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JVI Accepts, published online ahead of print on 27 June 2007
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J. Virol. doi:10.1128/JVI.00614-07
Copyright (c) 2007, American Society for Microbiology and/or the Listed Authors/Institutions. All Rights Reserved.

A Rapid Progressor-Specific Variant Clone of Simian Immunodeficiency Virus Replicates Efficiently In Vivo Only in the Absence of Immune Reponses

Takeo Kuwata, Russell Byrum, Sonya Whitted, Robert Goeken, Alicia Buckler-White, Ronald Plishka, Ranjini Iyengar, and Vanessa M. Hirsch*

Laboratory of Molecular Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bioqual, Inc., Rockville, Maryland

* To whom correspondence should be addressed. Email: vhirsch{at}nih.gov.


   Abstract

A subset of simian immunodeficiency virus (SIV)-infected macaques progresses rapidly to disease with transient SIV-specific immune responses and high viral loads. Unique SIV variants with convergent Env mutations evolve in these rapid progressor (RP) macaques. To address the pathogenic significance of RP-specific variants, we generated infectious molecular clones from terminal plasma of a RP macaque. Inoculation of macaques with a representative clone, SIVsmH635FC, resulted in a persistent viremia, comparable to the pathogenic SIVsmE543-3, and a chronic disease with progressive loss of CD4+ T cells. However, SIVsmH635FC did not reproduce the rapid disease phenomenon. Molecular analyses of viruses from these macaques revealed rapid reversion to wild type SIVsmE543-3 at two RP-specific sites and slower reversion of another three sites. SIVsmH635FC was not sufficient to cause rapid progression even following co-inoculation with SIVsmE543-3, despite acute depletion of memory CD4+ T cells. SIVsmH635FC competed efficiently during primary infection in the co-inoculated macaques, but SIVsmE543-3 predominated after the development of SIV-specific immune responses. These data suggest that the replication fitness of the RP variant was similar to SIVsmE543-3 in a naïve host; however, SIVsmH635FC was at a disadvantage following the development of SIV-specific immune responses. Consistent with these findings, neutralization assays revealed that SIVsmH635FC was highly sensitive to neutralization, whereas the parental SIVsmE543-3 was highly resistant. This study suggests that the evolution of RP-specific variants is the end result of replication in a severely immune compromised host, rather than the direct cause of rapid progression.







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