口交是指以唇、舌、齿及喉部刺激生殖器的性行为。它正常吗?这点似乎毋需多言,因为大多数性学家认为,在具有完全行为能力的成年人之间发生的、双方均能接受的性行为都是正常的。口交也有风险?当然,各种形式的性行为都有一些问题需要注意,口交也不例外。口交没有怀孕的顾虑,但它也并非是一种绝对安全的性行为。 口交与艾滋病 口交传播艾滋病的概率虽然较肛交、阴道性交为低,但也不是完全没有传播的可能。根据迄今最为权威性的关于口交传播艾滋病病毒危险性的研究,口交传播艾滋病病毒的危险比专家们预计的要高。 美国“疾病控制和预防中心”和“加州大学旧金山分校”的研究人员说,虽然过去有一些关于口交传染性的报告,但是新的诊断试验让他们可以确定感染的时间。为确定感染途径,研究人员花费很多精力,他们利用了医学记录,和这些男人们访谈,并在可能的情况下,和他们的伴侣谈话。虽然许多卫生官员一直怀疑口腔性交有一定的传播艾滋病病毒的危险,但是一些研究人员还是为他们研究结果的重要性而惊讶。 “这比我们以为的要高一些,这可能是和男人发生性关系的男人被感染的重要途径,”加州大学旧金山分校的研究人员Frederick Hecht博士这样说道,“没有保护的肛门性交比前些年少多了,但是没有保护的口腔性交没有出现类似的下降,这可能已经成为艾滋病病毒传播的重要方式。” 英国公共卫生实验室管理署(PHLS)的调查发现,在患艾滋病的人群中,因无防护措施的口交而被传染的比例占8%。而临床病例表明,口对阴茎、口对阴道和口对肛门的性交方式均可能传播艾滋病。也就是说,无论施行口交双方的性别为何,他们都有感染艾滋病的危险。 口交是如何传递艾滋病的呢?原来,导致艾滋病的人类免疫缺陷病毒(HIV)存在于病人或携带者的血液、精液、精前液及阴道分泌物中,如果施行口交者的口腔或喉咙里有小伤口或溃疡,HIV就能够通过体液与血液的接触而进行传播。因此,这意味着把伴侣的性分泌物吸进口腔可以具有感染艾滋病病毒的危险。如果其中一方已经感染了其它性传播疾病(STDs),传播HIV的几率也会增加。 口交与口腔癌 经常口交,除了会增加感染性病的风险外,还可诱发头颈癌包括口腔癌和舌癌的发生。美国科学家研究发现,已有强有力的证据表明口交和癌症的联系,在美国,64%的口腔、头部和颈部的癌症是由人类乳头状瘤病毒(Human Papillomavirus,简称HPV)引起的,这种病毒往往通过口交方式传播。口交的次数越多、进行口交的伴侣越多,发生这种致命癌症的可能性就越大。科学家表示,在美国,由乳头状瘤病毒传染而引起的口腔癌症变得越来越普遍,甚至比烟草所引起的还要多。而在世界其它地区,烟草所引起的这类癌症的仍是罪魁祸首。 美国俄亥俄州立大学教授茂拉.吉里森博士(Dr. Maura Gillison)在一次科学会议上指出:“跟六个或以上的性伴侣长期进行口交的人,(罹患口腔癌的机率)要比从不口交者高八倍。”这个消息可能会使那些担忧子女口交的家长们引起警觉。 那么,怎样才能有效地规避这些风险呢?答案和肛交及阴道性交一样——戴套吧。 口交也要戴套? 安全套可谓是人类最伟大的发明之一,在正确使用的前提下,它能够把怀孕和传播性病的几率降到最低。不过,国内了解口交安全套知识的人还比较少,而且在阴道性交时尚有许多人不愿戴套,口交时更是懒得费这个事儿。如果口交发生在彼此充分信任的夫妻之间,戴套可能不是很必要,但如果你想找点刺激,那么套套就是不可或缺的了。 对男性的口交可以使用普通安全套,不过它们通常会在嘴里留下一股乳胶味,而且上面涂的润滑剂在口交时没什么用,因此许多安全套生产商都推出了口交专用安全套。这种安全套通常使用超薄设计,大多数不添加润滑剂,安全套头部也少了储精囊,有的还会添加各种食用香精如草莓、香蕉、葡萄、巧克力……使得它们尝起来有多种口味。不过,有些安全套附赠的“风味”仅仅是厂家的促销措施,因此在选购的时候,一定要预先读说明书,弄清楚这种安全套用于口交是否合适。 那么,对女性的口交有什么保险措施吗?答案是“口交保险膜”(dental dam for oral sex)——它是一张隔在舌头和生殖器之间的乳胶膜,来源于牙科用的阻隔膜(dental dam)。用一个普通的避孕套可以自制简易的口交保险膜——把套套的头部剪掉,再把侧面剪开,让它变成一张长方形的乳胶膜就行了。 除去用这种方法自制保险膜之外,在市场上也可以买到专用的口交保险膜,不用说,它们也有着丰富多样的口味,供大家“各取所好”。 口交保险膜的制作 What is the best protection for oral sex? Q What is the best type of protection for oral sex? I know that with a guy there are condoms over the counter, but is there any option like for a girl? A There are options available for girls when it comes to oral sex. The whole idea is to keep a barrier between yourself and your partner. When oral sex is performed on a girl, a dental dam can be used. A dental dam is a piece of latex that is placed over the genital before oral sex. This makes a barrier between a person’s mouth and the genitals of the female. If you do not have a dental dam you can make one – it’s very easy! All you need is a pair of scissors, a male condom and about 30 seconds. Here is how you do it: The square piece of latex from the male condom can then be used to place over the female genital before oral sex. For more information on dental dams, visit the website Sexualityandu.ca (www.sexualityandu.ca). Select the sexuality transmitted infections link and then dental dams. If you have any other questions, or would like to discuss your question further, please e-mail again. If you would like to talk, or make an appointment to see a health nurse, just give us a call at 519.482.3416 or 1.877.837.6143.
医学专家预测2011年医学领域可能有的七大进展 http://news.sciencenet.cn/htmlnews/2011/1/243041.shtm 科学家将宣布HIV疫苗研究结果 2010年12月,德国科学家在美国《血液》月刊上发表报告称,他们通过骨髓移植疗法“治愈”了一名艾滋病患者。科学家介绍说,2007年,一名美国男性艾滋病病毒携带者因患白血病在柏林接受骨髓移植治疗,当时捐献者的骨髓配型不仅非常吻合,而且还拥有能天然抵御艾滋病病毒的变异基因Delta 32。3年后,这名美国病人已不再有白血病和艾滋病病毒感染的迹象。 Prediction 2: Results of a promising HIV vaccine will be announced. An American man made international headlines this month when German doctors announced he had been cured of the virus that causes AIDS. The HIV-positive man had suffered from acute myeloid leukemia — a deadly blood cancer — so in 2007 the doctors performed a bone marrow transplant to treat the leukemia. They were lucky enough to find a bone marrow donor with a rare mutation, called Delta 32, that provides natural resistance to the human immunodeficiency virus . http://www.myhealthnewsdaily.com/seven-predicted-medical-advances-in-2011-0949/ http://www.gopubmed.org/web/gopubmed/WEB16OWEB10O0 HIV and leukemia and bone marrow transplant 信息分析报告: HIV and leukemia and bone marrow transplant 1-19.docx
http://www.gopubmed.org/web/gopubmed/1?WEB067kk1vt0pwuqIsI1I00f01000j10040001rl Integrase and HIV and viral DNA 737 documents semantically analyzed 1 2 Top Years Publications 2009 73 2008 62 2006 50 2007 49 2001 47 2002 44 2005 41 1995 41 2004 39 2000 39 1999 36 1994 35 2003 34 1997 28 1996 27 1993 24 1998 22 1992 14 1991 9 2010 6 1 2 1 2 Top Countries Publications USA 395 France 92 Japan 28 Belgium 28 Italy 17 Netherlands 17 Germany 16 Australia 14 Canada 14 United Kingdom 14 China 11 Israel 10 South Korea 9 Switzerland 9 Russia 9 Spain 5 India 5 Czech Republic 4 Austria 4 South Africa 3 1 2 1 2 3 ... 8 Top Cities Publications Bethesda 60 Boston 28 Philadelphia 27 Leuven 22 New York 21 Los Angeles 21 Paris 19 Frederick 18 Bordeaux 16 Amsterdam 16 Cachan 14 Villejuif 14 Tokyo 14 St. Louis 13 Stanford 13 Montreal 9 Rome 9 London 8 San Francisco 8 Baltimore 8 1 2 3 ... 8 1 2 3 ... 10 Top Journals Publications J Virol 149 J Biol Chem 46 Nucleic Acids Res 28 P Natl Acad Sci Usa 27 Virology 24 J Mol Biol 21 Retrovirology 20 Biochemistry-us 17 J Med Chem 15 Aids Res Hum Retrov 15 Embo J 10 Science 9 Biochem Bioph Res Co 9 Plos Pathog 8 Antimicrob Agents Ch 8 Mol Pharmacol 8 Mol Ther 7 Bioorg Med Chem Lett 7 J Virol Methods 6 J Gen Virol 6 1 2 3 ... 10 1 2 3 ... 138 Top Terms Publications Integrases 693 Viruses 668 integrase activity 664 integrase 640 HIV-1 636 DNA 582 HIV 508 DNA, Viral 465 Humans 451 Proteins 385 HIV Integrase 361 Virus Integration 266 Base Sequence 238 Genome 237 Genomics 236 Enzymes 219 Virus Replication 219 Zidovudine 217 Mutation 195 viral genome replication 177 1 2 3 ... 138 1 2 3 ... 126 Top Authors Publications Bushman F 35 Pommier Y 35 Mouscadet J 28 Neamati N 26 Engelman A 25 Skalka A 22 Debyser Z 19 Litvak S 18 Craigie R 18 Chow S 17 Plasterk R 16 Parissi V 15 Mazumder A 15 Auclair C 13 Marchand C 12 Leh H 12 Burke T 12 Gottikh M 12 De Soultrait V 12 Katzman M 12 1 2 3 ... 126 http://arrowsmith.psych.uic.edu/cgi-bin/arrowsmith_uic/edit_b.cgi Start A-Literature C-Literature B-list Filter Literature A-query: Integrase and HIV C-query: HIV and viral DNA The B-list contains title words and phrases (terms) that appeared in both the A and the C literature. 737 articles appeared in both literatures and were not included in the process of computing the B-list but can be viewed here . The results of this search are saved under id # 32176 and can be accessed from the start page after you leave this session. There are 250 terms on the current B-list ( 116 are predicted to be relevant), which is shown ranked according to predicted relevance. The list can be further trimmed down using the filters listed in the left margin. To assess whether there appears to be a biologically significant relationship between the AB and BC literatures for specific B-terms, please select one or more B-terms and then click the button to view the corresponding AB and BC literatures. Use Ctrl to select multiple B-terms. Rank Prob B-term 10.99gp120 20.99gp41 30.99immunodeficiency virus genome 40.99vif 50.99virus genome 60.99cd34 70.99nef 80.99nuclear localization signal 90.99ccr5 100.99vpr 110.99hiv-1 ltr 120.99g quartet 130.99catalytic domain 140.99hiv-1 gene 150.99polyprotein 160.99terminal repeat 170.99chemokine 180.99gag pol 190.99gene human immunodeficiency 200.99importin 210.99topoisomerase 220.99cd8 230.99cyclophilin 240.99transcription factor 250.99rag2 260.99hiv-1 pol gene 270.99retrotransposon 