Abstract There are approximately 5.5 Million individuals in South Africa infected with HIV-1, predominantly subtype C (HIV-1C). The emergence of drug resistance to the current Antiretroviral (ARV) regimes is of great concern, thus development of novel, effective drugs/vaccines is vital. Certain conserved and thus vulnerable epitopes within the viral envelope (Env) involved in coreceptor binding are usually protected from the immune system in peripheral blood by the variable loops. However, in immune-privileged sites the Env of CD4-independent viruses may exist in a pre-triggered state where these coreceptor binding epitopes are exposed. Targeting the conserved sites could effectively neutralize HIV-1. This study aimed to adapt an HIV-1C primary isolate towards CD4- independence in the Cf2Th cell line through serial in vitro passage. Primary viruses from 20 drug-naïve HIV-1 AIDS patients were isolated and genotypically and phenotypically characterized. The highest percentage (30%) of CXCR4-usage amongst primary isolates from HIV-1C (and CD recombinant) infected AIDS patients worldwide was detected. These data may illustrate the increasing frequency of HIV-1C CXCR4- utilizing (X4) viruses with time and may support the theory that env is capable of evolving. The emergence/evolution of HIV-1C X4 viruses may have profound implications for viral pathogenesis, disease progression and future use of CCR5 antagonists as ARVs. Longitudinal follow-up studies on larger cohorts may confirm this finding. The CXCR4-utilizing isolate 05ZAFV03 was successfully adapted and serially passaged 12 times through Cf2Th cells, whilst gradually decreasing amounts of CD4 expressing cells numbers over time. Viral growth was detected with 10% CD4 expressing cells however, 100% CD4-independence was not reached. Proviral DNA from each stage of the adaptation process was sequenced and analyzed for mutations acquired within env. The only amino acid change noted was an E152K mutation within the V1 region at passage 4. Overall, the extent of env diversity appears to be a complex relationship between isolate-specific and cell-type specific factors. Future attempts to obtain and characterize an HIV-1C CD4-independent isolate will provide potential sites for therapeutic intervention by compounds such as small molecule inhibitors and/or neutralizing antibodies against the most globally prevalent HIV-1 subtype.

Für die Bildung eines funktionalen Nervensystems in Vertebraten ist ein Gleichgewicht zwischen inhibitorischen und exzitatorischen Neuronen essentiell. Ein Schlüsselfaktor in der Regulation dieses Gleichgewichts ist der bHLH Transkriptionsfaktor Ptf1a, welcher GABAerge inhibitorische Neurone in der Retina, dem Hinterhirn und im Rückenmark von Vertebraten spezifiziert, zugleich jedoch glutamaterge exzitatorische Neurone unterdrückt. In diesem Zusammenhang benötigt die Aktivität von Ptf1a die Bildung eines trimeren Komplexes, in welchem Ptf1a an ein allgemein exprimiertes E-Protein und an ein Mitglied der Su(H)-Familie bindet. Ptf1a fördert ebenfalls generelle neuronale Differenzierung in X. laevis Embryonen und Explantaten, was darauf hinweist, dass Ptf1a proneurale Aktivität besitzt. In dieser Doktorarbeit wurde die Rolle von Ptf1a im Zusammenhang mit genereller Neurogenese (frühe Funktion) und neuronaler Subtypen-Spezifizierung (späte Funktion) untersucht. Durch eine zeitliche Expressionsanalyse bekannter Gene konnte gezeigt werden, dass Ptf1a durch die Aktivierung von nachgeschalteten Genen, ähnlich dem proneuralen Transkriptionsfaktor Ngn2, in animalen Kappen (naives Ektoderm) zu frühen Zeitpunkten Neurogenese induziert. In späteren Stadien hingegen aktivierte Ptf1a die Expression von Markergenen, die GABAerge Neurone kennzeichnen, während neuronale glutamaterge Markergene von Ngn2 induziert wurden. Eine mutierte Version von Ptf1a (Ptf1aW224A/W242A), welche nicht in der Lage ist, mit dem Kofaktor Su(H) zu interagieren, behielt die Fähigkeit, generelle Neurogenese zu induzieren, nicht aber GABAerge Markergene zu aktivieren. Diese Ergebnisse lassen darauf schließen, dass Ptf1a in der Entwicklung des Nervensystems kontext-spezifische Transkriptionskomplexe bildet: einen Su(H)-unabhängigen Komplex zur Aktivierung genereller Neuorgenese und einen Su(H)-abhängigen Komplex zur Spezifizierung GABAerger Neurone. Da die Zielgene von Ptf1a in der Entwicklung des Nervensystems nicht genau bestimmt sind, wurden zwei unabhängige