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Evolution of coreceptor utilization to escape CCR5 antagonist therapy.


ABSTRACT: The HIV-1 envelope interacts with coreceptors CCR5 and CXCR4 in a dynamic, multi-step process, its molecular details not clearly delineated. Use of CCR5 antagonists results in tropism shift and therapeutic failure. Here we describe a novel approach using full-length patient-derived gp160 quasispecies libraries cloned into HIV-1 molecular clones, their separation based on phenotypic tropism in vitro, and deep sequencing of the resultant variants for structure-function analyses. Analysis of functionally validated envelope sequences from patients who failed CCR5 antagonist therapy revealed determinants strongly associated with coreceptor specificity, especially at the gp120-gp41 and gp41-gp41 interaction surfaces that invite future research on the roles of subunit interaction and envelope trimer stability in coreceptor usage. This study identifies important structure-function relationships in HIV-1 envelope, and demonstrates proof of concept for a new integrated analysis method that facilitates laboratory discovery of resistant mutants to aid in development of other therapeutic agents.

SUBMITTER: Zhang J 

PROVIDER: S-EPMC4913893 | biostudies-literature | 2016 Jul

REPOSITORIES: biostudies-literature

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Evolution of coreceptor utilization to escape CCR5 antagonist therapy.

Zhang Jie J   Gao Xiang X   Martin John J   Rosa Bruce B   Chen Zheng Z   Mitreva Makedonka M   Henrich Timothy T   Kuritzkes Daniel D   Ratner Lee L  

Virology 20160426


The HIV-1 envelope interacts with coreceptors CCR5 and CXCR4 in a dynamic, multi-step process, its molecular details not clearly delineated. Use of CCR5 antagonists results in tropism shift and therapeutic failure. Here we describe a novel approach using full-length patient-derived gp160 quasispecies libraries cloned into HIV-1 molecular clones, their separation based on phenotypic tropism in vitro, and deep sequencing of the resultant variants for structure-function analyses. Analysis of functi  ...[more]

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