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First evidence of transmission of an HIV-1 M/O intergroup recombinant virus.

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First evidence of transmission of an HIV-1 M/O intergroup recombinant virus.

Paul Alain NGOUPO, Serge Alain SADEUH-MBA, Fabienne DE OLIVEIRA, Valérie Ngono, Laure NGONO, Patrice TCHENDJOU, Véronique PENLAP, Thomas MOUREZ, Richard NJOUOM, Anfumbom KFUTWAH, Jean-Christophe PLANTIER.

SUPPLEMENTARY METHODS

Estimates of evolutionary divergence

The number of base substitutions per site between sequences obtained from intra- and inter-patients samples were estimated using the Kimura 2-parameter model [1]. The rate variation among sites was modeled with a gamma distribution (shape parameter = 1).

The analysis involved 5 nucleotide sequences. Codon positions included were 1st+2nd+3rd+Noncoding. All ambiguous positions were removed for each sequence pair. There were a total of 1033 and 543 positions for Pol and Env regions respectively, in the final dataset. Evolutionary analyses were conducted in MEGA 6.06 [2] .

Phylogenetic analyses

Sequences of three previously characterized HIV-1 M/O recombinants [3-5] and further HIV-1 nucleotide sequences representing HIV-1/M subtypes and HIV-1/O clades were downloaded from Los Alamos Database and aligned with the patient sequences by using CLUSTALW [6] with minor manual adjustments. All PROT-RT concatamer sequences (1033bp) in the pol gene and gp41 (543 bp) in the env gene were used for phylogenetic analyses. Results obtained with INT sequences were only informative because of the relative short length of the PCR fragment (239 bp). Phylogenetic trees were 2

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reconstructed in MEGA 6.06 software[2] by the neighbor-joining method with the Kimura two-parameter method for computing evolutionary distances [1]. All alignment gaps were removed from the analysis for each sequence pair. The reliability of the tree topologies was estimated by bootstrap analysis with 1,000 pseudo-replicate data sets.

Near–full length genomes characterization

Near–full length genomes of sample of October 2012 from REC003 and sample of March 2013 from REC024 were amplified using a strategy of amplification of 7 overlapping fragments (supp figure 2) as follows:

RNA was extracted from 200 µL of plasma sample. RT-PCR was performed using SuperScript™ III One-Step RT-PCR System with Platinum® Taq High Fidelity (Invitrogen) in a final volume of 50 µL containing 20 pmol of each primer (supp table 1), 2 mM MgSO4 and 10 µL of RNA extract. We used a Perkin Elmer Gene Amp PCR System 9700 with the following cycling conditions: 50 °C for 30 min, 94 °C for 2 min, followed by 35 cycles of (94°C for 15 s, 55°C for 30 s, and 68 °C for 2min30s) and a final extension of 68°C for 10 min. 2 µL of RT-PCR products were then subjected to nested PCR reaction with HotStarTaq Master Mix (Qiagen) in a final volume of 50 µL containing 20 pmol of each primer (supp table 1) and 1.5 mM MgCl2. The cycling conditions consisted of 95°C for 15 min followed by 35 cycles (94 °C for 30 s, 50 °C for 30 s, and 72 °C for 2 min) and a final extension step of 72°C for 10 min.

PCR amplicons were purified with the NucleoSpin Gel and PCR Clean-up (Macherey- Nagel, Düren, Germany) and subjected to sequencing with the CEQ Dye Terminator Cycle Sequencing with Quick Start kit (Beckman).HIV sequence BLAST search were

performed from the LANL database

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Genotyping Retrovirus Tool from the National Center for Biotechnology Information (http://www.ncbi.nlm.nih.gov/retroviruses/). Sequences of overlapping fragments were aligned and assembled using MEGA 6.06 software.

Supplementary table 1: Primers used for near-full length genome characterization of the recombinant forms.

Genome region Step Primers Primer sequence (5’--- 3’) Fragment size (bp)

