@article{cf0136a0ebc911ddbf70000ea68e967b,
title = "Conflicting selective forces affect T cell receptor contacts in an immunodominant human immunodeficiency virus epitope",
abstract = "Cytotoxic T lymphocytes (CTLs) are critical for the control of human immunodeficiency virus, but containment of virus replication can be undermined by mutations in CTL epitopes that lead to virus escape. We analyzed the evolution in vivo of an immunodominant, HLA-A2-restricted CTL epitope and found two principal, diametrically opposed evolutionary pathways that exclusively affect T cell-receptor contact residues. One pathway was characterized by acquisition of CTL escape mutations and the other by selection for wild-type amino acids. The pattern of CTL responses to epitope variants shaped which variant(s) prevailed in the virus population. The pathways notably influenced the amount of plasma virus, as patients with efficient CTL selection had lower plasma viral loads than did patients without efficient selection. Thus, viral escape from CTL responses does not necessarily correlate with disease progression.",
author = "Iversen, {Astrid K N} and Guillaume Stewart-Jones and Learn, {Gerald H} and Natasha Christie and Christina Sylvester-Hviid and Armitage, {Andrew E} and Rupert Kaul and Tara Beattie and Lee, {Jean K} and Yanping Li and Pojchong Chotiyarnwong and Tao Dong and Xiaoning Xu and Luscher, {Mark A} and Kelly MacDonald and Henrik Ullum and Bente Klarlund-Pedersen and Peter Skinh{\o}j and Lars Fugger and S{\o}ren Buus and Mullins, {James I} and Jones, {E Yvonne} and {van der Merwe}, {P Anton} and McMichael, {Andrew J}",
note = "Keywords: Adult; Amino Acid Sequence; Crystallography, X-Ray; Evolution, Molecular; Female; Gene Products, gag; Genetic Variation; HIV Antigens; HIV Infections; HIV-1; HLA-A2 Antigen; Humans; Immunodominant Epitopes; Models, Molecular; Molecular Sequence Data; Multiprotein Complexes; Mutation; Peptide Fragments; Phylogeny; Receptors, Antigen, T-Cell; Selection (Genetics); T-Lymphocytes, Cytotoxic; Viremia; env Gene Products, Human Immunodeficiency Virus",
year = "2006",
doi = "10.1038/ni1298",
language = "English",
volume = "7",
pages = "179--89",
journal = "Nature Immunology",
issn = "1529-2908",
publisher = "nature publishing group",
number = "2",
}