HIV-1 Integrase Variants Retarget Proviral Integration and Are Associated with Disease Progression July 21st, 2015 IAS meeting Vancouver © Lisa Demeulemeester Jonas Demeulemeester, Sofie Vets, Rik Schrijvers, Paradise Madlala, Thumbi Ndung’u, Zeger Debyser, Rik Gijsbers Laboratory for Molecular Virology and Gene Therapy - KU Leuven, Belgium Integration site selection Retroviral integration is not random nuclear entry route host-cell cofactors (LEDGF/p75) viral IN Integration site selection Integrase picks the spot HIV-1 EIAV Do IN amino acid-tDNA base contacts affect integration site selection? S119 and R231 of HIV-1 IN Directly Contact tDNA Bases Homology model of HIV-1 intasome TCC (target capture complex) Most interactions contact the tDNA phosphodiester backbone Two sites of direct aa-tDNA base contact in HIV-1 IN Retroviral sequences show IN119/231 polymorphism Polymorphism at IN position 119, 122; less variability at 231. Patient-derived sequences reveal IN119/231 polymorphism Alternative polymorphism at IN position 119, less variability at 231 - Los Alamos HIV Sequence Database (n=2276) Patient-derived sequences reveal IN119/231 polymorphism Alternative polymorphism at IN position 119, less variability at 231 - Los Alamos HIV Sequence Database (n=2276) What is the effect of these IN polymorphisms on integration? Variants introduced into multiple-round HIV-1NL4-3 single-round HIV_fLuc reporter virus No effect on viral infectivity nor replication capacity (MT-4, SupT1, prim. T cells) Altered tDNA contacts locally retarget viral integration Infected SupT1 and HeLaP4 cells and sequenced 36,264 viral integration sites Sequence logo of integration site (intasome footprint) Altered IN119 tDNA contacts locally retarget viral integration Altered IN231 tDNA contacts locally retarget viral integration HIV-1 INS119T-R231G mimics EIAV local integration site preferences HIV-1 INS119-R231 HIV-1 INS119T-R231G EIAV INT119-G231 HIV-1 INS119T-R231G mimics EIAV local integration site preferences HIV-1 INS119T-R231G HIV-1 IN119G/V and IN231G variants direct integration away from gene dense regions HIV-1 INS119G and INR231G are linked to rapid disease progression Sinikithemba: chronic HIV-1 subtype C infection cohort (2003–2008, McCord Hospital, Durban, South Africa) 85 patients with longitudinal follow-up and sequenced IN sequence (Rousseau et al., 2006) Increase numbers to allow confident generalization HIV-1 INS119G and INR231G are linked to rapid disease progression Sinikithemba: chronic HIV-1 subtype C infection cohort (2003–2008, McCord Hospital, Durban, South Africa) 85 patients with longitudinal follow-up and sequenced IN sequence (Rousseau et al., 2006) Increase numbers to allow confident generalization Conclusions Integration site targeting role of IN positions 119, 122 and 231 in the virus Altered local tDNA contacts can shift the local intasome footprint the global integration pattern INS119G and INR231G are linked to disease progression in a chronic HIV-1 infection cohort Implications IN119 implicated in immune evasion from HLA-C*05 (Brockman et al. 2012, J Virol) >> interplay between immune pressure – viral integration site selection Role of IN119 polymorphisms in IN inhibitor resistance (Ceccherini-Silberstein et al. 2010, J Antimicrob Chemother) >> interaction antiretroviral therapy – viral integration site selection Further confirmation of patient disease progression data >> interaction integration site selection – virulence/viral evolution Molecular Virology and Gene Therapy KU Leuven, Belgium Zeger Debyser Jonas Demeulemeester, Sofie Vets, Rik Schrijvers Paulien Van De Velde, Barbara Van Remoortel HIV Pathogenesis Program, DDMRI University of KwaZulu-Natal, South Africa Thumbi Ndung’u, Paradise Madladla, Nonhlanhla Yende Department of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA Frederick D. Bushman, Nirav Malani The participants and clinicians of the Sinikithemba cohort HIV-1 Integrase Variants Retarget Proviral Integration and Are Associated with Disease Progression July 21st, 2015 IAS meeting Vancouver © Lisa Demeulemeester Jonas Demeulemeester, Sofie Vets, Rik Schrijvers, Paradise Madlala, Thumbi Ndung’u, Zeger Debyser, Rik Gijsbers Laboratory for Molecular Virology and Gene Therapy - KU Leuven, Belgium