280.99catalytic core 290.99nucleocapsid protein 300.99chemokine receptor 310.99rnase 320.99viral genome 330.99cdna 340.99pol gene 350.99protease gene human 360.99protease gene 370.99topoisomerase i 380.99murine leukemia virus 390.98capsid 400.98cd38 410.98cd4 420.98gene transfer lentiviral 430.98ltr 440.98rna genome 450.98dna binding 460.98hsv-1 470.98tat 480.98transgene expression 490.98virus polymerase gene 500.97nucleoporin 510.97vector gene 520.97gene hiv 530.97rt 540.97transgene 550.97pcr 560.96gene transfer 570.96rna polymerase 580.96v1 590.95gag 600.95hiv 610.95u3 620.95sustained transgene expression 630.95human genome 640.95virus rna genome 650.95siv 660.95p51 670.94endonuclease 680.94gene human 690.94ini1 700.94dna sequence 710.94pol 720.94reporter gene 730.93virus pol gene 740.93p66 750.92enhancer 760.92prion protein 770.91genomic 780.89clone 790.88ubiquitin 800.87polymerase 810.86genome 820.85idsa 830.84lys 840.83rna 850.82region pol gene 860.82pol gene hiv 870.81domain 880.81promoter 890.81p6 900.81ccr2 910.80mg2 920.79proteinase 930.79dna sequence specific 940.76protease 950.75sar 960.75immune response 970.74ribonuclease 980.73lc 990.73fret 1000.72hla 1010.70template 1020.65exonuclease 1030.64m d 1040.64fda 1050.60coiled coil 1060.60fusion 1070.60p21 1080.57switch 1090.56class i 1100.55glycoprotein 1110.53decay 1120.52myc 1130.51cys 1140.50nmr 1150.50tran 1160.471h 1170.46gene 1180.45rag 1190.43lens 1200.42box 1210.42tumor necrosis factor 1220.40region viral genome 1230.39core 1240.38nuclear protein 1250.38pis 1260.37spot 1270.35signal 1280.34cycle 1290.31line 1300.30b f 1310.28ex 1320.26novel 1330.25aid 1340.25acer 1350.25region 1360.24proteolysis 1370.24sera 1380.22nuclease 1390.20protein kinase 1400.19co 1410.18step 1420.17bcg 1430.17e coli 1440.17lack 1450.16impact 1460.16protein 1470.16transporter 1480.15asp 1490.15inhibitor 1500.14variant 1510.14protein gene 1520.13hope 1530.13ligand 1540.13fragment 1550.12cpz 1560.12cape 1570.11block 1580.11term 1590.11group 1600.10factor gene 1610.10non 1620.10p1 1630.10p2 1640.09alga 1650.09early 1660.09milk 1670.08igg 1680.08sp 1690.08ion 1700.08cell 1710.06not 1720.06cd 1730.05activity 1740.05bis 1750.05synergistic 1760.05gs 1770.05ag 1780.04fused 1790.04live 1800.04mode 1810.04leaf 1820.03past 1830.03cis 1840.03a1 1850.03mass 1860.03cholesterol 1870.03phosphate 1880.03kinase 1890.03base 1900.02inactive 1910.02king 1920.02total 1930.02hat 1940.02mn 1950.02card 1960.02start 1970.02double 1980.02amp 1990.02map 2000.01family 2010.01ring 2020.01point 2030.01salt 2040.01end 2050.01mice 2060.01year 2070.01ca 2080.01key 2090.01mark 2100.01nervous 2110.01b 2120.01old 2130.01art 2140.01minor 2150.01low 2160.01ray 2170.01tert 2180.01lethal 2190.01gas 2200.01modification 2210.01phase 2220.01alpha 2230.00side 2240.00time 2250.00care 2260.00receptor 2270.00going 2280.00large 2290.00beta 2300.00act 2310.00simple 2320.00pre 2330.00segment 2340.00fast 2350.00far 2360.00g 2370.00ab 2380.00set 2390.00gamma 2400.00or 2410.00vs 2420.00membrane 2430.00ma 2440.00reductase 2450.00fit 2460.00secretion 2470.00path 2480.00safe 2490.00nine 2500.00a Restrict by semantic categories? job id # 32176 started Tue Feb 2 03:07:26 2010 Max_citations: 50000 Stoplist: /var/www/html/arrowsmith_uic/data/stopwords_pubmed Ngram_max: 3 32176 Search ARROWSMITH A A_query_raw: Integrase and HIV Tue Feb 2 03:07:42 2010 A query = Integrase and HIV started Tue Feb 2 03:07:43 2010 A query resulted in 1906 titles 32176 Search ARROWSMITH C C_query_raw: HIV and viral DNA Tue Feb 2 03:08:02 2010 C: HIV and viral DNA 13339 A: pubmed_query_A 1906 AC: ( Integrase and HIV ) AND ( HIV and viral DNA ) 737 C query = HIV and viral DNA started Tue Feb 2 03:08:06 2010 C query resulted in 13339 titles A AND C query resulted in 737 titles 3779 B-terms ready on Tue Feb 2 03:09:37 2010 Sem_filter: Genes Molecular Sequences, and Gene Protein Names 250 B-terms left after filter executed Tue Feb 2 03:12:01 2010 B-list on Tue Feb 2 03:12:51 2010 1 gp120 2 gp41 3 immunodeficiency virus genome 4 vif 5 virus genome 6 cd34 7 nef 8 nuclear localization signal 9 ccr5 10 vpr 11 hiv-1 ltr 12 g quartet 13 catalytic domain 14 hiv-1 gene 15 polyprotein 16 terminal repeat 17 chemokine 18 gag pol 19 gene human immunodeficiency 20 importin 21 topoisomerase 22 cd8 23 cyclophilin 24 transcription factor 25 rag2 26 hiv-1 pol gene 27 retrotransposon 28 catalytic core 29 nucleocapsid protein 30 chemokine receptor 31 rnase 32 viral genome 33 cdna 34 pol gene 35 protease gene human 36 protease gene 37 topoisomerase i 38 murine leukemia virus 39 capsid 40 cd38 41 cd4 42 gene transfer lentiviral 43 ltr 44 rna genome 45 dna binding 46 hsv-1 47 tat 48 transgene expression 49 virus polymerase gene 50 nucleoporin 51 vector gene 52 gene hiv 53 rt 54 transgene 55 pcr 56 gene transfer 57 rna polymerase 58 v1 59 gag 60 hiv 61 u3 62 sustained transgene expression 63 human genome 64 virus rna genome 65 siv 66 p51 67 endonuclease 68 gene human 69 ini1 70 dna sequence 71 pol 72 reporter gene 73 virus pol gene 74 p66 75 enhancer 76 prion protein 77 genomic 78 clone 79 ubiquitin 80 polymerase 81 genome 82 idsa 83 lys 84 rna 85 region pol gene 86 pol gene hiv 87 domain 88 promoter 89 p6 90 ccr2 91 mg2 92 proteinase 93 dna sequence specific 94 protease 95 sar 96 immune response 97 ribonuclease 98 lc 99 fret 100 hla 101 template 102 exonuclease 103 m d 104 fda 105 coiled coil 106 fusion 107 p21 108 switch 109 class i 110 glycoprotein 111 decay 112 myc 113 cys 114 nmr 115 tran 116 1h Start A-Literature C-Literature B-list Filter Literature AB literature B-term BC literature Integrase and HIV gp120 HIV and viral DNA 1: Identification of N-phenyl-N'-(2,2,6,6-tetramethyl-piperidin-4-yl)-oxalamides as a new class of HIV-1 entry inhibitors that prevent gp120 binding to CD4.2005 Add to clipboard 2: Human immunodeficiency virus glycoprotein gp120 as the primary target for the antiviral action of AR177 (Zintevir).1998 Add to clipboard 1: Evolution of proviral gp120 over the first year of HIV-1 subtype C infection.2009 Add to clipboard 2: Strategies for induction of catalytic antibodies toward HIV-1 glycoprotein gp120 in autoimmune prone mice.2009 Add to clipboard 3: A rat model of human immunodeficiency virus 1 encephalopathy using envelope glycoprotein gp120 expression delivered by SV40 vectors.2009 Add to clipboard 4: Structure-function analysis of human immunodeficiency virus type 1 gp120 amino acid mutations associated with resistance to the CCR5 coreceptor antagonist vicriviroc.2009 Add to clipboard 5: 2009 Add to clipboard 6: Removal of a single N-linked glycan in human immunodeficiency virus type 1 gp120 results in an enhanced ability to induce neutralizing antibody responses.2008 Add to clipboard 7: Focusing the immune response on the V3 loop, a neutralizing epitope of the HIV-1 gp120 envelope.2008 Add to clipboard 8: Mapping resistance to the CCR5 co-receptor antagonist vicriviroc using heterologous chimeric HIV-1 envelope genes reveals key determinants in the C2-V5 domain of gp120 .2008 Add to clipboard 9: Improved induction of antibodies against key neutralizing epitopes by human immunodeficiency virus type 1 gp120 DNA prime-protein boost vaccination compared to gp120 protein-only vaccination.2008 Add to clipboard
