diversity and divergence in hiv-1 viral variants between patients with high cd4+ t cell variability...

33
Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez Janelle N. Ruiz Biology 398.01 Professor Kam D. Dahlquist, Ph.D. Department of Biology Loyola Marymount University March 2nd, 2009

Upload: laura-lloyd

Post on 05-Jan-2016

220 views

Category:

Documents


3 download

TRANSCRIPT

Page 1: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Diversity and Divergence in HIV-1 Viral Variants between

patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline

Kevin Paiz-RamirezJanelle N. Ruiz

Biology 398.01Professor Kam D. Dahlquist, Ph.D.

Department of BiologyLoyola Marymount University

March 2nd, 2009

Page 2: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

OutlineI. HIV-1 Background

II. Markham et al. Previous Studies

III. Research Questions

IV. Results

A. Diversity Between Groups

B. Divergence Between Groups

V. Interpretations between synonymous & non-synonymous Groups

VI. Limitations To Results

VII. Interpretations In Light of Recent Studies

VIII. References

Page 3: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Background HIV-1

• Human Immunodeficiency Virus, is categorized into 3 stages

• Seroconversion ~7-8 weeks

• Latency ~variable period of years

• Acquired Immune Deficency Syndrome

Center for Disease Control’s Public Health Image Library #10000

Page 4: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Markham, et al.

• Markham et al. explored analyses of synonymous and non-synonymous differences and rates of divergence to reveal selective heterogeneity as a function of disease progression category

• We chose to examine if there are differences in HIV-1 diversity or divergence between participants with high CD4 T-Cell variability within the study, between visits as compared to participants with linear progression

Page 5: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Research Question

• Are their differences in HIV-1 diversity or divergence between participants with high CD4 T cell variability between visits as compared to participants with rapid CD4+ T Cell decline (slope ~ -1)?

Linear Progressors High Variability

Page 6: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

How Were Subjects Chosen?

• Linear Progressors: Patients with rapid CD4+ T Cell Decline

Page 7: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

• High Variability: Patients with high CD4 T cell variability between visits

How Were Subjects Chosen?

Page 8: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

• High Variability: Patients with high CD4 T cell variability between visits

How Were Subjects Chosen?

Page 9: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

• Low Variability: Patients with low CD4 T cell variability between visits

How Were Subjects Chosen?

Page 10: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Diversity and Divergence Between Groups

Subject ClassificationNumber of visits

# of Clones (all visits) S Theta Min Difference

Max Difference

Median dS/dN

4 Linear Progressor 4 47 59 12.86 0.007 0.074 0

10 Linear Progressor 5 47 67 14.61 0.004 0.032 0.2

12 High Variability 5 29 36 9.17 0.007 0.056 0.9

8 High Variability 5 29 36 9.17 0.004 0.025 0.5

6 High Variability 5 29 50 12.73 0.007 0.049 0.4

5 Low Variability 5 29 54 13.75 0.007 0.056 1.4

Page 11: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Diversity and Divergence Between Groups

Subject ClassificationNumber of visits

# of Clones (all visits) S Theta Min Difference

Max Difference

Median dS/dN

4 Linear Progressor 4 47 59 12.86 0.007 0.074 0

10 Linear Progressor 5 47 67 14.61 0.004 0.032 0.2

12 High Variability 5 29 36 9.17 0.007 0.056 0.9

8 High Variability 5 29 36 9.17 0.004 0.025 0.5

6 High Variability 5 29 50 12.73 0.007 0.049 0.4

5 Low Variability 5 29 54 13.75 0.007 0.056 1.4

Page 12: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

LowVariability

DIVERSITY:Comparing Number of Clones

for all Visits Across Groups

Page 13: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Diversity and Divergence Between Groups

Subject ClassificationNumber of visits

# of Clones (all visits) S Theta Min Difference

Max Difference

Median dS/dN

4 Linear Progressor 4 47 59 12.86 0.007 0.074 0

10 Linear Progressor 5 47 67 14.61 0.004 0.032 0.2

12 High Variability 5 29 36 9.17 0.007 0.056 0.9

8 High Variability 5 29 36 9.17 0.004 0.025 0.5

6 High Variability 5 29 50 12.73 0.007 0.049 0.4

5 Low Variability 5 29 54 13.75 0.007 0.056 1.4

Page 14: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Diversity and Divergence Between Groups

