Heritability of the HIV-1 reservoir size and decay under long-term suppressive ART

Author:

Wan ChenjieORCID, ,Bachmann NadineORCID,Mitov VenelinORCID,Blanquart François,Céspedes Susana PosadaORCID,Turk TejaORCID,Neumann KathrinORCID,Beerenwinkel NikoORCID,Bogojeska Jasmina,Fellay JacquesORCID,Roth VolkerORCID,Böni JürgORCID,Perreau Matthieu,Klimkait ThomasORCID,Yerly SabineORCID,Battegay Manuel,Walti Laura,Calmy Alexandra,Vernazza Pietro,Bernasconi EnosORCID,Cavassini Matthias,Metzner Karin J.ORCID,Günthard Huldrych F.ORCID,Kouyos Roger D.ORCID

Abstract

Abstract The HIV-1 reservoir is the major hurdle to curing HIV-1. However, the impact of the viral genome on the HIV-1 reservoir, i.e. its heritability, remains unknown. We investigate the heritability of the HIV-1 reservoir size and its long-term decay by analyzing the distribution of those traits on viral phylogenies from both partial-pol and viral near full-length genome sequences. We use a unique nationwide cohort of 610 well-characterized HIV-1 subtype-B infected individuals on suppressive ART for a median of 5.4 years. We find that a moderate but significant fraction of the HIV-1 reservoir size 1.5 years after the initiation of ART is explained by genetic factors. At the same time, we find more tentative evidence for the heritability of the long-term HIV-1 reservoir decay. Our findings indicate that viral genetic factors contribute to the HIV-1 reservoir size and hence the infecting HIV-1 strain may affect individual patients’ hurdle towards a cure.

Funder

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung

Publisher

Springer Science and Business Media LLC

Subject

General Physics and Astronomy,General Biochemistry, Genetics and Molecular Biology,General Chemistry

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