Effect of the L74I Polymorphism on Fitness of Cabotegravir-Resistant Variants of Human Immunodeficiency Virus 1 Subtype A6

Author:

Hu Zixin1,Cordwell Trevor1,Nguyen Hieu1,Li Jialin1,Jeffrey Jerry L2,Kuritzkes Daniel R1

Affiliation:

1. Division of Infectious Diseases, Brigham and Women's Hospital and Harvard Medical School , Boston, Massachusetts , USA

2. ViiV Healthcare, Research Triangle Park , North Carolina , USA

Abstract

Abstract The presence of human immunodeficiency virus (HIV) 1 subtype A6, characterized by the L74I integrase (IN) polymorphism, is associated with confirmed virologic failure in clinical trials of long-acting cabotegravir and rilpivirine. We investigated the effect of L74I on replication capacity (RC) of recombinant viruses carrying this polymorphism in combination with various IN stand-transfer inhibitor resistance mutations. The presence of L74I conferred greater RC to recombinant viruses expressing HIV-1 A6 IN when present together with G118R, G140R, Q148H, and R263K; no significant difference in RC was observed for the Q148K or R mutants. These findings may explain, in part, the association of HIV-1 subtype A6 with virologic failure.

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Immunology and Allergy

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