1999
DOI: 10.1006/viro.1999.9774
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Higher Selection Pressure from Antiretroviral Drugs in Vivo Results in Increased Evolutionary Distance in HIV-1 pol

Abstract: We investigated the effect of selection pressures on evolution of HIV-1 pol in 51 patients after switching to a new antiretroviral combination reverse transcriptase (RT) inhibitor therapy. Evolution of the protease (PR) and RT reading frames were analysed separately. Pairwise evolutionary distances (ED) were calculated between sequences from baseline and week 8 and between baseline and week 48 of protocol therapy. ED were calculated for all substitutions and for synonymous and nonsynonymous substitutions separ… Show more

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Cited by 29 publications
(19 citation statements)
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“…Because two different defective retroviruses can recombine to form infectious virus, even defective genomes can contribute to the reemergence of dormant genetic information. Intrapatient recombination between circulating strains and archived proviruses contributes to the dynamics of drug resistance and may contribute to the evolution of the coreceptor switch as well (47,118,212,235,271). It is likely that the extent of recombination between variants that arise within an individual has been underappreciated because of the similarity of parental strains (117).…”
Section: Recombination and The Implications Of Proviral Persistencementioning
confidence: 99%
See 1 more Smart Citation
“…Because two different defective retroviruses can recombine to form infectious virus, even defective genomes can contribute to the reemergence of dormant genetic information. Intrapatient recombination between circulating strains and archived proviruses contributes to the dynamics of drug resistance and may contribute to the evolution of the coreceptor switch as well (47,118,212,235,271). It is likely that the extent of recombination between variants that arise within an individual has been underappreciated because of the similarity of parental strains (117).…”
Section: Recombination and The Implications Of Proviral Persistencementioning
confidence: 99%
“…(Hypermutation may be an exception to this rule, although whether such mutations imbedded in less altered genome regions result more frequently from recombination or from the limited processivity of mutagenic factors remains unclear [48,222,236].) Some instances of phenotypic switch, including coreceptor switch and reacquisition of drug resistance, have been linked to mutations embedded in localized sequences that differ significantly from flanking sequences, thus providing evidence for recombination within individual patients' virus populations (118,212,235,271).…”
Section: Introductionmentioning
confidence: 99%
“…The large number (Ͼ50) and high prevalence of circulating recombinant forms (CRFs) demonstrate the evolutionary success of HIV-1 recombinants on a global scale (27). Recombination within individual patients has been documented in numerous studies (reviewed in reference 25), and recombination involving drug-resistant viruses provides a mechanism for the spread of drug resistance throughout a patient's quasispecies (28)(29)(30). Since the latent reservoir represents an archive of the history of a patient's quasispecies, including viruses with any previously existing drug resistance mutations (11)(12)(13)(14)(15), latent viruses represent an important source for the further generation of genetic diversity under selective pressure.…”
mentioning
confidence: 99%
“…More importantly, recombination appears to be an essential mechanism for retroviral survival. It allows viruses to repair genomic errors (8 -11) and to combine resistance markers against anti-retroviral drugs (12)(13)(14), and it promotes genomic shuffling that frustrates immune surveillance and allows for the emergence of new mosaic viral strains (15,16).…”
mentioning
confidence: 99%