Transkriptom-Analysen durchgeführt, um das Ptf1a nachgeschaltete genetische Netzwerk aufzuzeigen. In diesen Untersuchungen wurde eine zeitliche Analyse von Genen durchgeführt, die durch wildtyp Ptf1a, Ptf1aW224A/W242A und Ngn2 in X. laevis animalen Kappen aktiviert werden; direkte Zielgene für Ptf1a und Ptf1a/Su(H) wurden bestimmt durch die Aktivierung dieser Transkriptionsfaktoren unter Vorhandensein eines Proteinsyntheseinhibitors (CHX). Durch dieses Vorgehen konnten viele mutmaßlich neue frühe und späte Zielgene von Ptf1a identifiziert werden. Eine weitere Analyse dieser nachgeschalteten Zielgene dürfte darüber Aufschluss geben, wie Ptf1a generelle Neurogenese und neuronale Subtypen-Spezifizierung reguliert.

PhD / HIV-1 is the cause of the majority of global HIV infections. Not only being more virulent, and relatively easily transmitted than HIV-2, HIV-1 is also more extensively studied. HIV-1 is known for its highly recombinogenic nature, together with an extreme genetic variety, both attributable to an error-prone reverse transcriptase which gives rise to heterozygous virion. Sequence diversity of HIV-1 has resulted in identification of 9 subtypes of HIV-1 M group, as well as 43 circulating and a number of other unique recombinant forms of HIV-1. The extensive heterogeneity of HIV-1 has become the main consideration in vaccine development, mainly due to the inherent variability of HIV-1 and the frequent generation of new recombinant forms, which subsequently makes the effort to control the HIV-1 pandemic more challenging. The inter-subtype recombination event is a common phenomenon observed in Malaysia whereby there is a co-circulation of multiple HIV-1 subtypes; CRF01_AE and subtype B. Therefore, it becomes crucial to widen the knowledge of currently emerging CRF01_AE/B inter-subtype recombinants, in order to assist the future regional vaccine design and also to prevent wider spread of these strains. Concurrently, with a better understanding on the characteristics of HIV-1 CRF01_AE/B recombinant forms, further diversification of these strains can possibly be thwarted. The objectives of this study included, firstly to study the molecular epidemiology pattern of different HIV-1 strains, as well as to observe their frequency and distribution. Our second aim was to identify possible derivative from CRF33_01B, and also other new CRF01_AE/B inter-subtype recombinant forms in Malaysia. Thirdly, we aimed to identify possible biological advantages of the CRF33_01B isolates over its parental strains; CRF01_AE and subtype B. Currently, the HIV-1 epidemic in Malaysia is in a concentrated phase with evidence of predominance of both CRF01_AE and subtype B found among heterosexuals and injecting drug users, respectively. There is urgent necessity to apply a more detailed and continuous molecular characterization and epidemiological monitoring of these recombinant forms in Malaysia. We obtained plasma samples from 115 HIV-1-infected patients who attended HIV clinic at the University Malaya Medical Centre in Kuala Lumpur, Malaysia. The HIV-1 PR-RT, gp120-env and gp41-env genes were amplified and sequenced from 50 samples, while the remaining 65 samples were successfully studied at either one or two HIV-1 specific genomic regions. Cloning, phylogenetic analyses, together with bootscanning methods were employed to assign subtypes and to identify inter-subtype recombination based on all three genomic regions. From the plasma-derived sequences of 50 patients, 46% were found to harbour CRF01_AE, 10% and 6% had subtype B and B’, and a total of 18% of the patients were infected with CRF33_01B, while the remaining 18% of patients was found to have unique recombinant forms. As for the other 65 patients, majority of them harboured CRF01_AE and subtype B. This study shows that co-circulation of multiple HIV-1 subtypes and their recombinant strains are frequent in the Malaysian population, while capable of spreading to different HIV-1 risk groups. Possible recombination hotspots in CRF01_AE/B recombinants are suggested to be within the HIV-1 PR-RT gene region. Further, this study highlights the need to characterize and monitor the molecular epidemiology of these recombinant forms. The ideal environment for the inter-subtype recombination event to take place is created by the co-circulation and dual infections of both CRF01_AE and subtype B. With more HIV-1 CRF01_AE/B recombinant forms emerging and shaping the