Mutational analysis of the mitochondrial tRNA genes and flanking regions in umbilical cord tissue from uninfected infants receiving AZT-based therapies for prophylaxis of HIV-1

A sensitive vertical denaturing gradient gel electrophoresis (DGGE) method, using 13 unipolar psoralen-clamped PCR primer pairs, was developed for detecting sequence variants in the 22 tRNA genes and flanking regions (together spanning ~21%) of the human mitochondrial genome. A study was conducted t...

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Veröffentlicht in:Environmental and molecular mutagenesis 2009, Vol.50 (1), p.10-26
Hauptverfasser: Torres, Salina M, Walker, Dale M, McCash, Consuelo L, Carter, Meghan M, Ming, Jessica, Cordova, Edmund M, Pons, Rachel M, Cook, Dennis L. Jr, Seilkop, Steven K, Copeland, William C, Walker, Vernon E
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container_end_page 26
container_issue 1
container_start_page 10
container_title Environmental and molecular mutagenesis
container_volume 50
creator Torres, Salina M
Walker, Dale M
McCash, Consuelo L
Carter, Meghan M
Ming, Jessica
Cordova, Edmund M
Pons, Rachel M
Cook, Dennis L. Jr
Seilkop, Steven K
Copeland, William C
Walker, Vernon E
description A sensitive vertical denaturing gradient gel electrophoresis (DGGE) method, using 13 unipolar psoralen-clamped PCR primer pairs, was developed for detecting sequence variants in the 22 tRNA genes and flanking regions (together spanning ~21%) of the human mitochondrial genome. A study was conducted to determine (i) if mitochondrial DNA (mtDNA) polymorphisms and/or mutations were detectable in healthy newborns and (ii) if prepartum 3'-azido-2',3'-dideoxythymidine (AZT) based HIV-1 prophylaxis was associated with significant increases in mtDNA mutations and changes in the degree of heteroplasmy of sequence variants in uninfected infants born to HIV-1-infected mothers. DGGE analysis of umbilical cord tissue (where vascular endothelium and smooth muscle cells are the major source of mtDNA) showed that mtDNA sequence variants were significantly elevated by threefold in AZT-treated infants compared with unexposed controls (P < 0.001), with 24 changes observed in 19/52 (37%) treated newborns (averaging 0.46 changes/subject) versus only eight changes found in 7/55 (13%) unexposed newborns (averaging 0.15 changes/subject). Six distinct sequence variants occurring in unexposed controls were predominately synonymous and homoplasmic, representing previously reported polymorphisms. Uninfected infants exposed to a combination of AZT and 2',3'-dideoxy-3'-thiacytidine and "maternal HIV-1" had a significant shift in the spectrum of mutations (P = 0.04) driven by increases in nonsynonymous heteroplasmic sequence variants at polymorphic sites (10 distinct variants) and novel sites (four distinct variants). While the weight of evidence suggests that prepartum AZT-based prophylaxis produces mtDNA mutations, additional research is needed to determine the degree to which fetal responses to maternal HIV-1 infection, in the absence of antiretroviral treatment, contribute to prenatal mtDNA mutagenesis. Environ. Mol. Mutagen., 2009.