Subject ClassificationNumber of visits

# of Clones (all visits) S Theta Min Difference

Max Difference

Median dS/dN

4 Linear Progressor 4 47 59 12.86 0.007 0.074 0

10 Linear Progressor 5 47 67 14.61 0.004 0.032 0.2

12 High Variability 5 29 36 9.17 0.007 0.056 0.9

8 High Variability 5 29 36 9.17 0.004 0.025 0.5

6 High Variability 5 29 50 12.73 0.007 0.049 0.4

5 Low Variability 5 29 54 13.75 0.007 0.056 1.4

Page 15: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

DIVERSITY:Comparing the S Value Across

Groups

Subject 4

Subject 10

Subject 12

Subject 8 Subject 6

Subject 5

Linear Progressors High Variability Low Variability

Group #

S V

alue

Page 16: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

DIVERSITY:Comparing the S Value Across

Groups

Subject 4

Subject 10

Subject 12

Subject 8

Subject 5

Linear Progressors High Variability Low Variability

Group #

S V

alue

P Value: 0.021250765

Subject 6

Page 17: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

DIVERSITY:Comparing the S Value Across

Groups

Subject 4

Subject 10

Subject 12

Subject 8 Subject 6

Subject 5

Linear Progressors High Variability Low Variability

Group #

S V

alue

P Value: 0.131255514

Page 18: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Diversity and Divergence Between Groups

Subject ClassificationNumber of visits

# of Clones (all visits) S Theta Min Difference

Max Difference

Median dS/dN

4 Linear Progressor 4 47 59 12.86 0.007 0.074 0

10 Linear Progressor 5 47 67 14.61 0.004 0.032 0.2

12 High Variability 5 29 36 9.17 0.007 0.056 0.9

8 High Variability 5 29 36 9.17 0.004 0.025 0.5

6 High Variability 5 29 50 12.73 0.007 0.049 0.4

5 Low Variability 5 29 54 13.75 0.007 0.056 1.4

Page 19: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

DIVERGENCE:Comparing Theta Across

Groups

Subject 4

Subject 10

Subject 12

Subject 8 Subject 6

Subject 5

Group #

The

ta

Linear Progressors High Variability Low Variability

Page 20: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

DIVERGENCE:Comparing Theta Across

Groups

Subject 4

Subject 10

Subject 12

Subject 8 Subject 6

Subject 5

Group #

The

ta

Linear Progressors High Variability Low Variability

P Value: 0.034831412

Page 21: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

DIVERGENCE:Comparing Theta Across

Groups

Subject 4

Subject 10

Subject 12

Subject 8 Subject 6

Subject 5

Group #

The

ta

Linear Progressors High Variability Low Variability

P Value: 0.295428191

Page 22: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Diversity and Divergence Between Groups

Subject ClassificationNumber of visits

# of Clones (all visits) S Theta Min Difference

Max Difference

Median dS/dN

4 Linear Progressor 4 47 59 12.86 0.007 0.074 0

10 Linear Progressor 5 47 67 14.61 0.004 0.032 0.2

12 High Variability 5 29 36 9.17 0.007 0.056 0.9

8 High Variability 5 29 36 9.17 0.004 0.025 0.5

6 High Variability 5 29 50 12.73 0.007 0.049 0.4

5 Low Variability 5 29 54 13.75 0.007 0.056 1.4

Page 23: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

DIVERGENCE:Comparing Min and Max

Differences Across Groups

Subject Classification# of Clones (all visits) Min Difference Max Difference

4 Linear Progressor 47 0.007 0.074

10 Linear Progressor 47 0.004 0.032

12 High Variability 29 0.007 0.056

8 High Variability 29 0.004 0.025

6 High Variability 29 0.007 0.049

5 Low Variability 29 0.007 0.056

P Value: >.05

Page 24: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

DIVERGENCE:Comparing Min and Max

Differences Across Groups

Subject Classification# of Clones (all visits) Min Difference Max Difference

4 Linear Progressor 47 0.007 0.074

10 Linear Progressor 47 0.004 0.032

12 High Variability 29 0.007 0.056

8 High Variability 29 0.004 0.025

6 High Variability 29 0.007 0.049

5 Low Variability 29 0.007 0.056

P Value: >.05

Page 25: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Research Question

• Are their differences in HIV-1 diversity or divergence between participants with high CD4 T cell variability between visits as compared to participants with rapid CD4+ T Cell decline (slope ~ -1)?