nature of HIV epidemic in Malaysia, certainly it will complicate the timely diagnosis of these molecularly altered HIV-1 forms. The recent identification of the novel CRF33_01B suggests the emergence of other new CRF01_AE/B inter-subtype recombinant forms in Malaysia, as preliminarily demonstrated in some HIV-1 patients identified in the first part of this study. The peripheral blood mononuclear cells (PBMCs) of these HIV-1 patients were co-cultured with those of healthy donors, which we then isolated the proviral genomic DNA. The nested long-range PCR was performed to obtain seven overlapping viral genome fragments that made up the whole viral genome. The detailed phylogenetic, as well as bootscan analyses confirmed the mosaic compositions and recombinant structures of the newly emerging CRF01_AE/B recombinant forms derived from CRF01_AE and subtype B. One of them in particular; HIV-1 isolate 06MYKLD46 is structurally similar to CRF33_01B, except for an extra subtype B fragment within the env region. It also has close phylogenetic relationship and similar breakpoints with CRF33_01B, mainly at the PR-RT region. Furthermore, the other three distinct HIV-1 recombinants; isolates 07MYKLD47, 07MYKLD48 and 07MYKLD49 also display near full-length genomes composed of the backbone of CRF01_AE, with insertions of subtype B fragments at different gene regions. These results indicate the high possibility of second generation of minor recombinant forms derived from CRF33_01B, as well as the continuous evolution and rapid dispersal of CRF01_AE/B recombinants in Malaysia. The high prevalence of newly emerging CRF33_01B (CRF01_AE/B inter-subtype recombinant) may cause a possible epidemiologic shift, attributable to its altered virologic characteristics and possible transmission advantages compared to its parental strains. Two major determinants; the viral factor and host factor have influenced the progress of a productive HIV-1 infection upon virus entry into the host cells. We have assessed the two main viral factors; the in vitro viral replication capacity and the viral fitness of the circulating HIV-1 strains in Malaysia. We have determined that CRF33_01B primary isolate (07MYKLVik) replicates better in activated whole PBMCs and CD4+ T-lymphocytes and is ‘fitter’ than one of its parental strain; CRF01_AE (07MYKLNBL) but not subtype B (07MYKLAfik). Subtype B has more advanced ability to produce a progressive infection in all cell types, including MDMs, and has a comparable viral fitness to that of CRF33_01B. We also investigated the role of host factors in a productive HIV-1 infection, by determining the viral effect on the host cell morphological features. We found that CRF33_01B (07MYKLVik) culture displayed more large syncytia (multinucleated giant cells) with multiple nuclei compared to subtype B (07MYKLAfik) culture, while no snycytia was observed in CRF01_AE (07MYKLNBL) culture. Generally, the cells within CRF33_01B and subtype B cultures appeared to be morphologically distinct from CRF01_AE cultures. This may indicate a more productive HIV-1 infection of CRF33_01B and subtype B, similar to our finding from the in vitro viral replicative capacity and viral fitness assays of these HIV-1 strains. We also studied the effect of different HIV-1 strain infections on host differential gene expression profiles, by using the PCR Array, which detects a total of 84 genes known to be involved in the host response to HIV-1 infection. It was observed that the in vitro infection with CRF33_01B isolates resulted in a more damaging effect on host cells and caused more apoptotic death within the infected cultures, compared to the isolates of its parental subtypes. Moreover, subtype B isolates resulted in a poorer cell response upon viral infection, compared to CRF01_AE/B isolate. Concurrently, it also gave less productive spread of viral infection within the infected cultures, in comparison to CRF01_AE/B isolate. We speculate that if the same scenario is reflected in vivo, CRF01_AE/B inter-subtype recombinant including CRF33_01B would have a better survival rate within the host upon their infection, in comparison to their parental strains. This again strengthens our presumption that CRF33_01B has potential ability to disseminate widely in the Malaysian population and gives a progressive change of the current molecular epidemiological trend by gradually replacing the current predominance of CRF01_AE in the country.

