| Literature DB >> 15551218 |
Melissa Churchill1, Jasminka Sterjovski, Lachlan Gray, Daniel Cowley, Catherine Chatfield, Jennifer Learmont, John S Sullivan, Suzanne M Crowe, John Mills, Bruce J Brew, Steven L Wesselingh, Dale A McPhee, Paul R Gorry.
Abstract
We studied the evolution and compartmentalization of nef/long terminal repeat (nef/LTR)-deleted human immunodeficiency virus type 1 (HIV-1) from a long-term survivor who developed HIV-associated dementia (HIVD). Analysis of sequential blood-derived HIV-1 isolated before and during HIVD revealed a persistent R5X4 phenotype and a progressive loss of nef/LTR sequence; in contrast, HIV-1 present in cerebrospinal fluid during HIVD had an R5 phenotype, distinct nef/LTR sequence of unique deletions and additional nuclear factor- kappa B sites and specificity factor-1 sites, and enhanced transcriptional activity, compared with the blood-derived isolates. Thus, nef/LTR-deleted HIV-1 strains may undergo compartmentalized evolution in long-term survivors and cause neurologic disease.Entities:
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Year: 2004 PMID: 15551218 DOI: 10.1086/425585
Source DB: PubMed Journal: J Infect Dis ISSN: 0022-1899 Impact factor: 5.226