Expression of the pol-encoded proteins of human immunodeficiency virus type 1 (HIV-1) requires a programmed -1 ribosomal frameshift at the junction of the gag and pol coding sequences.Frameshifting takes place at a heptanucleotide slippery sequence, UUUUUUA, and is enhanced by a stimulatory RNA structure located immediately downstream. In patients undergoing viral protease (PR) inhibitor therapy, a p1/p6 gag L449F cleavage site (CS) mutation is often observed in resistant isolates and frequently generates, at the nucleotide sequence level, a homopolymeric and potentially slippery sequence (UUUUCUU to UUUUUUU). The mutation is located within the stimulatory RNA downstream of the authentic slippery sequence and could act to augment levels of pol-encoded enzymes to counteract the PR deficit. Here, RNA secondary structure probing was employed to investigate the structure of a CS-containing frameshift signal, and the effect of this mutation on ribosomal frameshift efficiency in vitro and in tissue culture cells was determined. A second mutation, a GGG insertion in the loop of the stimulatory RNA that could conceivably lead to resistance by enhancing the activity of the structure, was also tested. It was found, however, that the CS and GGG mutations had only a very modest effect on the structure and activity of the HIV-1 frameshift signal. Thus the increased resistance to viral protease inhibitors seen with HIV-1 isolates containing mutations in the frameshifting signal is unlikely to be accounted for solely by enhancement of frameshift efficiency.
INTRODUCTIONExpression of the HIV-1 pol gene requires a programmed 21 ribosomal frameshift event (Jacks et al., 1988). Most ribosomes translating the viral genomic RNA terminate at the gag stop codon, generating the Gag polyprotein, encoding structural proteins. However, a shift of about 5-10 % into the overlapping pol frame in response to the frameshift signal yields the Gag-Pol fusion protein from which pol-encoded proteins viral protease (PR), reverse transcriptase (RT) and integrase are liberated by PRmediated proteolysis. The frameshift signal of HIV-1 has two components, a slippery sequence, UUUUUUA, where the frameshift takes place, and a stimulatory RNA secondary structure immediately downstream. The precise structure of the HIV-1 stimulatory RNA has been the subject of debate (Jacks et al., 1988;Le et al., 1991;Du et al., 1996; Dinman et al., 2002;Dulude et al., 2002;Staple & Butcher, 2003; reviewed by Brierley & Dos Ramos, 2005), but from mutational analysis, secondary structure probing and nuclear magnetic resonance (NMR) analysis, the active element is most probably a stem-loop consisting of a twostem helix capped by a tetraloop (Dulude et al., 2002;Staple & Butcher, 2005;Gaudin et al., 2005; see Fig. 1). Frameshifting is crucial to HIV replication, as expression of Gag-Pol allows targeting of replicative enzymes to the particle core during assembly. Further, it sets a precise ratio of Gag : Gag-Pol, the maintenance of which appears to be essential (Park & M...