doi_str_mv 10.1002/em.20433
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A study was conducted to determine (i) if mitochondrial DNA (mtDNA) polymorphisms and/or mutations were detectable in healthy newborns and (ii) if prepartum 3'-azido-2',3'-dideoxythymidine (AZT) based HIV-1 prophylaxis was associated with significant increases in mtDNA mutations and changes in the degree of heteroplasmy of sequence variants in uninfected infants born to HIV-1-infected mothers. DGGE analysis of umbilical cord tissue (where vascular endothelium and smooth muscle cells are the major source of mtDNA) showed that mtDNA sequence variants were significantly elevated by threefold in AZT-treated infants compared with unexposed controls (P &lt; 0.001), with 24 changes observed in 19/52 (37%) treated newborns (averaging 0.46 changes/subject) versus only eight changes found in 7/55 (13%) unexposed newborns (averaging 0.15 changes/subject). Six distinct sequence variants occurring in unexposed controls were predominately synonymous and homoplasmic, representing previously reported polymorphisms. Uninfected infants exposed to a combination of AZT and 2',3'-dideoxy-3'-thiacytidine and "maternal HIV-1" had a significant shift in the spectrum of mutations (P = 0.04) driven by increases in nonsynonymous heteroplasmic sequence variants at polymorphic sites (10 distinct variants) and novel sites (four distinct variants). While the weight of evidence suggests that prepartum AZT-based prophylaxis produces mtDNA mutations, additional research is needed to determine the degree to which fetal responses to maternal HIV-1 infection, in the absence of antiretroviral treatment, contribute to prenatal mtDNA mutagenesis. Environ. Mol. 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Biological and molecular evolution ; HIV Infections - prevention &amp; control ; HIV-1 ; Human immunodeficiency virus 1 ; Humans ; Infant ; Lamivudine - administration &amp; dosage ; Lamivudine - therapeutic use ; Medical sciences ; mitochondrial DNA mutation ; Mutation ; nucleoside analogs ; Polymorphism, Genetic ; Reverse Transcriptase Inhibitors - administration &amp; dosage ; Reverse Transcriptase Inhibitors - therapeutic use ; RNA, Transfer - genetics ; Toxicology ; transplacental exposure ; tRNA genes ; Umbilical Cord - metabolism ; Zidovudine - administration &amp; dosage ; Zidovudine - therapeutic use</subject><ispartof>Environmental and molecular mutagenesis, 2009, Vol.50 (1), p.10-26</ispartof><rights>Copyright © 2008 Wiley‐Liss, Inc.</rights><rights>2009 INIST-CNRS</rights><rights>2008 Wiley-Liss, Inc. 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5313-a7fca5e46e6ff45619c3773e0d445cfb41187bfb545d69855296184857d4b4803</citedby><cites>FETCH-LOGICAL-c5313-a7fca5e46e6ff45619c3773e0d445cfb41187bfb545d69855296184857d4b4803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fem.20433$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fem.20433$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,4009,27902,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21055393$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19031409$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Torres, Salina M</creatorcontrib><creatorcontrib>Walker, Dale M</creatorcontrib><creatorcontrib>McCash, Consuelo L</creatorcontrib><creatorcontrib>Carter, Meghan M</creatorcontrib><creatorcontrib>Ming, Jessica</creatorcontrib><creatorcontrib>Cordova, Edmund M</creatorcontrib><creatorcontrib>Pons, Rachel M</creatorcontrib><creatorcontrib>Cook, Dennis L. Jr</creatorcontrib><creatorcontrib>Seilkop, Steven K</creatorcontrib><creatorcontrib>Copeland, William C</creatorcontrib><creatorcontrib>Walker, Vernon E</creatorcontrib><title>Mutational analysis of the mitochondrial tRNA genes and flanking regions in umbilical cord tissue from uninfected infants receiving AZT-based therapies for prophylaxis of HIV-1</title><title>Environmental and molecular mutagenesis</title><addtitle>Environ. Mol. Mutagen</addtitle><description>A sensitive vertical denaturing gradient gel electrophoresis (DGGE) method, using 13 unipolar psoralen-clamped PCR primer pairs, was developed for detecting sequence variants in the 22 tRNA