LTR-Gag

RT PCR LTRM514U25 (U) GCAAGCTTTATTGAGSSTTAAGCAG 1768

G01 (L) AGGGGTCGTTGCCAAAGA

NESTED LTRO152 (U) CTCAATAAAGCTTGCCTTGA 1747

UNIL1 (L) CCAAAGAGKGATYTGAGGG

Gag-Pol

RT PCR POLM2610U25 (U) GTTAAACARTGGCCATTRACAGARG 1174

UNIL2 (L) GAATCCAGGTRGCYTGCC

NESTED MW1 (U) CCACARGGATGGAAAGGATCACC 466

RT20 (L) CTGCCAGTTCTAGCTCTGCTTC

RT PCR UNIU1 (U) GGAAATGTGGAMAGGAAGG 1755

RTO1L (L) AATTCCCATTCWGGAATCCA

NESTED PROT1 (U) TAATTTTTTAGGGAAGATCTGGCCTTCC 1750

UNIL2 (L) GAATCCAGGTRGCYTGCC

Pol

RT PCR RTOXL1U (U) CTCCAYCCAGACAARTGGAC 1735

POLU2 (L) GTATTACTACTGCCCCTTCACCTTTCCA

NESTED RTO1U (U) GAAARCTAAATTGGGCAAGTC 1594

INTO3L (L) GGGTCTCTGCTRTCTCTGTAATA

RT PCR RTOXL1U (U) CTCCAYCCAGACAARTGGAC 1727

POLORB (L) ACTGCHCCTTCHCCTTTCCA

NESTED RTO1U (U) GAAARCTAAATTGGGCAAGTC 1650

POLU2 (L) GTATTACTACTGCCCCTTCACCTTTCCA Pol-Accessory

genes-Env

RT PCR VIF1 (U) GGGTTTATTACAGGGACAGCAGAG 1542

VPU1 (L) GGTTGGGGTCTGTGGGTACACAGG

NESTED POLM4920 (U) AGAGAYCCWATTTGGAAAGGACC 1521

ENVO6L (L) TTGTGMTGCCCAAATATTATG

Accessory genes- Env

RT PCR ENVO6338U23 (U) GGCTTTGMTAAYCCCATGTTTGA 1090

ENVO7402 (L) TGTGTTACAATARAAGAAYTCTCCAT

NESTED ENVO7U ND2 (U) TTTGMTAATCCCATGTTTGA 1078

V3DURR (L) AAAGAATTCTCCATGACAGTTAAA

RT PCR REVO6U (U) ATCTCCYATGGCAGGAAGAAG 1918

UNIL5 (L) YTGCTGTTGCACTATRCC

NESTED ENVO7U (U) TTTGMTAAYCCCATGTTTGA 1254

UNIL3 (L) CCCATAGTGCTTCCTGCTGC Env

RT PCR V3DURA (U) ATTCCAATACACTATTGTGCTCCA 1698

GP41NE 3’(L) TAAGTTGCTCAAGAGGTGGTA

NESTED GP41NE 5’(U) TAAGTGCAGCAGGTAGCACTAT 749

Supplementary table 1 (continued)

GP41NE3’ (L) TAAGTTGCTCAAGAGGTGGTA Env-LTR

RT PCR GP41NE 5’(U) TAAGTGCAGCAGGTAGCACTAT 1922

LTROL (L) TCAAGGCAAGCTTTATTGAG

NESTED GP41OXL (U) AACATTAGGCAGGGATATCAAC 1354

LTRM514L25 (L) GCAAGCTTTATTGAGSSTTAAGCAG

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Supplementary table 2. Genetic distances (intra- and inter-patients) between Pol and Env sequences obtained from the sequential samples of REC003 and REC024.

Pol region REC003 10/2012

REC003 03/2013

REC003 09/2013

REC024 03/2013

REC024 09/2013 REC003

10/2012 -

REC003

03/2013 0,004 REC003

09/2013 0,011 0,010 REC024

03/2013 0,037 0,036 0,039

REC024

09/2013 0,033 0,033 0,035 0,003 -

Envregion REC003

10/2012 REC003

03/2013 REC003

09/2013 REC024

03/2013 REC024 09/2013 REC003

10/2012 -

REC003

03/2013 0,008 REC003

09/2013 0,004 0,006 REC024

03/2013 0,071 0,072 0,033

REC024

09/2013 0,063 0,066 0,034 0,020 -

Supplementary figure 1: Algorithm used to detect dual HIV-1 M+O infections and HIV-1 M/O recombinant forms at CPC laboratory 7

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Supplementary figure 2: PCR strategy for near-full length genome amplification

Supplementary references 10

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1. Kimura M. A simple method for estimating evolutionary rates of base

substitutions through comparative studies of nucleotide sequences. J Mol Evol.

1980 Dec;16(2):111-20. 1980.

2. Tamura K, Stecher G, Peterson D, Filipski A, Kumar S. MEGA6: Molecular Evolutionary Genetics Analysis version 6.0. Mol Biol Evol 2013; 30:2725-2729.

3. Vessiere A, Leoz M, Brodard V, Strady C, Lemee V, Depatureaux A, et al. First evidence of a HIV-1 M/O recombinant form circulating outside Cameroon.

AIDS 2010; 24:1079-1082.

4. Yamaguchi J, Bodelle P, Vallari AS, Coffey R, McArthur CP, Schochetman G, et al. HIV infections in northwestern Cameroon: identification of HIV type 1 group O and dual HIV type 1 group M and group O infections. AIDS Res Hum Retroviruses 2004;20:944-957.

5. Peeters M, Liegeois F, Torimiro N, Bourgeois A, Mpoudi E, Vergne L, et al.Characterization of a highly replicative intergroup M/O human

immunodeficiency virus type 1 recombinant isolated from a Cameroonian patient. J Virol 1999;73:7368-7375.

6. Thompson JD, Higgins DG, Gibson TJ. CLUSTAL W: improving the sensitivity of progressive multiple sequence alignment through sequence weighting,

position-specific gap penalties and weight matrix choice. Nucleic Acids Res 1994;22:4673-4680.

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