PhD / HIV-1 is the cause of the majority of global HIV infections. Not only being more virulent, and relatively easily transmitted than HIV-2, HIV-1 is also more extensively studied. HIV-1 is known for its highly recombinogenic nature, together with an extreme genetic variety, both attributable to an error-prone reverse transcriptase which gives rise to heterozygous virion. Sequence diversity of HIV-1 has resulted in identification of 9 subtypes of HIV-1 M group, as well as 43 circulating and a number of other unique recombinant forms of HIV-1. The extensive heterogeneity of HIV-1 has become the main consideration in vaccine development, mainly due to the inherent variability of HIV-1 and the frequent generation of new recombinant forms, which subsequently makes the effort to control the HIV-1 pandemic more challenging. The inter-subtype recombination event is a common phenomenon observed in Malaysia whereby there is a co-circulation of multiple HIV-1 subtypes; CRF01_AE and subtype B. Therefore, it becomes crucial to widen the knowledge of currently emerging CRF01_AE/B inter-subtype recombinants, in order to assist the future regional vaccine design and also to prevent wider spread of these strains. Concurrently, with a better understanding on the characteristics of HIV-1 CRF01_AE/B recombinant forms, further diversification of these strains can possibly be thwarted. The objectives of this study included, firstly to study the molecular epidemiology pattern of different HIV-1 strains, as well as to observe their frequency and distribution. Our second aim was to identify possible derivative from CRF33_01B, and also other new CRF01_AE/B inter-subtype recombinant forms in Malaysia. Thirdly, we aimed to identify possible biological advantages of the CRF33_01B isolates over its parental strains; CRF01_AE and subtype B. Currently, the HIV-1 epidemic in Malaysia is in a concentrated phase with evidence of predominance of both CRF01_AE and subtype B found among heterosexuals and injecting drug users, respectively. There is urgent necessity to apply a more detailed and continuous molecular characterization and epidemiological monitoring of these recombinant forms in Malaysia. We obtained plasma samples from 115 HIV-1-infected patients who attended HIV clinic at the University Malaya Medical Centre in Kuala Lumpur, Malaysia. The HIV-1 PR-RT, gp120-env and gp41-env genes were amplified and sequenced from 50 samples, while the remaining 65 samples were successfully studied at either one or two HIV-1 specific genomic regions. Cloning, phylogenetic analyses, together with bootscanning methods were employed to assign subtypes and to identify inter-subtype recombination based on all three genomic regions. From the plasma-derived sequences of 50 patients, 46% were found to harbour CRF01_AE, 10% and 6% had subtype B and B’, and a total of 18% of the patients were infected with CRF33_01B, while the remaining 18% of patients was found to have unique recombinant forms. As for the other 65 patients, majority of them harboured CRF01_AE and subtype B. This study shows that co-circulation of multiple HIV-1 subtypes and their recombinant strains are frequent in the Malaysian population, while capable of spreading to different HIV-1 risk groups. Possible recombination hotspots in CRF01_AE/B recombinants are suggested to be within the HIV-1 PR-RT gene region. Further, this study highlights the need to characterize and monitor the molecular epidemiology of these recombinant forms. The ideal environment for the inter-subtype recombination event to take place is created by the co-circulation and dual infections of both CRF01_AE and subtype B. With more HIV-1 CRF01_AE/B recombinant forms emerging and shaping the nature of HIV epidemic in Malaysia, certainly it will complicate the timely diagnosis of these molecularly altered HIV-1 forms. The recent identification of the novel CRF33_01B suggests the emergence of other new CRF01_AE/B inter-subtype recombinant forms in Malaysia, as preliminarily demonstrated in some HIV-1 patients identified in the first part of this