“…The amino acid substitutions 2E, 18W, 29G, 31D, 33H, 41G, 44R, 55A, 63T, 65R, 70I, 70V, 76C, 77Q, 78H, 83V, 85P, 86G, 86R, 89G, 89T, 89S, 89A, 93A, 93S, 93R and 94G were associated with positive clinical outcomes (Table 1 and Figure 4A). In particular, these Vpr amino acid substitutions were more prevalent with long-term nonprogressors (LTNP), 64,67,[70][71][72][73][74] lower viral load 75 and higher CD4 + count 75,76 (Table 1). The amino acid substitutions 3R, 21I, 22L, 41S, 64P, 75R, 77Q and 79G were associated with negative clinical outcomes (Table 1) and were more prevalent with progressors and/or acute HIV-1 infection, 63,67,74 higher viral load 66 and lower CD4 + count 66 (Table 1).…”