http://www.bioon.com/biology/sars/409730.shtml 来源 生命经纬 2009-9-23 9:32:57 PLoSPathogens: HIV可利用多种途径逃脱免疫监控 据一篇发表于 Public Library of Science Pathogens 杂志的研究报告,埃默里疫苗中心的研究人员发现,艾滋病病毒可以通过多种途径避开机体中的免疫系统。 在一般病毒感染初期,人类免疫系统能够产生相应的中和 抗体 ,中和抗体能与病毒表面抗原结合,从而阻止该病原微生物粘附靶细胞受体,防止侵入细胞。但问题在于,HIV具有极强的突变能力,这使得中和抗体无法识别各种类型的HIV突变体。 该课题组的研究表明,即使研究人员能找到疫苗中的某个特定的部分,该部分能够刺激产生中和抗体,HIV快速突变的能力仍然可能由多种因素引起。据介绍,机体内单一类型的中和细胞并不足以遏制HIV。研究人员Derdeyn及其同事在赞比亚进行该研究,研究对象是有一个确诊为HIV阳性的夫妻。他们抽取了初期HIV感染者的血液样品,并对感染HIV两年的患者的血液进行病毒分离,以观察患者自身的抗体是如何中和这些病毒的。 研究发现,在这两类患者中,一些病毒的外蛋白发生突变,在突变后,某种酶更易连接到糖分子上,从而干扰了抗体攻击病毒。而且,在这两类患者中,其HIV的遗传密码也有多处发生改变,这也是HIV容易逃脱中和抗体攻击的原因。 该研究结果意味着要对HIV感染免疫,人体需要多种类型的中和抗体共同发挥作用。( 生物谷 Bioon.com) 生物谷推荐原始出处: PLoS Pathog 5(9): e1000594. doi:10.1371/journal.ppat.1000594 Escape from Autologous Neutralizing Antibodies in Acute/Early Subtype C HIV-1 Infection Requires Multiple Pathways Rong Rong1,2, Bing Li2, Rebecca M. Lynch1,2, Richard E. Haaland1,2, Megan K. Murphy1,2, Joseph Mulenga3,4, Susan A. Allen3,5, Abraham Pinter6,7, George M. Shaw8, Eric Hunter1,2, James E. Robinson9, S. Gnanakaran10, Cynthia A. Derdeyn1,2* 1 Department of Pathology and Laboratory Medicine, Emory University, Atlanta, Georgia, United States of America, 2 Emory Vaccine Center at Yerkes National Primate Research Center, Emory University, Atlanta, Georgia, United States of America, 3 Zambia Emory HIV Research Project, ZEHRP, Lusaka, Zambia, 4 Zambia Blood Transfusion Service, Lusaka, Zambia, 5 Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America, 6 Public Health Research Institute, Newark, New Jersey, United States of America, 7 New Jersey School of Medicine, University of Medicine and Dentistry, Newark, New Jersey, United States of America, 8 Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, United States of America, 9 Department of Pediatrics, Tulane University School of Medicine, New Orleans, Louisiana, United States of America, 10 Los Alamos National Laboratory, Los Alamos, New Mexico, United States of America One aim for an HIV vaccine is to elicit neutralizing antibodies (Nab) that can limit replication of genetically diverse viruses and prevent establishment of a new infection. Thus, identifying the strengths and weaknesses of Nab during the early stages of natural infection could prove useful in achieving this goal. Here we demonstrate that viral escape readily occurred despite the development of high titer autologous Nab in two subjects with acute/early subtype C infection. To provide a detailed portrayal of the escape pathways, Nab resistant variants identified at multiple time points were used to create a series of envelope (Env) glycoprotein chimeras and mutants within the background of a corresponding newly transmitted Env. In one subject, Nab escape was driven predominantly by changes in the region of gp120 that extends from the beginning of the V3 domain to the end of the V5 domain (V3V5). However, Nab escape pathways in this subject oscillated and at times required cooperation between V1V2 and the gp41 ectodomain. In the second subject, escape was driven by changes in V1V2. This V1V2-dependent escape pathway was retained over time, and its utility was reflected in the virus's ability to escape from two distinct monoclonal antibodies (Mabs) derived from this same patient via introduction of a single potential N-linked glycosylation site in V2. Spatial representation of the sequence changes in gp120 suggested that selective pressure acted upon the same regions of Env in these two subjects, even though the Env domains that drove escape were different. Together the findings argue that a single mutational pathway is not sufficient to confer escape in early subtype C HIV-1 infection, and support a model in which multiple strategies, including potential glycan shifts, direct alteration of an epitope sequence, and cooperative Env domain conformational masking, are used to evade neutralization. http://www.gopubmed.org/web/gopubmed/1?WEB01p4tdnztaexe7I3sI2I00d000j10040001rl Top Years Publications 2009 3 2008 3 2006 2 2004 2 2007 1 2001 1 1997 1 1996 1 Top Countries Publications USA 9 Italy 2 France 1 Netherlands 1 Canada 1 Top Cities Publications Rome 2 Atlanta 1 Paris 1 Birmingham, USA 1 San Diego 1 Amsterdam 1 Seattle 1 Philadelphia 1 Bethesda 1 San Francisco 1 Hamilton, Canada 1 Top Journals Publications J Virol 3 Plos Pathog 1 Apoptosis 1 Infection 1 Curr Opin Hiv Aids 1 Plos Comput Biol 1 Faseb J 1 J Exp Med 1 Aids 1 J Leukocyte Biol 1 Nat Med 1 Microbiol Rev 1 1 2 3 ... 18 Top Terms Publications HIV-1 14 Viruses 13 HIV 12 Humans 10 Mutation 8 Immunization 7 Immunity 7 Vaccines 5 Vaccination 5 T-Lymphocytes 5 HIV Infections 5 Acquired Immunodeficiency Syndrome 5 Genes 5 Virus Replication 5 Pressure 4 Patients 4 Antibodies 4 antigen binding 4 host cell 4 pathogenesis 4 1 2 3 ... 18 1 2 3 4 5 Top Authors Publications Hahn B 2 Piacentini M 1 Gougeon M 1 Santoro M 1 Bertoli A 1 Lorenzini P 1 Ceccherini-Silberstein F 1 Gianotti N 1 Mussini C 1 Torti C 1 Di Perri G 1 Barbarini G 1 Bini T 1 Melzi S 1 Caramello P 1 Maserati R 1 Narciso P 1 Micheli V 1 Antinori A 1 Perno C 1 1 2 3 4 5 相关研究报道: Escape from Autologous Neutralizing Antibodies in Acute/Early Subtype C HIV-1 Infection Requires Multiple Pathways . PMID: 19763269 Related Articles Authors: Rong, R , Li, B , Lynch, R M , Haaland, R E , Murphy, M K , Mulenga, J , Allen, S A , Pinter, A , Shaw, G M , Hunter, E , Robinson, J E , Gnanakaran, S , Derdeyn, C A Journal: PLoS Pathog , Vol. 5 (9): e1000594 , 2009 Abstract: One aim for an HIV vaccine is to elicit neutralizing antibodies (Nab) that can limit replication of genetically diverse viruses and prevent establishment of a new infection . Thus, identifying the strengths and weaknesses of Nab during the early stages of natural infection could prove useful in achieving this goal. Here we demonstrate that viral escape readily occurred despite the development of high titer autologous Nab in two subjects with acute/early subtype C infection . To provide a detailed portrayal of the escape pathways , Nab resistant variants identified at multiple time points were used to create a series of envelope ( Env ) glycoprotein chimeras and mutants within the background of a corresponding newly transmitted Env. In one subject, Nab escape was driven predominantly by changes in the region of gp120 that extends from the beginning of the V3 domain to the end of the V5 domain (V3V5). However, Nab escape pathways in this subject oscillated and at times required cooperation between V1V2 and the gp41 ectodomain. In the second subject, escape was driven by changes in V1V2. This V1V2-dependent escape pathway was retained over time, and its utility was reflected in the virus's ability to escape from two distinct monoclonal antibodies (Mabs) derived from this same patient via introduction of a single potential N-linked glycosylation site in V2. Spatial representation of the sequence changes in gp120 suggested that selective pressure acted upon the same regions of Env in these two subjects, even though the Env domains that drove escape were different. Together the findings argue that a single mutational pathway is not sufficient to confer escape in early subtype C HIV-1 infection , and support a model in which multiple strategies, including potential glycan shifts, direct alteration of an epitope sequence, and cooperative Env domain conformational masking, are used to evade neutralization. Affiliation: Department of Pathology and Laboratory Medicine, Emory University, Atlanta , Georgia, United States of America. Wikipedia: AIDS Virus , Active immunization , Animal virus , Antibodies , Antibodies, monoclonal , Antigenic determinants , Client , Epitopes , Genetic diversity , Genetic variation , Glycans , Glycoprotein , Glycosylation , HIV , HIV-1 , HTLV-III , Human Immunodeficiency Virus , Human