Differential HIV-1 Proviral Defects in Children vs. Adults on Antiretroviral Therapy

HIV-1 proviral landscapes were investigated using near-full-length HIV single-genome sequencing on blood samples from five children with vertically acquired infection and on ART for ~7–9 years. Proviral structures were compared to published datasets in children prior to ART, children on short-term A...

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Main Authors: Jenna M. Hasson, Mary Grace Katusiime, Adam A. Capoferri, Michael J. Bale, Brian T. Luke, Wei Shao, Mark F. Cotton, Gert van Zyl, Sean C. Patro, Mary F. Kearney
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Viruses
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Online Access:https://www.mdpi.com/1999-4915/17/7/961
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author Jenna M. Hasson
Mary Grace Katusiime
Adam A. Capoferri
Michael J. Bale
Brian T. Luke
Wei Shao
Mark F. Cotton
Gert van Zyl
Sean C. Patro
Mary F. Kearney
author_facet Jenna M. Hasson
Mary Grace Katusiime
Adam A. Capoferri
Michael J. Bale
Brian T. Luke
Wei Shao
Mark F. Cotton
Gert van Zyl
Sean C. Patro
Mary F. Kearney
author_sort Jenna M. Hasson
collection DOAJ
description HIV-1 proviral landscapes were investigated using near-full-length HIV single-genome sequencing on blood samples from five children with vertically acquired infection and on ART for ~7–9 years. Proviral structures were compared to published datasets in children prior to ART, children on short-term ART, and adults on ART. We found a strong selection for large internal proviral deletions in children, especially deletions of the <i>env</i> gene. Only 2.5% of the proviruses were sequence-intact, lower than in the comparative datasets from adults. Of the proviruses that retained the <i>env</i> gene, >80% contained two or more defects, most commonly stop codons and/or <i>gag</i> start mutations. Significantly fewer defects in the major splice donor site (MSD) and packaging signal were found in the children on short or long-term ART compared to the adults, and <i>tat</i> was more frequently defective in children. These results suggest that different selection pressures may shape the proviral landscape in children compared to adults and reveal potentially different genetic regions to target for measuring the intact HIV reservoir and for achieving HIV remission in children.
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spelling doaj-art-3e832ea785c04cf5b41a7cf8a531b51d2025-07-25T13:38:58ZengMDPI AGViruses1999-49152025-07-0117796110.3390/v17070961Differential HIV-1 Proviral Defects in Children vs. Adults on Antiretroviral TherapyJenna M. Hasson0Mary Grace Katusiime1Adam A. Capoferri2Michael J. Bale3Brian T. Luke4Wei Shao5Mark F. Cotton6Gert van Zyl7Sean C. Patro8Mary F. Kearney9HIV Dynamics and Replication Program, Center for Cancer Research, National Cancer Institute, Frederick, MD 21702, USAHIV Dynamics and Replication Program, Center for Cancer Research, National Cancer Institute, Frederick, MD 21702, USAHIV Dynamics and Replication Program, Center for Cancer Research, National Cancer Institute, Frederick, MD 21702, USAHIV Dynamics and Replication Program, Center for Cancer Research, National Cancer Institute, Frederick, MD 21702, USAFrederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, MD 21702, USAFrederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, MD 21702, USADivision of Medical Virology, Department of Pathology, Stellenbosch University, Cape Town 7500, South AfricaDivision of Medical Virology, Department of Pathology, Stellenbosch University, Cape Town 7500, South AfricaFrederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc., Frederick, MD 21702, USAHIV Dynamics and Replication Program, Center for Cancer Research, National Cancer Institute, Frederick, MD 21702, USAHIV-1 proviral landscapes were investigated using near-full-length HIV single-genome sequencing on blood samples from five children with vertically acquired infection and on ART for ~7–9 years. Proviral structures were compared to published datasets in children prior to ART, children on short-term ART, and adults on ART. We found a strong selection for large internal proviral deletions in children, especially deletions of the <i>env</i> gene. Only 2.5% of the proviruses were sequence-intact, lower than in the comparative datasets from adults. Of the proviruses that retained the <i>env</i> gene, >80% contained two or more defects, most commonly stop codons and/or <i>gag</i> start mutations. Significantly fewer defects in the major splice donor site (MSD) and packaging signal were found in the children on short or long-term ART compared to the adults, and <i>tat</i> was more frequently defective in children. These results suggest that different selection pressures may shape the proviral landscape in children compared to adults and reveal potentially different genetic regions to target for measuring the intact HIV reservoir and for achieving HIV remission in children.https://www.mdpi.com/1999-4915/17/7/961HIV in childrenHIV reservoirHIV persistenceHIV provirusesHIV latencyintact provirus
spellingShingle Jenna M. Hasson
Mary Grace Katusiime
Adam A. Capoferri
Michael J. Bale
Brian T. Luke
Wei Shao
Mark F. Cotton
Gert van Zyl
Sean C. Patro
Mary F. Kearney
Differential HIV-1 Proviral Defects in Children vs. Adults on Antiretroviral Therapy
Viruses
HIV in children
HIV reservoir
HIV persistence
HIV proviruses
HIV latency
intact provirus
title Differential HIV-1 Proviral Defects in Children vs. Adults on Antiretroviral Therapy
title_full Differential HIV-1 Proviral Defects in Children vs. Adults on Antiretroviral Therapy
title_fullStr Differential HIV-1 Proviral Defects in Children vs. Adults on Antiretroviral Therapy
title_full_unstemmed Differential HIV-1 Proviral Defects in Children vs. Adults on Antiretroviral Therapy
title_short Differential HIV-1 Proviral Defects in Children vs. Adults on Antiretroviral Therapy
title_sort differential hiv 1 proviral defects in children vs adults on antiretroviral therapy
topic HIV in children
HIV reservoir
HIV persistence
HIV proviruses
HIV latency
intact provirus
url https://www.mdpi.com/1999-4915/17/7/961
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