study. The peripheral blood mononuclear cells (PBMCs) of these HIV-1 patients were co-cultured with those of healthy donors, which we then isolated the proviral genomic DNA. The nested long-range PCR was performed to obtain seven overlapping viral genome fragments that made up the whole viral genome. The detailed phylogenetic, as well as bootscan analyses confirmed the mosaic compositions and recombinant structures of the newly emerging CRF01_AE/B recombinant forms derived from CRF01_AE and subtype B. One of them in particular; HIV-1 isolate 06MYKLD46 is structurally similar to CRF33_01B, except for an extra subtype B fragment within the env region. It also has close phylogenetic relationship and similar breakpoints with CRF33_01B, mainly at the PR-RT region. Furthermore, the other three distinct HIV-1 recombinants; isolates 07MYKLD47, 07MYKLD48 and 07MYKLD49 also display near full-length genomes composed of the backbone of CRF01_AE, with insertions of subtype B fragments at different gene regions. These results indicate the high possibility of second generation of minor recombinant forms derived from CRF33_01B, as well as the continuous evolution and rapid dispersal of CRF01_AE/B recombinants in Malaysia. The high prevalence of newly emerging CRF33_01B (CRF01_AE/B inter-subtype recombinant) may cause a possible epidemiologic shift, attributable to its altered virologic characteristics and possible transmission advantages compared to its parental strains. Two major determinants; the viral factor and host factor have influenced the progress of a productive HIV-1 infection upon virus entry into the host cells. We have assessed the two main viral factors; the in vitro viral replication capacity and the viral fitness of the circulating HIV-1 strains in Malaysia. We have determined that CRF33_01B primary isolate (07MYKLVik) replicates better in activated whole PBMCs and CD4+ T-lymphocytes and is ‘fitter’ than one of its parental strain; CRF01_AE (07MYKLNBL) but not subtype B (07MYKLAfik). Subtype B has more advanced ability to produce a progressive infection in all cell types, including MDMs, and has a comparable viral fitness to that of CRF33_01B. We also investigated the role of host factors in a productive HIV-1 infection, by determining the viral effect on the host cell morphological features. We found that CRF33_01B (07MYKLVik) culture displayed more large syncytia (multinucleated giant cells) with multiple nuclei compared to subtype B (07MYKLAfik) culture, while no snycytia was observed in CRF01_AE (07MYKLNBL) culture. Generally, the cells within CRF33_01B and subtype B cultures appeared to be morphologically distinct from CRF01_AE cultures. This may indicate a more productive HIV-1 infection of CRF33_01B and subtype B, similar to our finding from the in vitro viral replicative capacity and viral fitness assays of these HIV-1 strains. We also studied the effect of different HIV-1 strain infections on host differential gene expression profiles, by using the PCR Array, which detects a total of 84 genes known to be involved in the host response to HIV-1 infection. It was observed that the in vitro infection with CRF33_01B isolates resulted in a more damaging effect on host cells and caused more apoptotic death within the infected cultures, compared to the isolates of its parental subtypes. Moreover, subtype B isolates resulted in a poorer cell response upon viral infection, compared to CRF01_AE/B isolate. Concurrently, it also gave less productive spread of viral infection within the infected cultures, in comparison to CRF01_AE/B isolate. We speculate that if the same scenario is reflected in vivo, CRF01_AE/B inter-subtype recombinant including CRF33_01B would have a better survival rate within the host upon their infection, in comparison to their parental strains. This again strengthens our presumption that CRF33_01B has potential ability to disseminate widely in the Malaysian population and gives a progressive change of the current molecular epidemiological trend by gradually replacing the current predominance of CRF01_AE in the country.