immunodeficiency virus 1 , Lymphadenopathy-Associated Virus , Lymphadenopathy Associated Virus , Monoclonal antibodies , Mutation , Nature , Patient , Polysaccharides , Pressure , Vaccination , Vaccines , Variation (genetics) , Virus Title: New insights on the role of apoptosis and autophagy in HIV pathogenesis. PMID: 19199038 Related Articles Authors: Gougeon, M L , Piacentini, M Journal: Apoptosis , Vol. 14 (4): 501-8 , 2009 Abstract: Viruses manipulate host cells to ensure their own survival and, at late stages of the viral life cycle, they kill the infected target cell to ensure their propagation. In addition, some viruses induce a bystander killing, a viral strategy to escape from the host's innate and cognate defense systems. In HIV- infection , the disabling of the immune system is initially due to the preferential depletion by apoptosis of virus-specific CD4(+) T cells in lymphoid tissues, followed by the destruction of non-infected bystander cells. Both the extrinsic and the intrinsic pathways are activated, and this is the consequence of systemic immune activation. This review presents recent developments showing that the gastrointestinal tract is the major reservoir of infected cells and the site of rapid and profound loss of CD4 T cells, and that microbial translocation from the gastrointestinal tract is the cause of immune activation. Furthermore, apoptosis mechanisms involved in HIV-induced neuropathological disorders are discussed, including the role of syncytia that involve the sequential activation of ATM , p38MAPK and p53 . Finally, HIV-associated dementia (HAD) was recently found in monkey models to be linked to inhibition of autophagy in neurons, suggesting that homeostasis of autophagy is a reliable security factor for neurons, and challenging the development of new therapeutics aimed at boosting neuronal autophagy to prevent HAD. Affiliation: Antiviral Immunity, Biotherapy and Vaccine Unit, Institut Pasteur, Paris , France . mlgougeo@pasteur.fr Pubmed MeSH: AIDS Dementia Complex , Acquired Immunodeficiency Syndrome , Animals , CD4-Positive T-Lymphocytes , Cell Cycle Proteins , DNA-Binding Proteins , Enzyme Activation , HIV Infections , HIV-1 , Humans , Protein-Serine-Threonine Kinases , Tumor Suppressor Protein p53 , Tumor Suppressor Proteins , p38 Mitogen-Activated Protein Kinases Wikipedia: AIDS Virus , Active immunity , Animal virus , Anthropoidea , Anthropoids , Apoptosis , Autophagocytosis , Autophagy , Autoregulation , Dementia , Digestive tract , Frontotemporal lobar degeneration , GI tract , Gastrointestinal Tract , Giant cell , HIV , HTLV-III , Haplorhini , Homeostasis , Human Immunodeficiency Virus , Immune System , Immune systems , Immunity , Immunization , Life cycle , Lymphadenopathy-Associated Virus , Lymphadenopathy Associated Virus , Lymphatic tissue , Lymphoid Tissue , Monkey , Multinucleated giant cells , Nerve cell , Neuron , Semantic Dementia , Syncytia , Syncytium , T-Cell , T-lymphocyte , T Lymphocytes , T cells , Therapeutic , Tissue , Treatment , Variolation , Virus Title: Two different patterns of mutations are involved in the genotypic resistance score for atazanavir boosted versus unboosted by ritonavir in multiple failing patients. PMID: 19169632 Related Articles Authors: Santoro, M M , Bertoli, A , Lorenzini, P , Ceccherini-Silberstein, F , Gianotti, N , Mussini, C , Torti, C , Di Perri, G , Barbarini, G , Bini, T , Melzi, S , Caramello, P , Maserati, R , Narciso, P , Micheli, V , Antinori, A , Perno, C F , care study group Journal: Infection , Vol. 37 (3): 233-43 , 2009 Abstract: OBJECTIVES: The protease inhibitor atazanavir (ATV) can be used either boosted by ritonavir (ATV300/r) or unboosted (ATV400). To date, however, genotypic resistance scores (GRSs) have been developed only for boosted-ATV. We have determined GRS associated with virologic response (VR) for both ATV300/r and ATV400 in highly pre-treated HIV-1 infected patients. PATIENTS AND METHODS: We analyzed the results of genotypic tests available 0-3 months before the initiation of an ATV-containing regimen in 159 patients with HIV-RNA or= 500 copies/ml (ATV300/r group: 74; ATV400 group: 85) who were enrolled in the CARe study through an Early Access Program. The impact of baseline protease mutations on VR (or= 1 log(10)copies/ml HIV-RNA decrease at 12-24 weeks) was analyzed using Fisher's exact test. Mutated protease amino acid positions (MPP) with p 0.20 were retained for further analysis. The GRSs were determined by a step-by-step analysis using the chi(2) test for trend. RESULTS: The GRSs for ATV300/r and ATV400 revealed differing sets of mutations. For ATV300/r, 12 MPPs (10C/I/V + 32I + 34Q + 46I/L + 53L + 54A/M/V + 82A/F/I/T + 84V + 90M - 15E /G/L/V - 69K/M/N/Q/R/T/Y - 72M/ T/V; p = 1.38 x 10(-9)) were the most strongly associated with VR (VR: 100%, 78.3%, 83.3%, 75% and 0% of patients with a score of -2/-1, 0, 1, 2, and or= 3, respectively); the last three MPPs (I15/H69/I72) were associated with a better VR. For ATV400, nine MPPs (16E + 20I/M/R/T/V + 32I + 33F/I/V + 53L/Y + 64L/M/ V + 71I/T/V + 85V + 93L/M; p = 9.42 x 10(-8)) were most strongly associated with VR (VR: 83.3%, 66.7%, 5.9%, 0% of patients with 0, 1/2, 3, and or= 4 MPP, respectively). Differences between GRSs for ATV300/r and ATV400 may be due to different ATV drug levels (boosted vs unboosted), favoring different pathways of escape from antiviral pressure. CONCLUSIONS: Both GRSs were independent predictors of response in a multivariable logistic regression model. Nevertheless, cross-validation of these GRSs on different patient databases is required before their implementation in clinical practice. Affiliation: Department of Experimental Medicine, University of Rome Tor Vergata, Via Montpellier 1, 00133, Rome , Italy . Pubmed MeSH: Amino Acid Sequence , Antiretroviral Therapy, Highly Active , CD4 Lymphocyte Count , Chi-Square Distribution , Codon , Drug Resistance, Multiple, Viral , Drug Resistance, Viral , Drug Synergism , HIV Infections , HIV Protease Inhibitors , Humans , Longitudinal Studies , Multivariate Analysis , Oligopeptides , Prospective Studies , Pyridines , RNA, Viral , Treatment Outcome , Viral Load , Viremia Wikipedia: Administration , Amino Acids , Antiviral agents , Antiviral drugs , Antivirals , Client , Drugs , Genotype , HIV-1 , Human immunodeficiency virus 1 , Logistic model , Logistic regression , Logistics , Logit model , Mutation , Norvir , Patient , Peptide hydrolases , Pressure , Protease inhibitor , Proteases , Ritonavir , Supervision Title: Deciphering human immunodeficiency virus type 1 transmission and early envelope diversification by single-genome amplification and sequencing. PMID: 18256145 Related Articles Authors: Salazar-Gonzalez, J F , Bailes, E , Pham, K T , Salazar, M G , Guffey, M B , Keele, B F , Derdeyn, C A , Farmer, P , Hunter, E , Allen, S , Manigart, O , Mulenga, J , Anderson, J A , Swanstrom, R , Haynes, B F , Athreya, G S , Korber, B T , Sharp, P M , Shaw, G M , Hahn, B H Journal: J Virol , Vol. 82 (8): 3952-70 , 2008 Abstract: Accurate identification of the transmitted virus and sequences evolving from it could be instrumental in elucidating the transmission of human immunodeficiency virus type 1 ( HIV-1 ) and in developing vaccines, drugs, or microbicides to prevent infection . Here we describe an experimental approach to analyze HIV-1 env genes as intact genetic units amplified from plasma virion RNA by single-genome amplification (SGA), followed by direct sequencing of uncloned DNA amplicons. We show that this strategy