HIV-1 Viral Diversity & Immune Interactions

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Questions and Answers

What is the primary focus of this study regarding HIV-1 infection?

  • Analyzing the economic impact of HIV-1
  • Assessing the interaction between host and viral genomes (correct)
  • Investigating the social determinants of HIV-1 transmission
  • Developing new antiretroviral therapies

Which of the following data types were used in this study to assess host-virus interactions?

  • Geographic location
  • HLA genotyping data, viral genome sequences, and viral RNA load (correct)
  • Patient's dietary habits
  • Social media usage

The study uses average pairwise diversity as a proxy for what?

  • Time since infection (correct)
  • Viral fitness
  • HLA diversity
  • Geographic location of the patient

How many HLA/viral-variant pairs showed a signature of immune-driven selection in the genome-wide screen?

<p>98 (C)</p> Signup and view all the answers

Of the HLA/viral-variant pairs identified, how many were found to have an effect on viral load (VL)?

<p>12 (C)</p> Signup and view all the answers

What method was used to validate some of the identified HLA/viral-variant pairs in the study?

<p>Both time-to-event analyses and HLA-epitope predictions (A)</p> Signup and view all the answers

According to the author summary, how does the human immune system interact with viruses?

<p>Through dynamic associations with the viral genomes (D)</p> Signup and view all the answers

What is the significance of 'protective' HLA class I alleles, such as B*57:01, in the context of HIV infection?

<p>They are associated with lower viral load and slower disease progression. (A)</p> Signup and view all the answers

What does the study highlight about the interaction between the viral genome and the immune system?

<p>It shapes viral evolution dynamically. (D)</p> Signup and view all the answers

Why is it challenging to study the adaptive dynamics of HIV?

<p>Because it requires longitudinally sampled treatment-naïve sequences (A)</p> Signup and view all the answers

How did this study bypass the limitations of requiring longitudinally sampled treatment-naïve sequences?

<p>By using a novel viral diversity-based approach (B)</p> Signup and view all the answers

What does 'HLA-dependent selection' refer to in the context of this study?

<p>The influence of HLA alleles on the frequency of HIV variants over time (B)</p> Signup and view all the answers

Which of the following best describes the role of HLA genes in HIV infection, according to this study?

<p>HLA genes enable the body to recognize HIV mutations and trigger immune responses. (C)</p> Signup and view all the answers

The study found that most of the HIV variants from the 433 significant pairs were found in which proteins?

<p>Pol, Nef, and Gag (C)</p> Signup and view all the answers

What statistical measure was used to adjust for multiple testing when assessing the association between HLA alleles and HIV variants?

<p>Benjamini-Hochberg correction (C)</p> Signup and view all the answers

What was the strongest HLA/HIV-variant association found in the study?

<p>HLA-B*57:01 and Gag242N (B)</p> Signup and view all the answers

Why were proviral DNA sequences included in the study, and what sensitivity analysis was conducted regarding them?

<p>To represent latent HIV reservoirs; whether proviral sequences biased the results (A)</p> Signup and view all the answers

What does the study suggest about the use of average pairwise diversity (APD) in HIV research?

<p>It may have lower statistical power. (C)</p> Signup and view all the answers

This study mentions a limitation regarding the generalizability of the results. What is it?

<p>The study primarily includes individuals of European origin with HIV-1 subtype B (B)</p> Signup and view all the answers

What do the findings suggest about HIV's adaptation to immune pressure?

<p>HIV is very complex (D)</p> Signup and view all the answers

What is one potential use of these finding described by the author?

<p>Suggesting which design efforts should need focus (A)</p> Signup and view all the answers

With what has VL or viral load been associated?

<p>Increased and significant interaction effects (C)</p> Signup and view all the answers

One finding within the study was confirmed using which model?

<p>The Cox-proportional hazards (A)</p> Signup and view all the answers

The study uses which type of binding prediction?

<p>The MHC class 1 binding prediction (D)</p> Signup and view all the answers

Multiple linear regression models showed which trend?

<p>Demonstrated increased VL levels only (B)</p> Signup and view all the answers

Flashcards

HLA-HIV interactions

Dynamic associations between the viral and human genomes

Viral escape dynamics

Mutations allowing the evasion of immune recognition

Viral diversity-based method

A method to screen for interactions across the viral genome.

HLA genes

The genes encoding the major histocompatibility complex (MHC)

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HIV mutations

Enables viral immune escape

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Peer Review History Transparency

The benefits of transparency in the peer review process

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Average pairwise diversity (APD)

A measure of viral genetic diversity used as a proxy for time since infection.

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Sample-based analysis

Focuses patients samples to identify their viral variants.

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Longitudinal data

Investigating time-dependent effects of HLA-associated HIV adaptation

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Multivariable logistic regression models

Compensates for ancestral and population structure biases.

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Diversity-based approach

Reveals the evolutionary pressures shaping viral evolution

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Multivariable logistic regressions

Examining for linkage disequilibrium among HLA alleles

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Genome-wide association studies

Identifying HIV mutations that enable viral immune escape

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Protective HLA class I alleles

Associated with lower viral load and slower disease progression

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HLA-dependent effect

A signature of immune driven selection

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Study Notes

Using Viral Diversity to Identify HIV-1 Variants

  • A novel systematic approach uses average pairwise viral diversity to assess the host-virus interaction, using sequences (n = 4,464), HLA data (n = 1,044), and viral RNA load (VL) measurements (n = 829).
  • The systematic screen identified 98 HLA/viral-variant pairs with immune-driven selection, affecting time of infection on HIV amino acid variant presence
  • 12 pairs affected VL, 28/58 validated by time-to-event analyses, and 48/92 by HLA-epitope predictions
  • This approach investigates virus and cellular immunity interactions, highlighting their evolutionary complexity in shaping viral evolution and pathogenesis.

Author Summary

  • An intricate dance occurs between viruses and the immune system, displayed by viral and human genomes. Viral reactions often manifest as escape dynamics
  • A novel viral diversity-based method screens for interactions across the viral genome systematically. HIV-1 sequences and human leukocyte antigen (HLA) variants are used
  • Time-dependent relationships were found between 98 HLA and viral variant pairs, where 12 affected viral RNA concentration.
  • 28 pairs were confirmed by longitudinal time-to-event analyses, and computational predictions were consistent in 48 of HLA molecules.
  • Results show how the interaction of viral genomes and immune response shapes viral evolution which offers avenues to study interactions with real-world cross-sectional information.

Introduction

  • HIV's rapid evolution and diversity complicates universal vaccine development, with disease progression differing based on host and viral evolution.
  • Human Leukocyte Antigen (HLA) genes are consistent indicators of HIV progression. Class I genes (A, B, C) are linked to mutations, for immune evasion through disrupted antigen processing and reduced T cell recognition.
  • The HLA Class I provides advantages to the virus in certain scenarios. With conflicting evidence of Class II.
  • Research has explored HLA-HIV interactions in ART-naive individuals, linking viral mutations to HLA alleles.
  • HLA class I alleles (B*57:01) are associated with lower viral load and slower Progression.
  • Most interactions are associations between HIV mutations and HLA alleles in cross-sectional studies, these temporal dynamics remain unclear
  • Longitudinal studies have found viral escape within three years post-infection
  • Adaptation in the presence or absence of a protective HLA allele differs in speed and frequency
  • Applying a viral diversity-based approach enables studying the effects of HLA-associated HIV adaptation using real-world virus samples.
  • The data from the Swiss HIV Cohort Study (SHCS) includes a validated viral genetic diversity score (APD)

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