INTRODUÃÃO - A gripe à uma doenÃa infecciosa aguda de origem viral, de distribuiÃÃo universal, que acomete o trato respiratÃrio. Segundo estatÃsticas da OrganizaÃÃo Mundial da SaÃde (OMS), cerca de 5 a 15% da populaÃÃo mundial se infecta com o vÃrus da influenza anualmente. Em marÃo de 2009, com mudanÃa no padrÃo da ocorrÃncia da influenza no MÃxico, o vÃrus da influenza A (H1N1), um quÃdruplo recombinante nunca antes visto, foi identificado atravÃs da anÃlise de amostras de secreÃÃo de nasofaringe de crianÃas americanas sintomÃticas, confirmando o vÃnculo epidemiolÃgico com os casos no MÃxico (CDC/Atlanta, 2009) e em meses seguintes, com a transmissÃo sustentada de pessoa para pessoa e acometimento de vÃrios paÃses e naÃÃes, foi deflagrada uma nova pandemia. OBJETIVOS - Os objetivos deste estudo foram descrever a evoluÃÃo temporal, caracterizar os padrÃes de morbi-mortalidade e identificar os fatores associados à ocorrÃncia de gravidade e Ãbitos nas diferentes fases da pandemia de Influenza A (H1N1) 2009 no CearÃ. MÃTODOS - Trata-se de estudo descritivo, retrospectivo, dos casos notificados e confirmados de influenza pandÃmica (H1N1) 2009, no Estado do CearÃ, nos anos de 2009 e 2010. RESULTADOS E DISCUSSÃO - A pandemia deu-se em trÃs pequenas ondas, uma na fase de contenÃÃo, caracterizada por casos leves, com resoluÃÃo rÃpida. As duas segundas ondas, na fase de mitigaÃÃo, com casos com maior gravidade, maior taxa de hospitalizaÃÃo, a totalidade de pacientes que necessitaram de cuidados intensivos (UTI) e todos os pacientes que evoluÃram para Ãbito. Foram notificados 615 casos, destes 144 foram confirmados. 55,5% eram do sexo feminino, 30% eram pardos, 72,5% dos casos graves possuÃam alguma comorbidade e 40 pacientes necessitaram de hospitalizaÃÃo. A letalidade hospitalar foi de 20% e a letalidade em UTI foi de 66%. Foram significantes para evoluÃÃo para cura ou Ãbito aspectos relacionados à procura por assistÃncia mÃdica, atraso no inÃcio da terapia antiviral, obesidade, ter baixa escolaridade, uso de ventilaÃÃo mecÃnica e ser hospitalizado em hospitais com atendimento especializado. CONCLUSÃO - A anÃlise dos dados do presente estudo permitiu conhecimento aprofundado acerca do padrÃo de morbi-mortalidade causado pela pandemia de influenza A (H1N1) 2009 no Estado do CearÃ. O estudo sugere que a pandemia de influenza A (H1N1) 2009 nesta regiÃo do Brasil teve magnitude menor se comparado a outros estados de outras regiÃes do paÃs, com baixa incidÃncia, porÃm altas taxas de letalidade em pacientes internados em UTI. / NTRODUCTION - Influenza is an acute infectious disease of viral origin, universal distribution, which affects the respiratory tract. According to statistics from the World Health Organization (WHO), about 5-15% of the world population is infected with influenza virus annually. In March 2009, with change in the pattern of occurrence of influenza in Mexico, influenza virus A (H1N1), a quadruple recombinant never seen before, was identified by analyzing samples of nasopharyngeal secretions from symptomatic American children, confirming the epidemiological link with the cases in Mexico (CDC / Atlanta, 2009) and months, with sustained transmission from person to person and involvement of various countries and nations, was sparked a new pandemic. OBJECTIVES - The objectives of this study were to describe the temporal