title: Increased number of single-LTR HIV-1 DNA junctions correlates with HIV-1 antigen expression and CD4+ cell decline in vivo.
abstract: Human immunodeficiency type 1 (HIV-1) DNA in peripheral blood cells of HIV-1 infected individuals may be present as integrated and/or unintegrated DNA. Several reports have indicated that a major proportion of HIV-1 DNA in the asymptomatic phase is linear, full-length, and unintegrated and in the symptomatic phase either circular unintegrated or integrated in the host genome. We developed a quantitative polymerase chain reaction (PCR) technique to detect single-LTR HIV-1 DNA junctions, reflecting the presence of unintegrated single-LTR circles. In vitro infection of a CD4+ T-cell line resulted first in the increase of single-LTR junctions followed by syncytium formation and a rise of p24 antigen production. The number of single-LTR HIV-1 DNA junctions was further studied in two acutely infected individuals and in 21 long-term infected individuals. The number of single-LTR junctions was significantly correlated with CD4+ cell decline, p24 antigen expression, and total HIV-1 DNA content of peripheral blood mononuclear cells (PBMC). Single-LTR HIV-1 DNA junctions were absent from PBMC containing other forms of HIV-1 DNA in four of nine non/slow progressors relative to 2 of 12 rapid progressors/AIDS patients. We conclude from our data that quantitative detection of single-LTR HIV-1 DNA junctions can be used as an early DNA marker of the transition from clinical latency to active replication in the peripheral blood.
authors.affiliation: Human Retrovirus Laboratory, Academic Medical Center, University of Amsterdam, The Netherlands.
authors.forename: S
authors.initials: S
authors.lastname: Jurriaans
authors.forename: A
authors.initials: A
authors.lastname: de Ronde
authors.forename: J
authors.initials: J
authors.lastname: Dekker
authors.forename: M
authors.initials: M
authors.lastname: Cornelissen
authors.forename: J
authors.initials: J
authors.lastname: Goudsmit
mesh_terms: D001483:Base Sequence; D015415:Biomarkers; D018791:CD4 Lymphocyte Count; D015496:CD4-Positive T-Lymphocytes / Q000821:virology*; D002460:Cell Line; D004279:DNA, Viral / Q000032:analysis / Q000235:genetics*; D018450:Disease Progression; D015726:Giant Cells / Q000821:virology; D016655:HIV Core Protein p24 / Q000096:biosynthesis*; D015658:HIV Infections / Q000276:immunology / Q000821:virology*; D016325:HIV Long Terminal Repeat / Q000235:genetics*; D015497:HIV-1 / Q000235:genetics* / Q000254:growth & development; D006801:Humans; D007700:Kinetics; D007963:Leukocytes, Mononuclear / Q000821:virology; D008297:Male; D008969:Molecular Sequence Data; D016133:Polymerase Chain Reaction / Q000379:methods; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D016662:Virus Integration
chemical_list: D015415:Biomarkers; D004279:DNA, Viral; D016655:HIV Core Protein p24