Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
2010-12-2
pubmed:abstractText
In medicine, understanding the pathophysiologic basis of exceptional circumstances has led to an enhanced understanding of biology. We have studied the circumstance of HIV-infected patients in whom antiretroviral therapy results in immunologic benefit, despite virologic failure. In such patients, two protease mutations, I54V and V82A, occur more frequently. Expressing HIV protease containing these mutations resulted in less cell death, caspase activation, and nuclear fragmentation than wild type (WT) HIV protease or HIV protease containing other mutations. The impaired induction of cell death was also associated with impaired cleavage of procaspase 8, a requisite event for HIV protease mediated cell death. Primary CD4 T cells expressing I54V or V82A protease underwent less cell death than with WT or other mutant proteases. Human T cells infected with HIV containing these mutations underwent less cell death and less Casp8p41 production than WT or HIV containing other protease mutations, despite similar degrees of viral replication. The reductions in cell death occurred both within infected cells, as well as in uninfected bystander cells. These data indicate that single point mutations within HIV protease which are selected in vivo can significantly impact the ability of HIV to kill CD4 T cells, while not impacting viral replication. Therefore, HIV protease regulates both HIV replication as well as HIV induced T cell depletion, the hallmark of HIV pathogenesis.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1553-7374
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
6
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
e1001213
pubmed:meshHeading
pubmed-meshheading:21124822-Adult, pubmed-meshheading:21124822-Antiretroviral Therapy, Highly Active, pubmed-meshheading:21124822-Blotting, Western, pubmed-meshheading:21124822-Caspase 8, pubmed-meshheading:21124822-Cells, Cultured, pubmed-meshheading:21124822-Drug Resistance, Viral, pubmed-meshheading:21124822-Female, pubmed-meshheading:21124822-Flow Cytometry, pubmed-meshheading:21124822-HIV Infections, pubmed-meshheading:21124822-HIV Protease, pubmed-meshheading:21124822-HIV Protease Inhibitors, pubmed-meshheading:21124822-HIV Seropositivity, pubmed-meshheading:21124822-HIV-1, pubmed-meshheading:21124822-Humans, pubmed-meshheading:21124822-Male, pubmed-meshheading:21124822-Membrane Potential, Mitochondrial, pubmed-meshheading:21124822-Middle Aged, pubmed-meshheading:21124822-Mutagenesis, Site-Directed, pubmed-meshheading:21124822-Mutation, pubmed-meshheading:21124822-RNA, Messenger, pubmed-meshheading:21124822-Reverse Transcriptase Polymerase Chain Reaction, pubmed-meshheading:21124822-T-Lymphocytes, pubmed-meshheading:21124822-Virus Replication, pubmed-meshheading:21124822-Young Adult
pubmed:year
2010
pubmed:articleTitle
Patients with discordant responses to antiretroviral therapy have impaired killing of HIV-infected T cells.
pubmed:affiliation
Division of Infectious Diseases, Mayo Clinic, Rochester, MN, USA.
pubmed:publicationType
Journal Article, Research Support, N.I.H., Extramural