Evidence map›Paper›PMID 26081316›Full record

ArticleRetrovirology2015

A single-residue change in the HIV-1 V3 loop associated with maraviroc resistance impairs CCR5 binding affinity while increasing replicative capacity.

Javier Garcia-Perez, Isabelle Staropoli, Stéphane Azoulay, Jean-Thomas Heinrich, Almudena Cascajero, Philippe Colin, Hugues Lortat-Jacob, Fernando Arenzana-Seisdedos, Jose Alcami, Esther Kellenberger and 1 more

Open access · goldAbstract read
In one paragraph

Article in Retrovirology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  15. Recent Insights into the HIV/AIDS Pandemic.Microbial cell (Graz, Austria) · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Javier Garcia-PerezAIDS Immunopathogenesis Unit, Instituto de Salud Carlos III, 28220, Majadahonda, Madrid, Spain. eoaz@isciii.es.
Isabelle StaropoliINSERM U1108, Institut Pasteur, 75015, Paris, France. isabelle.staropoli@pasteur.fr.
Stéphane AzoulayUniversité de Strasbourg UMR7200, Illkirch, France. ekellen@unistra.fr.
Jean-Thomas HeinrichUniversité de Strasbourg UMR7200, Illkirch, France. ekellen@unistra.fr.
Almudena CascajeroAIDS Immunopathogenesis Unit, Instituto de Salud Carlos III, 28220, Majadahonda, Madrid, Spain. almudenacd@isciii.es.
Philippe ColinINSERM U1108, Institut Pasteur, 75015, Paris, France. philippe.colin@pasteur.fr.
Hugues Lortat-JacobUniv. Grenoble Alpes, Institut de Biologie Structurale (IBS), 38027, Grenoble, France. hugues.lortat-jacob@ibs.fr.
Fernando Arenzana-SeisdedosINSERM U1108, Institut Pasteur, 75015, Paris, France. farenzan@pasteur.fr.
Jose AlcamiAIDS Immunopathogenesis Unit, Instituto de Salud Carlos III, 28220, Majadahonda, Madrid, Spain. ppalcami@isciii.es.
Esther KellenbergerUniversité de Strasbourg UMR7200, Illkirch, France. ekellen@unistra.fr.
Bernard LaganeINSERM U1108, Institut Pasteur, 75015, Paris, France. bernard.lagane@pasteur.fr.
Department of Virology · FRInstituto de Salud Carlos III · ESUniversité de Strasbourg · FRInserm · FRInstitut de Biologie Structurale · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaraviroc (MVC) is an allosteric CCR5 inhibitor used against HIV-1 infection. While MVC-resistant viruses have been identified in patients, it still remains incompletely known how they adjust their CD4 and CCR5 binding properties to resist MVC inhibition while preserving their replicative capacity. It is thought that they maintain high efficiency of receptor binding. To date however, information about the binding affinities to receptors for inhibitor-resistant HIV-1 remains limited.

resultsHere, we show by means of viral envelope (gp120) binding experiments and virus-cell fusion kinetics that a MVC-resistant virus (MVC-Res) that had emerged as a dominant viral quasispecies in a patient displays reduced affinities for CD4 and CCR5 either free or bound to MVC, as compared to its MVC-sensitive counterpart isolated before MVC therapy. An alanine insertion within the GPG motif (G310_P311insA) of the MVC-resistant gp120 V3 loop is responsible for the decreased CCR5 binding affinity, while impaired binding to CD4 is due to sequence changes outside V3. Molecular dynamics simulations of gp120 binding to CCR5 further emphasize that the Ala insertion alters the structure of the V3 tip and weakens interaction with CCR5 ECL2. Paradoxically, infection experiments on cells expressing high levels of CCR5 also showed that Ala allows MVC-Res to use CCR5 efficiently, thereby improving viral fusion and replication efficiencies. Actually, although we found that the V3 loop of MVC-Res is required for high levels of MVC resistance, other regions outside V3 are sufficient to confer a moderate level of resistance. These sequence changes outside V3, however, come with a replication cost, which is compensated for by the Ala insertion in V3.

conclusionThese results indicate that changes in the V3 loop of MVC-resistant viruses can augment the efficiency of CCR5-dependent steps of viral entry other than gp120 binding, thereby compensating for their decreased affinity for entry receptors and improving their fusion and replication efficiencies. This study thus sheds light on unsuspected mechanisms whereby MVC-resistant HIV-1 could emerge and grow in treated patients.

Indexed as

Drug Resistance, ViralMutation, MissenseAnti-HIV AgentsCyclohexanesHIV-1HIV Envelope Protein gp120HumansMaravirocMutant ProteinsProtein BindingReceptors, CCR5Receptors, HIVTriazolesVirus InternalizationVirus ReplicationAnti-HIV AgentsCCR5 protein, humanCyclohexanesgp120 protein, Human immunodeficiency virus 1HIV Envelope Protein gp120MaravirocMutant ProteinsReceptors, CCR5Receptors, HIVTriazoles

Identifiers

PMID26081316
PMCPMC4470041
OpenAlexW1883609085

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.