“…Some defective proviruses have small deletions in the 5'-Leader (5'-L) upstream of gag (23,32,33). This region contains regulatory elements orchestrating genomic RNA dimerization and packaging, reverse transcription, proviral gene expression, and RNA splicing and translation (34)(35)(36)(37)(38)(39). Proviruses with small 5'-L deletions comprise 5-10% of proviral populations, are found in most PLWH, often in expanded clones (23,32,(40)(41)(42), and may produce viral mRNA and p24 protein (26,33).…”