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  • Maldarelli, F; Wu, X; Su, L; Simonetti, F R; Shao, W; Hill, S; Spindler, J; Ferris, A L; Mellors, J W; Kearney, M F; Coffin, J M; Hughes, S H

    Science (American Association for the Advancement of Science), 2014-Jul-11, 20140711, Letnik: 345, Številka: 6193
    Journal Article

    The persistence of HIV-infected cells in individuals on suppressive combination antiretroviral therapy (cART) presents a major barrier for curing HIV infections. HIV integrates its DNA into many sites in the host genome; we identified 2410 integration sites in peripheral blood lymphocytes of five infected individuals on cART. About 40% of the integrations were in clonally expanded cells. Approximately 50% of the infected cells in one patient were from a single clone, and some clones persisted for many years. There were multiple independent integrations in several genes, including MKL2 and BACH2; many of these integrations were in clonally expanded cells. Our findings show that HIV integration sites can play a critical role in expansion and persistence of HIV-infected cells.