Linear Progressors High Variability

Page 26: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Differences exist in diversity and divergence of HIV-1 variants b/w

Groups• Linear Progressors show higher diversity HIV-1 variants

as shown by higher number of clones and higher S value compared to subjects with High Variability in CD4 count.

• Linear Progressors show higher divergence in HIV-1 variants as shown by higher value of theta compared to subjects with High Variability in CD4 count.

• Hypothesis supported?

Page 27: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Limitations to Results• Only looked at first 5 visits to maintain consistency

and due to limitations of analytical software

• Issues with Subject 8 versus Subject 6 in high variability group

• Missing data for subject 4 (visits 5-7)

• Only one subjects in low variability group; therefore could not run T Tests with this group

Page 28: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Synonymous versus Non-Synonymous mutations

Between Groups

Subject ClassificationNumber of visits

# of Clones (all visits) S Theta Min Difference

Max Difference

Median dS/dN

4 Linear Progressor 4 47 59 12.86 0.007 0.074 0

10 Linear Progressor 5 47 67 14.61 0.004 0.032 0.2

12 High Variability 5 29 36 9.17 0.007 0.056 0.9

8 High Variability 5 29 36 9.17 0.004 0.025 0.5

6 High Variability 5 29 50 12.73 0.007 0.049 0.4

5 Low Variability 5 29 54 13.75 0.007 0.056 1.4

P Value: >.05

Page 29: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Synonymous versus Non-Synonymous mutations

Between Groups

Subject ClassificationNumber of visits

# of Clones (all visits) S Theta Min Difference

Max Difference

Median dS/dN

4 Linear Progressor 4 47 59 12.86 0.007 0.074 0

10 Linear Progressor 5 47 67 14.61 0.004 0.032 0.2

12 High Variability 5 29 36 9.17 0.007 0.056 0.9

8 High Variability 5 29 36 9.17 0.004 0.025 0.5

6 High Variability 5 29 50 12.73 0.007 0.049 0.4

5 Low Variability 5 29 54 13.75 0.007 0.056 1.4

P Value: >.05

Page 30: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Synonymous versus Non-Synonymous mutations

Between Groups• Appears to be no significant differences in

synonymous versus non-synonymous mutations in HIV-1 variants between linear progressors and high variability group

• Participants with low variability in CD4 count appear to show selection against Non-synonymous mutations in HIV-1 variants

Page 31: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Templeton, et al.• Templeton’s article examined selection of 15 subjects similar to the Markham study, but further investigated a broader range of potential selective contexts.

•Overall disease progression categories: CD4 and CD8 T-Cell counts

•Mutations leading to amino acid substitutions were subject to positive selection over a broad range of clinical conditions in nonsyncytium inducing form (NSI)

•It was determined that the study must be focused in the V3 region

Page 32: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

Templeton, et al.

•The results indicated that the V3 region is subject to selection, but cannot be summarized in a marginal fashion to a single variable such as CD4 counts.

•Diverse patterns of V3 region evolution depending on rapid and non-progressors. The V3 region is context dependent. Further studies of this region could be explored in the HIV-1 Genome.

Page 33: Diversity and Divergence in HIV-1 Viral Variants between patients with high CD4+ T Cell Variability and Patients with Rapid CD4+ T Cell Decline Kevin Paiz-Ramirez

References

• Markham RB, Wang WC, Weisstein AE, Wang Z, Munoz A, Templeton A, Margolick J, Vlahov D, Quinn T, Farzadegan H, and Yu XF. Patterns of HIV-1 evolution in individuals with differing rates of CD4 T cell decline. Proc Natl Acad Sci U S A 1998 Oct 13; 95(21) 12568-73

• Templeton Alan R, Reichert R, Weisstein A, Xia-Fang Y, Markham RB. Selection in Context: Patterns of Natural Selection in the Glycoprotein 120 Region of Human Immunodeficiency Virus 1 Within Infected Individuals. Genetics Society of America USA 2004, Dec 20: 103.02945