precludes in vitro artifacts caused by Taq-induced nucleotide substitutions and template switching, provides an accurate representation of the env quasispecies in vivo, and has an overall error rate (including nucleotide misincorporation, insertion, and deletion) of less than 8 x 10(-5). Applying this method to the analysis of virus in plasma from 12 Zambian subjects from whom samples were obtained within 3 months of seroconversion, we show that transmitted or early founder viruses can be identified and that molecular pathways and rates of early env diversification can be defined. Specifically, we show that 8 of the 12 subjects were each infected by a single virus, while 4 others acquired more than one virus; that the rate of virus evolution in one subject during an 80-day period spanning seroconversion was 1.7 x 10(-5) substitutions per site per day; and that evidence of strong immunologic selection can be seen in Env and overlapping Rev sequences based on nonrandom accumulation of nonsynonymous mutations. We also compared the results of the SGA approach with those of more-conventional bulk PCR amplification methods performed on the same patient samples and found that the latter is associated with excessive rates of Taq-induced recombination, nucleotide misincorporation, template resampling, and cloning bias. These findings indicate that HIV-1 env genes, other viral genes, and even full-length viral genomes responsible for productive clinical infection can be identified by SGA analysis of plasma virus sampled at intervals typical in large-scale vaccine trials and that pathways of viral diversification and immune escape can be determined accurately. Affiliation: Department of Medicine, University of Alabama at Birmingham, 720 20th Street South, Kaul 816, Birmingham , AL 35294, USA . Pubmed MeSH: Amino Acid Substitution , Evolution, Molecular , Humans , Nucleic Acid Amplification Techniques , Phylogeny , Plasma , RNA, Viral , Selection (Genetics) , Sequence Analysis, DNA , Sequence Homology , env Gene Products, Human Immunodeficiency Virus , rev Gene Products, Human Immunodeficiency Virus Wikipedia: AIDS Virus , Active immunization , Amplifier , Animal virus , Antimicrobial agents , Artefact , Artifact , B-DNA , Bias , Cistron , Client , DNA , Deoxyribonucleic Acid , Drugs , Ecological fallacy , Evolution , Gene , Genetic material , Genetic recombination , Genome , Genomics , HIV , HIV-1 , HTLV-III , Human Immunodeficiency Virus , Human immunodeficiency virus 1 , Immunity , Immunization , Inverse PCR , Inverse polymerase chain reaction , Lymphadenopathy-Associated Virus , Lymphadenopathy Associated Virus , Mutation , Nested PCR , Nested polymerase chain reaction , Nucleotides , PCR , Patient , Polymerase Chain Reaction , RNA , Recombination , Recombination, genetic , RiboNucleic Acid , Statistical bias , Systematic bias , Vaccination , Vaccines , Variolation , Virion , Virus Title: Antibody responses in primary HIV-1 infection . PMID: 19372943 Related Articles Authors: Frost, S D , Trkola, A , Gnthard, H F , Richman, D D Journal: Curr Opin HIV AIDS , Vol. 3 (1): 45-51 , 2008 Abstract: PURPOSE OF REVIEW: HIV-1 establishes persistent infections characterized by high levels of viral replication. This finding is remarkable given the presence of apparently vigorous HIV-specific cellular and humoral immune responses. We review the dynamics of antibody responses and viral escape from these responses during primary HIV-1 infection . RECENT FINDINGS: Many B cell dysfunctions appear early in HIV-1 infection , and compromise humoral responses to HIV-1 and other pathogens. The rate of viral escape from autologous neutralization varies greatly between individuals with primary HIV-1 infection , and is on average higher than the rate of escape in chronically infected individuals. Mutations, changes in glycosylation and insertions and deletions in the viral envelope may all contribute to viral escape . There may be differences in neutralization sensitivity and evolution of neutralization escape between different HIV-1 subtypes. Although several broadly neutralizing monoclonal antibodies have been identified, the factors that contribute to the development of broad heterologous responses remain unclear. SUMMARY: The rapid escape of HIV-1 in response to neutralizing antibodies and the plethora of B cell dysfunctions that occur during HIV infection pose significant obstacles to the design of an effective HIV-1 vaccine. The study of large cohorts of individuals enrolled during primary HIV-1 infection using high-throughput immunoassays, sequencing of the virus and the host, and new statistical tools may help to elucidate the pathways of viral escape , to elicit broadly neutralizing antibody responses, and to suggest means of minimizing the impact of HIV-1 on humoral immunity. Affiliation: aDepartment of Pathology, University of California, San Diego, California, USA bDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Zurich, Switzerland cSchool of Medicine, University of California, USA dVeterans Affairs San Diego Healthcare System, San Diego , California , USA . Wikipedia: AIDS Virus , Active immunization , Animal virus , Antibodies , Antibodies, monoclonal , Antibody , B-Cell , B-lymphocyte , B Cells , B cell receptor , B lymphocytes , Cell-mediated immunity , Evolution , Glycosylation , HIV , HIV-1 , HIV infection , HTLV-III , Human Immunodeficiency Virus , Human immunodeficiency virus 1 , Humoral immune response , Humoral immunity , Immune response , Immunity , Immunization , Immunoassay , Immunoglobulin , Lymphadenopathy-Associated Virus , Lymphadenopathy Associated Virus , Monoclonal antibodies , Mutation , Opsonin , Pathogenicity , T-cell mediated immunity , Vaccination , Vaccines , Variolation , Viral envelope , Viral membrane , Viral replication , Virulence , Virus Title: RNA structure modulates splicing efficiency at the human immunodeficiency virus type 1 major splice donor. PMID: 18160437 Related Articles Authors: Abbink, T E , Berkhout, B Journal: J Virol , Vol. 82 (6): 3090-8 , 2008 Abstract: The untranslated leader of the human immunodeficiency virus type 1 ( HIV-1 ) RNA genome encodes essential sequence and structural motifs that control various replication steps. The 5' splice site or splice donor (SD) is embedded in a semistable hairpin, but the function of this structure is unknown. We stabilized this SD hairpin by creating an additional base pair and demonstrated a severe HIV-1 replication defect. A splicing defect was apparent in RNA analyses of virus-infected cells and cells transfected with appropriate reporter constructs. We selected multiple virus revertants in search for interesting second-site escape pathways . Most revertants acquired an additional mutation that modulated the stability of the mutant SD hairpin. One revertant acquired a single nucleotide change in the upstream DIS hairpin. We demonstrate that a novel SD site is created by this upstream mutation, which obviously reduces the number of leader nucleotides that are included in spliced HIV-1 transcripts. These results suggest a novel role of RNA structure in the regulation of HIV-1 splicing. Affiliation: Laboratory of Experimental Virology, Department of Medical Microbiology, Center for Infection and Immunity Amsterdam (CINIMA), Academic Medical Center, University of Amsterdam, Meibergdreef 15, 1105 AZ Amsterdam , The Netherlands . Pubmed MeSH: Base Sequence , Cell Line, Tumor , Enzyme-Linked Immunosorbent Assay , Genes, Reporter , Humans , Nucleic Acid Conformation , RNA Splicing , RNA, Viral , Virus Replication Wikipedia: AIDS Virus , Animal virus , Base pair , Base pairing , Donor , Genome , Genomics , HIV , HIV-1 , HTLV-III , Human Immunodeficiency Virus , Human immunodeficiency virus 1 , Lymphadenopathy-Associated Virus , Lymphadenopathy Associated Virus , Mutation , Nucleotides , Organ donor , RNA , RiboNucleic Acid , Virus Coping with viral diversity in HIV vaccine design. PMID: 17465674 Related Articles Authors: Nickle, D C , Rolland, M , Jensen, M A , Pond, S L , Deng, W , Seligman, M , Heckerman, D , Mullins, J I , Jojic, N Journal: PLoS Comput Biol , Vol. 3 (4): e75 , 2007 Abstract: The ability of human immunodeficiency virus type 1 ( HIV-1 ) to develop high levels of genetic diversity, and thereby acquire mutations to escape immune pressures, contributes to the difficulties in producing a vaccine. Possibly no single HIV-1 sequence can induce sufficiently broad immunity to protect against a wide variety of infectious strains, or block mutational escape pathways available to the virus after infection . The authors describe the generation of HIV-1 immunogens that minimizes the phylogenetic distance of viral strains throughout the known viral population (the center of tree ) and then extend the COT immunogen by addition of a composite sequence that includes high-frequency variable sites preserved in their native contexts. The resulting COT (+) antigens compress the variation found in many independent HIV-1 isolates into lengths suitable for vaccine immunogens. It is possible to capture 62% of the variation found in the Nef protein and 82% of the variation in the Gag protein into immunogens of three gene lengths. The authors put forward immunogen designs that maximize representation of the diverse antigenic features present in a spectrum of HIV-1 strains. These immunogens should elicit immune responses against high-frequency viral strains as well as against most mutant forms of the virus. Affiliation: Department of Microbiology, University of Washington School of Medicine, Seattle , Washington , United States of America. Pubmed MeSH: Antigenic Variation , Drug Design , Epitope Mapping , nef Gene Products, Human Immunodeficiency Virus Wikipedia: AIDS Virus , Active immunization , Animal virus , Antigen , Antigen presentation , Antigen processing , Cistron , Gene , Gene products, gag , Genetic diversity , Genetic material , Genetic variation , HIV , HIV-1 , HTLV-III , Human Immunodeficiency Virus , Human immunodeficiency virus 1 , Immunity , Immunization , Indigenous population , Lymphadenopathy-Associated Virus , Lymphadenopathy Associated Virus , Mutation , Native-born , Native born , Natives , Nef gene product , Pressure , Proteins , Tribes , Vaccination , Vaccines , Variation (genetics) , Variolation , Virus Title: The immunoregulatory effects of HIV-1 Nef on dendritic cells and the pathogenesis of AIDS. PMID: 17077296 Related Articles Authors: Quaranta, M G , Mattioli, B , Giordani, L , Viora, M Journal: FASEB J , Vol. 20 (13): 2198-208 , 2006 Abstract: Dendritic cells (DC) play a crucial role in the generation and regulation of immunity, and their interaction with HIV is relevant in the pathogenesis of AIDS favoring both the initial establishment and spread of the infection and the development of antiviral immunity. HIV-1 Nef is an essential factor for efficient viral replication and pathogenesis, and several studies have been addressed to assess the possible influence of endogenous or exogenous Nef on DC biology. Our findings and other reported data described in this review demonstrate that Nef subverts DC biology interfering with phenotypical, morphological, and functional DC developmental programs, thus representing a viral tool underlying AIDS pathogenesis. This review provides an overview on the mechanism by which Nef , hijacking DC functional activity, may favor both the replication of HIV-1 and the escape from immune surveillance. Overall, the findings described here may contribute to the understanding of Nef function, mechanism of action, and cellular partners. Further elucidation of genes induced through Nef signaling in DC could reveal pathways used by DC to drive HIV spread and will be critical to identify therapeutic strategies to bias the DC system toward activation of antiviral immunity instead of facilitating virus dissemination. Affiliation: Department of Drug Research and Evaluation, Istituto Superiore di Sanit, Viale Regina Elena 299, 00161 Rome , Italy . Pubmed MeSH: CD4-Positive T-Lymphocytes , CD8-Positive T-Lymphocytes , Gene Products, nef , Humans , Killer Cells, Natural , nef Gene Products, Human Immunodeficiency Virus Wikipedia: AIDS , AIDS Virus , Acquired Immune Deficiency Syndrome , Acquired Immunodeficiency Syndrome , Animal virus , Antiviral agents , Antiviral drugs , Antivirals , Biology , Cistron , Cytotoxin , Dendrite , Dendritic Cell , Dendritic cells , Endotoxin , Enterotoxin , Exogen , Exotoxin , Gene , Genetic material , HIV , HIV-1 , HTLV-III , Human Immunodeficiency Virus , Human immunodeficiency virus 1 , Immunity , Immunization , Lymphadenopathy-Associated Virus , Lymphadenopathy Associated Virus , Neurotoxin , Pathogenesis , Phenotype , Plasmacytoid dendritic cell , Signal transduction , Signaling , Signaling cascade , Signalling , Therapeutic , Toxin , Treatment , Variolation , Viral replication , Virulence , Virus Title: Constraints on HIV-1 evolution and immunodominance revealed in monozygotic adult twins infected with the same virus. PMID: 16533886 Related Articles Authors: Draenert, R , Allen, T M , Liu, Y , Wrin, T , Chappey, C , Verrill, C L , Sirera, G , Eldridge, R L , Lahaie, M P , Ruiz, L , Clotet, B G , Petropoulos, C J , Walker, B D , Martnez-Picado, J Journal: J Exp Med , Vol. 203 (3): 529-39 , 2006 Abstract: The predictability of virus-host interactions and disease progression in rapidly evolving human viral infections has been difficult to assess because of host and genetic viral diversity. Here we examined adaptive HIV-specific cellular and humoral immune responses and viral evolution in adult monozygotic twins simultaneously infected with the same virus. CD4 T cell counts and viral loads followed similar trajectories over three years of follow up. The initial CD8 T cell response targeted 17 epitopes, 15 of which were identical in each twin, including two immunodominant responses. By 36 months after infection , 14 of 15 initial responses were still detectable in both, whereas all new responses were subdominant and remained so. Of four responses that declined in both twins, three demonstrated mutations at the same residue. In addition, the evolving antibody responses cross-neutralized the other twin's virus, with similar changes in the pattern of evolution in the envelope gene. These results reveal considerable concordance of adaptive cellular and humoral immune responses and HIV evolution in the same genetic environment, suggesting constraints on mutational pathways to HIV immune escape . Affiliation: Howard Hughes Medical Institute, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA 02129, USA . Pubmed MeSH: Amino Acid Substitution , Antibodies, Viral , CD8-Positive T-Lymphocytes , Epitopes, T-Lymphocyte , Evolution, Molecular , Follow-Up Studies , Gene Products, env , HIV Seropositivity , Humans , Immunity, Cellular , Point Mutation Wikipedia: AIDS Virus , Adult , Animal virus , Antibodies , Antigenic determinants , Cell count , Cistron , Environment , Environmental Impact , Environmental Policy , Environmental impacts , Epitopes , Evolution , Gene , Genetic diversity , Genetic material , Genetic variation , HIV , HIV-1 , HTLV-III , Human Immunodeficiency Virus , Human immunodeficiency virus 1 , Humoral immunity , Immunity , Immunization , Lymphadenopathy-Associated Virus , Lymphadenopathy Associated Virus , Mutation , T-Cell , T-lymphocyte , T Lymphocytes , T cells , Variation (genetics) , Variolation , Viral burden , Viral load , Virus Title: Suppression of HIV-1 viral replication and cellular pathogenesis by a novel p38 / JNK kinase inhibitor. PMID: 15075508 Related Articles Authors: Muthumani, K , Wadsworth, S A , Dayes, N S , Hwang, D S , Choo, A Y , Abeysinghe, H R , Siekierka, J J , Weiner, D B Journal: AIDS , Vol. 18 (5): 739-48 , 2004 Abstract: OBJECTIVE: To analyze a novel compound, which inhibits serine-threonine protein kinase p38 , for its possible bioactivity against HIV-1 infection . METHODS: Proteins involved in cellular signal transduction pathways represent a novel class of host therapeutic targets for infectious diseases . In this regard the serine/threonine kinase p38 MAPK , a member of the mitogen-activated protein ( MAP ) kinase superfamily of signal transduction molecules may play an important role in HIV-1 infection . We analyzed the ability of this compound (RWJ67657) to inhibit HIV replication in primary T cells and monocytes. Cellular expression of phospho- p38MAPK was studied by Western blot analysis. Blockade of HIV infection induced apoptosis was measured by Annexin V staining. RESULTS: p38 inhibitor RWJ67657 was effective in inhibiting HIV-1 replication in both T-cell and monocyte cell lines, irrespective of the coreceptor used by the virus for entry into the cell. Importantly, both reverse transcriptase and protease resistant escape mutant viruses were effectively suppressed by RWJ67657. In addition, the tested compounds block HIV-induced T-cell apoptosis, a critical means of T-cell depletion linked to AIDS progression. CONCLUSION: Several steps in the HIV-1 virus life cycle appear to depend on cellular activation, including activation of the p38 pathway. Without activation virus replication is thought to be blocked due to incomplete reverse transcription and a lack of proviral DNA integration. The data collectively illustrate that inhibition of the p38 pathway can affect HIV-1 replication. Interruption of HIV infection by p38 inhibitors underscores the value of exploring antiviral drugs that target host cellular proteins. Affiliation: Department of Pathology and Laboratory Medicine, University of Pennsylvania School of Medicine, Philadelphia , Pennsylvania 19104, USA . Pubmed MeSH: Analysis of Variance , Biological Markers , Drug Resistance, Viral , Humans , Imidazoles , Jurkat Cells , Phosphorylation , Pyridines , U937 Cells , p38 Mitogen-Activated Protein Kinases Wikipedia: AIDS , AIDS Virus , Acquired Immune Deficiency Syndrome , Acquired Immunodeficiency Syndrome , Animal virus , Annexin A5 , Annexin V , Annexins , Antiviral agents , Antiviral drugs , Antivirals , Apoptosis , B-DNA , Blotting, western , Cell line , Communicable disease , DNA , DNA-directed RNA polymerase , Deoxyribonucleic Acid , Drug delivery systems , Drugs , HIV , HIV-1 , HIV infection , HTLV-III , Human Immunodeficiency Virus , Human immunodeficiency virus 1 , Infectious Disease , Kinase , Life cycle , Lipocortin , Lymphadenopathy-Associated Virus , Lymphadenopathy Associated Virus , Mitogen-activated protein kinases , Monocyte , Peptide hydrolases , Phosphotransferases , Proteases , Protein-serine-threonine kinases , Protein Kinase , Protein kinases , Proteins , RNA-directed DNA polymerase , RNA Polymerase , Reverse Transcriptase , Reverse transcription , Serine-threonine kinase , Serine kinase , Signal transduction , Signal transduction pathway , T-Cell , T-lymphocyte , T Lymphocytes , T cells , Therapeutic , Treatment , Virus , Western Blot , Western blotting The induction of Toll-like receptor tolerance enhances rather than suppresses HIV-1 gene expression in transgenic mice. PMID: 14657211 Related Articles Authors: Bfica, A , Scanga, C A , Equils, O , Sher, A Journal: J Leukoc Biol , Vol. 75 (3): 460-6 , 2004 Abstract: Microbial-induced proinflammatory pathways are thought to play a key role in the activation of human immunodeficiency virus type 1 ( HIV-1 ) gene expression. The induction of Toll-like receptor ( TLR ) tolerance leads to a complex reprogramming in the pattern of inflammatory gene expression and down-modulates tumor necrosis factor alpha ( TNF-alpha ), interleukin (IL)-1, and IL-6 production. Using transgenic (Tg) mice that incorporate the entire HIV-1 genome, including the long-terminal repeat, we have previously demonstrated that a number of different TLR ligands induce HIV-1 gene expression in cultured splenocytes as well as purified antigen-presenting cell populations. Here, we have used this model to determine the effect of TLR -mediated tolerance as an approach to inhibiting microbial-induced viral gene expression in vivo. Unexpectedly, Tg splenocytes and macrophages, rendered tolerant in vitro to TLR2 , TLR4 , and TLR9 ligands as assessed by proinflammatory cytokine secretion and nuclear factor-kappaB activation, showed enhanced HIV-1 p24 production. A similar enhancement was observed in splenocytes tolerized and then challenged with heterologous TLR ligands. Moreover, TLR2 - and TLR4 -homotolerized mice demonstrated significantly increased plasma p24 production in vivo despite lower levels of TNF-alpha . Together, these results demonstrate that HIV-1 expression is enhanced in TLR -reprogrammed host cells, possibly reflecting a mechanism used by the virus to escape the effects of microbial-induced tolerance during natural infection in vivo. Affiliation: Immunobiology Section, Laboratory of Parasitic Diseases, National Institutes of Allergy and Infectious Diseases, National Institutes of Health, Bethesda , MD 20982, USA . abafica@niaid.nih.gov Pubmed MeSH: Animals , Cysteine , Drug Tolerance , Gene Expression Regulation , Gene Expression Regulation, Viral , HIV Core Protein p24 , Immune Tolerance , Inflammation , Lipopolysaccharides , Lipoproteins , Membrane Glycoproteins , Receptors, Cell Surface , Toll-Like Receptor 2 , Toll-Like Receptor 4 Wikipedia: AIDS Virus , Animal virus , Antigen-presenting cell , Antigen presenting cells , Benign neoplasm , Binding , Cachectin , Cancer , Cistron , Cytokine , Gene , Gene Expression , Genetic material , Genome , Genomics , HIV , HIV-1 , HTLV-III , Host cell , House Mouse , House mice , Human Immunodeficiency Virus , Human immunodeficiency virus 1 , IL-6 , IL6 , Interleukin , Interleukin-6 , Interleukin 6 , Laboratory mice , Laboratory mouse , Ligand , Lymphadenopathy-Associated Virus , Lymphadenopathy Associated Virus , Macrophage , Mice , Mouse , Mus , Mus domesticus , Mus musculus , Mus musculus domesticus , Nature , Necrosis , Neoplasm , Programmed cell death , TNF , TNF-alpha , TNF alpha , Toll-like receptor , Toll like receptor , Transgene , Tumor , Tumor Necrosis Factor , Tumor necrosis factor-alpha , Tumor necrosis factor alpha , Tumor necrosis factors , Virus Title: Human immunodeficiency virus type 1 Nef functions at the level of virus entry by enhancing cytoplasmic delivery of virions. PMID: 11222724 Related Articles Authors: Schffer, E , Geleziunas, R , Greene, W C Journal: J Virol , Vol. 75 (6): 2993-3000 , 2001 Abstract: The Nef protein of the type 1 human immunodeficiency virus ( HIV-1 ) plays a key although poorly understood role in accelerating the progression of clinical disease in vivo. Nef exerts