%0 Journal Article %T Rare HIV-1 transmitted/founder lineages identified by deep viral sequencing contribute to rapid shifts in dominant quasispecies during acute and early infection %A Agnes-Laurence Chenine %A Anne Marie O¡¯Sullivan %A Bette T. Korber %A Bonnie Slike %A Celina Oropeza %A Claudia Cicala %A Elizabeth A. Harbolick %A Eric Sanders-Buell %A Erik Billings %A Feng Gao %A George M. Shaw %A Gustavo H. Kijak %A Hannah Kibuuka %A Hui Li %A James Arthos %A Jerome H. Kim %A Joanna A. Warren %A Kristina K. Peachman %A Kultida Poltavee %A Leigh A. Eller %A Lucas Maganga %A Mangala Rao %A Margaret C. Costanzo %A Mary A. Marovich %A Meera Bose %A Melanie Merbah %A Merlin L. Robb %A Michael A. Eller %A Morgane Rolland %A Nelson L. Michael %A Nilu Goonetilleke %A Phuc Pham %A Rasmi Thomas %A Robert J. O¡¯Connell %A Samuel Sinei %A Shelly J. Krebs %A Sivan Leviyang %A Sodsai Tovanabutra %A Sorachai Nitayaphan %A Will Fischer %J - %D 2017 %R 10.1371/journal.ppat.1006510 %X In order to inform the rational design of HIV-1 preventive and cure interventions it is critical to understand the events occurring during acute HIV-1 infection (AHI). Using viral deep sequencing on six participants from the early capture acute infection RV217 cohort, we have studied HIV-1 evolution in plasma collected twice weekly during the first weeks following the advent of viremia. The analysis of infections established by multiple transmitted/founder (T/F) viruses revealed novel viral profiles that included: a) the low-level persistence of minor T/F variants, b) the rapid replacement of the major T/F by a minor T/F, and c) an initial expansion of the minor T/F followed by a quick collapse of the same minor T/F to low frequency. In most participants, cytotoxic T-lymphocyte (CTL) escape was first detected at the end of peak viremia downslope, proceeded at higher rates than previously measured in HIV-1 infection, and usually occurred through the exploration of multiple mutational pathways within an epitope. The rapid emergence of CTL escape variants suggests a strong and early CTL response. Minor T/F viral strains can contribute to rapid and varied profiles of HIV-1 quasispecies evolution during AHI. Overall, our results demonstrate that early, deep, and frequent sampling is needed to investigate viral/host interaction during AHI, which could help identify prerequisites for prevention and cure of HIV-1 infection %K Viremia %K HIV-1 %K Cloning %K Microbial genetics %K Sequence analysis %K Viral evolution %K Genetic polymorphism %K T cells %U https://journals.plos.org/plospathogens/article?id=10.1371/journal.ppat.1006510