The Characterizing and Understanding the HIV Reservoir for

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TheCharacterizingandUnderstandingtheHIVReservoirforEradication (CURE)cohort:anewresourceforunderstandingHIVpersistence

NatalieN.Kinloch1,2*,AniqaShahid1,2*,BruceGanase1,Hanwei Sudderuddin1,DelphineDuhirwe1,AlineTrevisan1,Zhong Dang1,F.HarrisonOmondi1,2,Hesham Ali3,ChadDickie4,SilviaGuillemi1,MarkHull1,MelKrajden5,ChansonJ.Brumme1,6,Marianne

Harris1,6,MarkA.Brockman1,2,Zabrina L.Brumme1,2(*showsco-firstauthors)

1BritishColumbiaCentreforExcellenceinHIV/AIDS,Vancouver,BritishColumbia;2FacultyofHealthSciences,SimonFraserUniversity,Burnaby,BritishColumbia;3PositiveLivingSocietyofBritishColumbia,Vancouver,BritishColumbia;4AVIHealthandCommunityServices,Victoria,BritishColumbia;5BritishColumbiaCentreforDisease

Control,Vancouver,BritishColumbia;6DepartmentofMedicine,UniversityofBritishColumbia,Vancouver,BritishColumbia

Poster ID BSP6.04

Presentingauthordeclaration:Ihavenoconflictsofinteresttodeclare

Contactusat:ashahid@sfu.ca,zbrumme@sfu.ca

1UNIVERSITYOFBRITISHCOLUMBIA

• ThedevelopmentofeffectiveHIVremissionorcurestrategieswillrequireadeeperunderstandingofinter-individualvariationinHIVreservoirsizeandcomposition.

• Tothisend,wehaveestablishedtheCharacterizingandUnderstandingtheHIVReservoirforEradication (CURE)cohortcomprisingindividualslivingwithHIVonlong-termcART.

Inthisposter,wedescribeCUREandexploreassociationsbetweenclinicalhistoryandlatentHIVreservoirsize.

2

BACKGROUND

3

METHODSParticipantrecruitmentand

informedconsentPBMCisolationBlooddraw(450mL) CD4isolationfromPBMCs

GenomicDNAextraction

QuantificationoftotalandintactlatentreservoirusingIntactProviral DNAassayviadropletdigitalPCR(ddPCR)forN=14 CUREparticipants

Ψflu

orescence

KinlochNetal,unpublished

4

RESULTS

Table1:CharacteristicsoftheCUREcohortParticipantsrecruitedsofar 31

Biological sex

Male 29

Female 2

Medianage(IQR) 57(48-63)years

HIVsubtype B

Median(IQR)estimateddurationofuncontrolledHIVinfection 7(2-15)years

Subsequentmedian(IQR) cART duration 13(9-20)years

Median(IQR)nadirCD4+ T-cellcount 280(120-630)cells/mm3

Median(IQR)archivedpre-cART plasmaavailable 5(2-16)samples/participant

• CUREisanewCanadianHIVcohort,comprisingindividualswithdiverseclinicalhistories,includingthosetreatedinearlyinfectionandlong-termHIVsurvivors,willadvanceourunderstandingofHIVpersistence.

• TheavailabilityofarchivedplasmaspecimenswillallowustoinvestigatethereservoirdiversityinthecontextofHIV'swithin-hostevolutionaryhistory. 5

0 1000 2000 3000 4000 50000

100

200

300

400Spearman's rho = 0.77p-value=0.001

Total HIV reservoir size

Gene

ticall

y in

tact

HIV

rese

rvoi

r size

Figure1:LatentHIVreservoirsizeoftheCUREparticipants

RESULTSFigure2:Positivecorrelationbetweentotalandintactreservoir

CONCLUSION

Nosignificantcorrelationsobservedbetweenuncontrolledinfectionduration,cART duration,nadirCD4count,andreservoirsize.

Total reservoir Defective reservoir Genetically intact reservoir0

200

400

6001000

2000

3000

4000

5000

HIV

Co

pie

s/m

illio

n C

D4+

T-c

ells

(N=14)

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