genes and flanking regions (together spanning ~21%) of the human mitochondrial genome. A study was conducted to determine (i) if mitochondrial DNA (mtDNA) polymorphisms and/or mutations were detectable in healthy newborns and (ii) if prepartum 3'-azido-2',3'-dideoxythymidine (AZT) based HIV-1 prophylaxis was associated with significant increases in mtDNA mutations and changes in the degree of heteroplasmy of sequence variants in uninfected infants born to HIV-1-infected mothers. DGGE analysis of umbilical cord tissue (where vascular endothelium and smooth muscle cells are the major source of mtDNA) showed that mtDNA sequence variants were significantly elevated by threefold in AZT-treated infants compared with unexposed controls (P &lt; 0.001), with 24 changes observed in 19/52 (37%) treated newborns (averaging 0.46 changes/subject) versus only eight changes found in 7/55 (13%) unexposed newborns (averaging 0.15 changes/subject). Six distinct sequence variants occurring in unexposed controls were predominately synonymous and homoplasmic, representing previously reported polymorphisms. Uninfected infants exposed to a combination of AZT and 2',3'-dideoxy-3'-thiacytidine and "maternal HIV-1" had a significant shift in the spectrum of mutations (P = 0.04) driven by increases in nonsynonymous heteroplasmic sequence variants at polymorphic sites (10 distinct variants) and novel sites (four distinct variants). While the weight of evidence suggests that prepartum AZT-based prophylaxis produces mtDNA mutations, additional research is needed to determine the degree to which fetal responses to maternal HIV-1 infection, in the absence of antiretroviral treatment, contribute to prenatal mtDNA mutagenesis. Environ. Mol. Mutagen., 2009.</description><subject>3TC</subject><subject>antiretrovirals</subject><subject>Antiviral agents</subject><subject>AZT</subject><subject>Base Sequence</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>DGGE</subject><subject>DNA Primers</subject><subject>DNA, Mitochondrial - genetics</subject><subject>Drug Therapy, Combination</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Genetics of eukaryotes. Biological and molecular evolution</subject><subject>HIV Infections - prevention &amp; control</subject><subject>HIV-1</subject><subject>Human immunodeficiency virus 1</subject><subject>Humans</subject><subject>Infant</subject><subject>Lamivudine - administration &amp; dosage</subject><subject>Lamivudine - therapeutic use</subject><subject>Medical sciences</subject><subject>mitochondrial DNA mutation</subject><subject>Mutation</subject><subject>nucleoside analogs</subject><subject>Polymorphism, Genetic</subject><subject>Reverse Transcriptase Inhibitors - administration &amp; dosage</subject><subject>Reverse Transcriptase Inhibitors - therapeutic use</subject><subject>RNA, Transfer - genetics</subject><subject>Toxicology</subject><subject>transplacental exposure</subject><subject>tRNA genes</subject><subject>Umbilical Cord - metabolism</subject><subject>Zidovudine - administration &amp; dosage</subject><subject>Zidovudine - therapeutic use</subject><issn>0893-6692</issn><issn>1098-2280</issn><issn>1098-2280</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFks1u1DAUhSMEokNB4gnAGxCbFP8n2SANpX9SWxBMB4mN5Tj2jNvEDnZSOm_FI-JhhgEWiI29uN8959j3ZtlTBA8QhPi17g4wpITcyyYIVmWOcQnvZxNYViTnvMJ72aMYryFEiFb4YbaHKkgQhdUk-34xDnKw3skWyHSsoo3AGzAsNejs4NXSuybYVB0-Xk7BQjsdE9gA00p3Y90CBL1I7RFYB8autq1VCVY-NGCwMY4amOA7MDrrjFaDbhJopBtialTa3q4lpl9meS1jqiXbIHubPIwPoA--X65aebfJdHo2z9Hj7IGRbdRPtvd-dnV8NDs8zc_fn5wdTs9zxQgiuSyMkkxTrrkxlHFUKVIURMOGUqZMTREqi9rUjLKGVyVjuOKopCUrGlrTEpL97M1Gtx_rTjdKuyHIVvTBdjKshJdW_F1xdikW_lYQVCVpngRebgWC_zrqOIjORqXb9G_aj1FwXqaRQfhfEENSUETW4KsNqIKPMWizS4OgWO-B0J34uQcJffZn-t_gdvAJeLEFZEwDM0E6ZeOOwwgyRqq1UL7hvtlWr_5pKI4ufhlveRsHfbfjZbgRvCAFE58vT0Tx9t3xBzqfiXnin294I72Qi5AyXH3CMD0XsZJgyMkPGQLkCA</recordid><startdate>2009</startdate><enddate>2009</enddate><creator>Torres, Salina M</creator><creator>Walker, Dale M</creator><creator>McCash, Consuelo L</creator><creator>Carter, Meghan M</creator><creator>Ming, Jessica</creator><creator>Cordova, Edmund M</creator><creator>Pons, Rachel M</creator><creator>Cook, Dennis