evolution, characterize the patterns of morbidity and mortality in different periods and to identify factors associated with the occurrence and severity of deaths in different phases of pandemic Influenza A (H1N1) 2009 in CearÃ. METHODS - This study is a descriptive, retrospective study of cases reported and confirmed pandemic influenza (H1N1) 2009 in the state of CearÃ, in the years 2009 and 2010. RESULTS AND DISCUSSION - The pandemic occurred in three small waves, one at retention phase, characterized by mild, with rapid resolution. The second two waves, the mitigation phase, with more severe cases, higher rates of hospitalization, all patients who required intensive care (ICU) and all patients who died. 615 cases were reported, 144 of these were confirmed. 55.5% were female, 30% were mixed race, 72.5% of the cases had some serious comorbidity and 40 patients required hospitalization. Hospital mortality was 20%, and mortality in the ICU was 66%. Were significant for evolution to cure or death issues related to the demand for medical care, delay in initiation of antiviral therapy, obesity, low education, use of mechanical ventilation and be hospitalized in hospitals with specialized care. CONCLUSION - The data analysis of this study allowed in-depth knowledge about the pattern of morbidity and mortality caused by pandemic influenza A (H1N1) 2009 in the state of CearÃ. The study suggests that pandemic influenza A (H1N1) 2009 in this region of Brazil was magnitude lower compared to other states in other regions of the country with low incidence but high mortality rates in ICU patients.

京都大学 / 新制・課程博士 / 博士(医学) / 甲第23373号 / 医博第4742号 / 新制||医||1051(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 古川 壽亮, 教授 林 康紀, 教授 髙橋 良輔 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

>Magister Scientiae - MSc / The viral Integrase (IN) protein is an essential enzyme of all known retroviruses, including HIV-1. It is responsible for the insertion of viral DNA into the human genome. It is known that HIV-1 is highly diverse with a high mutation rate as evidenced by the presence of a large number of subtypes and even strains that have become resistant to antiretroviral drugs. It remains inconclusive what effect this diversity in the form of naturally occurring polymorphisms/variants exert on IN in terms of its function, structure and susceptibility to IN inhibitory antiretroviral drugs. South Africa is home to the largest HIV-1 infected population, with (group M) subtype C being the most prevalent subtype. An investigation into IN is therefore pertinent, even more so with the introduction of the IN strand-transfer inhibitor (INSTI) Dolutegravir (DTG).

Yukako Hattori, Tadao Usui, Daisuke Satoh, Sanefumi Moriyama, Kohei Shimono, Takehiko Itoh, Katsuhiko Shirahige, Tadashi Uemura, Sensory-Neuron Subtype-Specific Transcriptional Programs Controlling Dendrite Morphogenesis: Genome-wide Analysis of Abrupt and Knot/Collier, Developmental Cell, Volume 27, Issue 5, 9 December 2013, Pages 530-544, ISSN 1534-5807 / 京都大学 / 0048 / 新制・課程博士 / 博士(生命科学) / 甲第18418号 / 生博第298号 / 新制||生||39(附属図書館) / 31276 / 京都大学大学院生命科学研究科統合生命科学専攻 / (主査)教授 上村 匡, 教授 西田 栄介, 教授 荒木 崇 / 学位規則第4条第1項該当 / Doctor of Philosophy in Life Sciences / Kyoto University / DFAM

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Diss. (sammanfattning) Linköping : Linköpings universitet, 2006. / Härtill 5 uppsatser.