BioMS Swedish Natl Infrastructure Biol Mass Spectr, BioMS Swedish Natl Infrastruct Biol Mass Spectrome, SE-22184 Lund, Sweden..
Africa Hlth Res Inst, Durban, South Africa.;Univ KwaZulu Natal, Doris Duke Med Res Inst, HIV Pathogenesis Programme, Durban, South Africa.;UCL, Div Infect & Immun, London, England..
Lund Univ, Fac Med, Dept Clin Sci Lund, Div Infect Med, Lund, Sweden..
BioMS Swedish Natl Infrastructure Biol Mass Spectr, BioMS Swedish Natl Infrastruct Biol Mass Spectrome, SE-22184 Lund, Sweden..
IAVI, New York, NY USA.;IAVI, Nairobi, Kenya..
Kicukiro Hlth Ctr, Kigali, Rwanda..
Ctr Family Hlth Res Zambia, Lusaka, Zambia..
IAVI, New York, NY USA.;IAVI, Nairobi, Kenya.;UCSF, San Francisco, CA USA..
Med Res Council Uganda Virus Res Inst & London Sch, Uganda Res Unit, Entebbe, Uganda..
Kicukiro Hlth Ctr, Kigali, Rwanda.;Ctr Family Hlth Res Zambia, Lusaka, Zambia.;Emory Univ, Sch Med, Dept Pathol & Lab Med, Atlanta, GA USA..
Kicukiro Hlth Ctr, Kigali, Rwanda.;Ctr Family Hlth Res Zambia, Lusaka, Zambia.;Emory Univ, Sch Med, Dept Pathol & Lab Med, Atlanta, GA USA..
Africa Hlth Res Inst, Durban, South Africa.;Univ KwaZulu Natal, Doris Duke Med Res Inst, HIV Pathogenesis Programme, Durban, South Africa.;UCL, Div Infect & Immun, London, England.;MIT, Massachusetts Gen Hosp, Ragon Inst, Cambridge, MA USA.;Harvard Univ, Cambridge, MA USA..
Imperial Coll, Fac Med, Dept Infect Dis Infect & Immun, London, England..
Univ Oxford, Nuffield Dept Med, Oxford, England..
Univ Oxford, Sir William Dunn Sch Pathol, Oxford, England.;Kemri Wellcome Trust Res Programme, Kilifi, Kenya.;Aurum Inst, Johannesburg, South Africa..
Lund Univ, Dept Translat Med, Lund, Sweden.;Lund Univ, Lund Univ Virus Ctr, Lund, Sweden.;Univ Oxford, Nuffield Dept Med, Oxford, England..
The complex dynamics of protein expression in plasma during hyperacute HIV-1 infection and its relation to acute retroviral syndrome, viral control, and disease progression are largely unknown. Here, we quantify 1293 blood plasma proteins from 157 longitudinally linked plasma samples collected before, during, and after hyperacute HIV-1 infection of 54 participants from four sub-Saharan African countries. Six distinct longitudinal expression profiles are identified, of which four demonstrate a consistent decrease in protein levels following HIV-1 infection. Proteins involved in inflammatory responses, immune regulation, and cell motility are significantly altered during the transition from pre-infection to one month post-infection. Specifically, decreased ZYX and SCGB1A1 levels, and increased LILRA3 levels are associated with increased risk of acute retroviral syndrome; increased NAPA and RAN levels, and decreased ITIH4 levels with viral control; and increased HPN, PRKCB, and ITGB3 levels with increased risk of disease progression. Overall, this study provides insight into early host responses in hyperacute HIV-1 infection, and present potential biomarkers and mechanisms linked to HIV-1 disease progression and viral load.
Springer Nature, 2024. Vol. 15, no 1, article id 10593