexts
were mutated (
13). Recent studies have delineated the preferences
of ABOBEC3G and ABOBEC3F, a closely related protein of similar
function (
33,
34), as
GG and
GA, respectively (
17,
33).
Most studies of the antiviral effects of APOBEC3G have utilized Vif HIV-1 constructs, and there remains uncertainty about how often G
A hypermutation occurs in HIV-1-infected individuals and about the fate of hypermutated viruses. Janini et al. found hypermutation in 43% of patient samples (13). Hypermutated sequences had in-frame stop codons that would interfere with the production of viral proteins (13). However, the replication defect shown by Vif viruses may actually operate at an early, postentry stage in viral replication and decrease the formation of proviruses (29, 32). One possibility is that the deoxyuridines produced by deamination undergo uracil excision by uracil-DNA glycosylases, exposing the viral cDNA to nucleases (11).
To understand the nature and distribution of hypermutated sequences in vivo, we analyzed the protease and RT regions of HIV-1 sequences obtained from resting CD4+ T cells of nine patients who had prolonged suppression of viremia to below the limit of detection on highly active antiretroviral therapy (HAART). In patients on successful long-term HAART, labile unintegrated forms of HIV-1 decay (2, 22), and resting CD4+ T cells harbor stably integrated, latent viral genomes, some of which are replication competent (4, 5, 10). This cellular reservoir persists in patients on HAART (6, 21, 28) and continually releases virus into the plasma at low levels (12, 14). We analyzed hypermutation in both the cellular and plasma compartments of these patients.
Resting CD4+ T cells were isolated from peripheral blood mononuclear cells by use of negative selection to remove monocytes, natural killer (NK) cells, B cells, CD8+ T cells, and activated CD4+ T cells as previously described (7). The resulting populations were >90% pure. pol gene sequences from resting cells were obtained by a single genome sequencing method (P. Kwon, M. Wind-Rotolo, and R. F. Siliciano, unpublished data). Plasma sequences were obtained by frequent sampling over a 3-month period and an ultrasensitive RT-PCR capable of separately genotyping RT and protease from patients with viral loads below 50 copies/ml (14). Sequences were analyzed using a program (www.hiv.lanl.gov/HYPERMUT/hypermut.html) that compares each patient sequence to a patient-specific consensus to determine the frequency and context of G
A mutations (23). Hypermutated sequences were defined as having >5% of the total Gs mutated to A but <1% A
G mutations.
Of 2,024 independent RT and protease sequences from the plasma virus of nine patients, not a single one was hypermutated. In contrast, from a total of 317 independent pol clones from the latent cellular reservoir, hypermutation was detected in 19 of 302 (6.3%) protease sequences and 21 of 309 (6.8%) RT sequences. Both protease and RT were hypermutated in 12 clones. Thus, there were a minimum of 28 (8.8%) hypermutated genomes among the 317 pol clones. This is a minimal estimate, because sequencing repeatedly failed for some pol clones (15 protease and 8 RT sequences), possibly due to hypermutation, and because sequencing additional regions of the viral genome, particularly env and the 5' half of nef (35), may have revealed additional hypermutation. At least one hypermutated sequence was found with each patient studied. Phylogenetic analysis showed patient-specific clustering and extreme divergence of the hypermutated sequences within patient-specific clusters (Fig. 1). The routine detection of hypermutated sequences in resting CD4+ T cells of patients with prolonged suppression of active viral replication on HAART suggests that hypermutated viral genomes can enter the stable pool of integrated HIV-1 DNA in these cells. The absence of hypermutated plasma sequences indicates that hypermutation blocks virus production from these proviruses.
Within hypermutated sequences, G

A mutations were found at an
average of 11% (RT) and 13.5% (protease) of all Gs (range, 5
to 22%), while only 0.18% (RT) and 0.44% (protease) of As were
mutated to guanine (Table
1). In 98% of the cases, mutations
were found in either
GA or
GG dinucleotides, with about 20%
in GA and 80% in either
GG or
GGG sequences. In contrast, Janini
et al. (
13) noted a 3F-like preference for mutation within the
GA context in protease sequences from unfractionated peripheral
blood mononuclear cells of viremic patients. We found a preference
for hypermutation at Gs preceded by T, consistent with a recent
study defining T
GGG as the tetranucleotide consensus sequence
for ABOBEC3G (
35). Our results are consistent with the idea
of both ABOBEC3G and ABOBEC3F contributing to in vivo hypermutation.
Mutational hotspots, defined as G

A mutations in >50% of hypermutated
sequences, were identified in the protease and RT genes (Table
2 and Table
3). The substitution at nucleotide (nt) 125 in protease
was found in 63% of sequences and resulted in a stop codon.
Four other hotspots resulted in a change at a glycine residue.
This is as expected, since glycine codons (GGN) contain the
targeted GG dinucleotide. In RT, nine hotspots were identified
(Table
3). The Gs at nt 151, 263, 333, and 690 occurred at the
beginning of GGG trinucleotides and were mutated in 80 to 95%
of sequences. RT mutations resulted in substitutions at methionine
(
n = 4), tryptophan (
n = 2), or glycine (
n = 2). The mutations
in methionine codons (ATG) produced changes to isoleucine (ATA),
one of which was at amino acid 184 and corresponded to a known
intermediate in the pathway to lamivudine resistance. The mutations
within tryptophan codons resulted in stop codons at amino acids
88 and 212. The mutation at nt 333 produced a synonymous change
detected in 95% of the sequences.
View this table:
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TABLE 2. Detailed analysis of G A mutations in the protease gene of 19 hypermutated sequences from the resting CD4+ T cells of eight patients on HAART
|
View this table:
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|
TABLE 3. Detailed analysis of G A mutations in the RT gene of 21 hypermutated sequences from the resting CD4+ T cells of nine patients on HAART
|
We have detected hypermutated sequences in resting CD4
+ T cells
from patients who had prolonged suppression of viremia on HAART.
Hypermutated sequences with characteristic APOBEC3G/F-mediated
changes constituted >9% of the viral genomes in this compartment
and were found in every patient. This level may reflect some
degree of accumulation of defective genomes that do not direct
the synthesis of a full complement of viral proteins, thereby
sparing the infected cell from viral cytopathic effects. Our
data suggest that mutated viral genomes are able to integrate
into cellular DNA and persist in resting CD4
+ T cells even when
viral replication is halted with HAART. However, these hypermutated
genomes are subsequently incapable of producing virus, as indicated
by the fact that the viruses released into the plasma at low
level in patients on HAART were completely devoid of hypermutated
sequences.

ACKNOWLEDGMENTS
This work was supported by the Johns Hopkins University School
of Medicine General Clinical Research Center, grant number M01-RR00052,
from the National Center for Research Resource/National Institutes
of Health and by National Institutes of Health grants AI43222
and AI51178 and a grant from the Doris Duke Charitable Foundation.

FOOTNOTES
* Corresponding author. Mailing address: Department of Medicine, Johns Hopkins University School of Medicine, 879 Broadway Research Bldg., 733 N. Broadway, Baltimore, MD 21205. Phone: (410) 955-2958. Fax: (443) 287-6218. E-mail:
rsiliciano{at}jhmi.edu.


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Journal of Virology, February 2005, p. 1975-1980, Vol. 79, No. 3
0022-538X/05/$08.00+0 doi:10.1128/JVI.79.3.1975-1980.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
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