several biological effects in vitro, including enhancement of virion infectivity, downregulation of CD4 and major histocompatibility complex class I receptor expression, and modulation of various intracellular signaling pathways . The positive effect of Nef on virion infectivity requires its expression in the producer cell, although its effect is manifested in the subsequent target cell of infection . Prior studies suggest that Nef does not alter viral entry into target cells; nevertheless, it enhances proviral DNA synthesis, arguing for an action of Nef at the level of viral uncoating or reverse transcription. However, these early studies discounting an effect of Nef on virion entry may be confounded by the recent finding that HIV enters cells by both fusion and endocytosis. Using epifluorescence microscopy to monitor green fluorescent protein-Vpr -labeled HIV virion entry into HeLa cells, we find that endocytosis forms a very active pathway for virus uptake. Virions entering via the endocytic pathway do not support productive infection of the host cell, presumably reflecting their inability to escape from the endosomes. Conversely, our studies now demonstrate that HIV Nef significantly enhances CD4- and chemokine receptor-dependent entry of HIV virions into the cytoplasmic compartment of target cells. Mutations in Nef either impairing its ability to downregulate CD4 or disrupting its polyproline helix compromise virion entry into the cytoplasm. We conclude that Nef acts at least in part as a regulator of cytosolic viral entry and that this action contributes to its positive effects on viral infectivity. Affiliation: Gladstone Institute of Virology and Immunology, University of California, San Francisco , California 94141, USA . Pubmed MeSH: Antigens, CD4 , Gene Products, vpr , Green Fluorescent Proteins , Humans , Luminescent Proteins , Virus Replication , nef Gene Products, Human Immunodeficiency Virus , vpr Gene Products, Human Immunodeficiency Virus Wikipedia: AIDS Virus , Acceleration , Animal virus , B-DNA , Chemokines , Cytoplasm , Cytosol , DNA , DNA Replication , DNA synthesis , Deoxyribonucleic Acid , Down-regulation , Downregulation , Endocytosis , Endosome , Enteritis , Fluorescence , HIV , HIV-1 , HTLV-III , HeLa cell , Histocompatibility , Host cell , Human Immunodeficiency Virus , Human immunodeficiency virus 1 , Intracellular , Lymphadenopathy-Associated Virus , Lymphadenopathy Associated Virus , MHC Class I , Major Histocompatibility Complex , Microscopy , Mutation , Nef gene product , Proteins , Protoplasm , Receptor down-regulation , Reverse transcription , Signal transduction , Signaling , Signaling cascade , Signalling , T cell receptor , Virion , Virus Title: Antiviral pressure exerted by HIV-1 -specific cytotoxic T lymphocytes (CTLs) during primary infection demonstrated by rapid selection of CTL escape virus. PMID: 9018240 Related Articles Authors: Borrow, P , Lewicki, H A , Wei, X Q , Horwitz, M S , Peffer, N , Meyers, H L , Nelson, J A , Gairin, J E , Hahn, B H , Oldstone, M B , Shaw, G M Journal: Nat Med , Vol. 3 (2): 205-11 , 1997 Abstract: The HIV-1 -specific cytotoxic T lymphocyte (CTL) response is temporally associated with the decline in viremia during primary HIV-1 infection , but definitive evidence that it is of importance in virus containment has been lacking. Here we show that in a patient whose early CTL response was focused on a highly immunodominant epitope in gp 160 , there was rapid elimination of the transmitted virus strain and selection for a virus population bearing amino acid changes at a single residue within this epitope, which conferred escape from recognition by epitope-specific CTL. The magnitude ( 100-fold), kinetics (30-72 days from onset of symptoms) and genetic pathways of virus escape from CTL pressure were comparable to virus escape from antiretroviral therapy, indicating the biological significance of the CTL response in vivo. One aim of HIV-1 vaccines should thus be to elicit strong CTL responses against multiple codominant viral epitopes. Affiliation: Department of Neuropharmacology, Scripps Research Institute, La Jolla, California 92037, USA . Pubmed MeSH: Acquired Immunodeficiency Syndrome , HIV Envelope Protein gp160 , Humans , Oligonucleotide Probes Wikipedia: Active immunization , Amino Acids , Animal virus , Antigenic determinants , Antiviral agents , Antiviral drugs , Antivirals , Client , Cytotoxic T-lymphocyte , Cytotoxic T lymphocytes , Epitopes , HIV-1 , Human immunodeficiency virus 1 , Kinetic , Lymphocyte , Patient , Pressure , T-Cell , T-lymphocyte , T-lymphocytes, cytotoxic , T Lymphocytes , T cells , Vaccination , Vaccines , Viremia , Virus Title: T helper cell activation and human retroviral pathogenesis. PMID: 8987361 Related Articles Authors: Copeland, K F , Heeney, J L Journal: Microbiol Rev , Vol. 60 (4): 722-42 , 1996 Abstract: T helper (Th) cells are of central importance in regulating many critical immune effector mechanisms. The profile of cytokines produced by Th cells correlates with the type of effector cells induced during the immune response to foreign antigen. Th1 cells induce the cell-mediated immune response, while Th2 cells drive antibody production. Th cells are the preferential targets of human retroviruses. Infections with human T-cell leukemia virus (HTLV) or human immunodeficiency virus ( HIV ) result in the expansion of Th cells by the action of HTLV ( adult T-cell leukemia ) or the progressive loss of T cells by the action of HIV (AIDS). Both retrovirus infections impart a high-level activation state in the host immune cells as well as systemically. However, diverging responses to this activation state have contrasting effects on the Th-cell population. In HIV infection , Th-cell loss has been attributed to several mechanisms, including a selective elimination of cells by apoptosis. The induction of apoptosis in HIV infection is complex, with many different pathways able to induce cell death. In contrast, infection of Th cells with HTLV-1 affords the cell a protective advantage against apoptosis. This advantage may allow the cell to escape immune surveillance, providing the opportunity for the development of Th-cell cancer. In this review, we will discuss the impact of Th-cell activation and general immune activation on human retrovirus expression with a focus upon Th-cell function and the progression to disease. Affiliation: Department of Pathology, McMaster University, Hamilton , Ontario , Canada . copelndk@fhs.mcmaster.ca Pubmed MeSH: Acquired Immunodeficiency Syndrome , Deltaretrovirus Infections , Disease Progression , HIV-1 , Humans , Immune Tolerance , Lymphocyte Activation , Viral Proteins Wikipedia: AIDS Virus , ATLL , ATLV , Active immunity , Adult , Adult T-cell leukemia , Alien , Animal virus , Antibodies , Antigen , Apoptosis , Azidothymidine , Cell-mediated immunity , Cell death , Cell mediated immunity , Cellular immunity , Cytokinesis , Emigrant , Foreigner , HIV , HIV infection , HTLV-1 , HTLV-I , HTLV-III , Helper T-cell , Helper T cells , Helper cell , Human Immunodeficiency Virus , Human t-lymphotropic virus 1 , Humoral immunity , Immigrant , Immunity , Immunity, cellular , Immunization , Leukemia , Leukemia, t-cell , Lymphadenopathy-Associated Virus , Lymphadenopathy Associated Virus , Oncovirus , Retrovir , Retroviridae , Retroviridae infections , Retrovirus , T-ALL , T-Cell , T-cell leukemia , T-lymphocyte , T-lymphocytes, helper-inducer , T Lymphocytes , T cells , Th1 cell , Th2 cell , Variolation , Virus , Zidovudine