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Basic Characteristics of Mutations
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Mutation Site
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V82L |
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Mutation Site Sentence
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Our patient did have the major NNRTI mutation K103N, and the major protease inhibitor mutation, V82L, but the replicative capacity of a chimeric virus containing AC1 RT and protease genes was 77% by the PhenoSense HIV Assay (Monogram Biosciences, South San Francisco, CA). |
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Mutation Level
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Amino acid level |
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Mutation Type
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Nonsynonymous substitution |
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Gene/Protein/Region
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PR |
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Standardized Encoding Gene
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gag-pol
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Genotype/Subtype
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HIV-1 |
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Viral Reference
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-
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Functional Impact and Mechanisms
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Disease
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HIV Infections
|
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Immune
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- |
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Target Gene
|
-
|
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Clinical and Epidemiological Correlations
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Clinical Information
|
Y |
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Treatment
|
PIs |
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Location
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America |
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Literature Information
|
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PMID
|
28159573
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Title
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Factors Associated With the Control of Viral Replication and Virologic Breakthrough in a Recently Infected HIV-1 Controller
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Author
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Walker-Sperling VE,Pohlmeyer CW,Veenhuis RT,May M,Luna KA,Kirkpatrick AR,Laeyendecker O,Cox AL,Carrington M,Bailey JR,Arduino RC,Blankson JN
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Journal
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EBioMedicine
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Journal Info
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2017 Feb;16:141-149
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Abstract
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HIV-1 controllers are patients who control HIV-1 viral replication without antiretroviral therapy. Control is achieved very early in the course of infection, but the mechanisms through which viral replication is restricted are not fully understood. We describe a patient who presented with acute HIV-1 infection and was found to have an HIV-1 RNA level of <100copies/mL. She did not have any known protective HLA alleles, but significant immune activation of CD8+ T cells and natural killer (NK) cells was present, and both cell types inhibited viral replication. Virus cultured from this patient replicated as well in vitro as virus isolated from her partner, a patient with AIDS who was the source of transmission. Virologic breakthrough occurred 9months after her initial presentation and was associated with an increase in CD4+ T cell activation levels and a significant decrease in NK cell inhibitory capacity. Remarkably, CD8+ T cell inhibitory capacity was preserved and there were no new escape mutations in targeted Gag epitopes. These findings suggest that fully replication-competent virus can be controlled in acute HIV-1 infection in some patients without protective HLA alleles and that NK cell responses may contribute to this early control of viral replication.
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Sequence Data
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-
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