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This review explores the evolution of HIV and its transmission, highlighting the causes and consequences of its genetic diversity. It discusses the origins of HIV-1 and HIV-2 and examines the within-host evolution of the virus. The use of phylogenies and molecular epidemiology is emphasized to track patterns of infection. The evolution of drug resistance and immune pressure in HIV is also discussed.
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Evolution and transmission in HIV Steve Paterson Review; Rambaut 2004 Nature Reviews Genetics 5: 52-61 ‘The causes and consequences of HIV evolution’
Use phylogenies to follow infection • HIV is an RNA virus, with a high mutation rate • mutates over course of infection
Phylogenetic tree should mirror contact structure of infection
Molecular epidemiology of HIV in Edinburgh • HIV mutates as passes from one individual to next • Use substitutions to build phylogenies and track pattern of infection
HIV phylogeny Holmes et al (1994) J. Inf. Diseases 171:45-53
Origins of HIV HIV-2 HIV-1 Rambaut 2004 Nature Reviews Genetics 5: 52-61
Within host evolution of HIV • high rate of mutation • (0.2 errors/genome) • high rate of replication • (gen. time = 2.5 days, 1010 - 1012 virions/day) • natural selection • immune selection • genetic drift
Genetic diversity of HIV Rambaut (2004) Nature Reviews Genetics5, 52-61
Long-lived Short-lived env gene CTL escape blue sites = +ve seln. Ross (2002) J. Virol. 76 : 11715-20 Immune pressure, effective at driving amino-acid change in long-lived patients?