L. Jr</creator><creator>Seilkop, Steven K</creator><creator>Copeland, William C</creator><creator>Walker, Vernon E</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>FBQ</scope><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TM</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2009</creationdate><title>Mutational analysis of the mitochondrial tRNA genes and flanking regions in umbilical cord tissue from uninfected infants receiving AZT-based therapies for prophylaxis of HIV-1</title><author>Torres, Salina M ; Walker, Dale M ; McCash, Consuelo L ; Carter, Meghan M ; Ming, Jessica ; Cordova, Edmund M ; Pons, Rachel M ; Cook, Dennis L. 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Biological and molecular evolution</topic><topic>HIV Infections - prevention &amp; control</topic><topic>HIV-1</topic><topic>Human immunodeficiency virus 1</topic><topic>Humans</topic><topic>Infant</topic><topic>Lamivudine - administration &amp; dosage</topic><topic>Lamivudine - therapeutic use</topic><topic>Medical sciences</topic><topic>mitochondrial DNA mutation</topic><topic>Mutation</topic><topic>nucleoside analogs</topic><topic>Polymorphism, Genetic</topic><topic>Reverse Transcriptase Inhibitors - administration &amp; dosage</topic><topic>Reverse Transcriptase Inhibitors - therapeutic use</topic><topic>RNA, Transfer - genetics</topic><topic>Toxicology</topic><topic>transplacental exposure</topic><topic>tRNA genes</topic><topic>Umbilical Cord - metabolism</topic><topic>Zidovudine - administration &amp; dosage</topic><topic>Zidovudine - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Torres, Salina M</creatorcontrib><creatorcontrib>Walker, Dale M</creatorcontrib><creatorcontrib>McCash, Consuelo L</creatorcontrib><creatorcontrib>Carter, Meghan M</creatorcontrib><creatorcontrib>Ming, Jessica</creatorcontrib><creatorcontrib>Cordova, Edmund M</creatorcontrib><creatorcontrib>Pons, Rachel M</creatorcontrib><creatorcontrib>Cook, Dennis L. 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Jr</au><au>Seilkop, Steven K</au><au>Copeland, William C</au><au>Walker, Vernon E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mutational analysis of the mitochondrial tRNA genes and flanking regions in umbilical cord tissue from uninfected infants receiving AZT-based therapies for prophylaxis of HIV-1</atitle><jtitle>Environmental and molecular mutagenesis</jtitle><addtitle>Environ. Mol. Mutagen</addtitle><date>2009</date><risdate>2009</risdate><volume>50</volume><issue>1</issue><spage>10</spage><epage>26</epage><pages>10-26</pages><issn>0893-6692</issn><issn>1098-2280</issn><eissn>1098-2280</eissn><coden>EMMUEG</coden><abstract>A sensitive vertical denaturing gradient gel electrophoresis (DGGE) method, using 13 unipolar psoralen-clamped PCR primer pairs, was developed for detecting sequence variants in the 22 tRNA genes and flanking regions (together spanning ~21%) of the human mitochondrial genome. A study was conducted to determine (i) if mitochondrial DNA (mtDNA) polymorphisms and/or mutations were detectable in healthy newborns and (ii) if prepartum 3'-azido-2',3'-dideoxythymidine (AZT) based HIV-1 prophylaxis was associated with significant increases in mtDNA mutations and changes in the degree of heteroplasmy of sequence variants in uninfected infants born to HIV-1-infected mothers. DGGE analysis of umbilical cord tissue (where vascular endothelium and smooth muscle cells are the major source of mtDNA) showed that mtDNA sequence variants were significantly elevated by threefold in AZT-treated infants compared with unexposed controls (P &lt; 0.001), with 24 changes observed in 19/52 (37%) treated newborns (averaging 0.46 changes/subject) versus only eight changes found in 7/55 (13%) unexposed newborns (averaging 0.15 changes/subject). Six distinct sequence variants occurring in unexposed controls were predominately synonymous and homoplasmic, representing previously reported polymorphisms. Uninfected infants exposed to a combination of AZT and 2',3'-dideoxy-3'-thiacytidine and "maternal HIV-1" had a significant shift in the spectrum of mutations (P = 0.04) driven by increases in nonsynonymous heteroplasmic sequence variants at polymorphic sites (10 distinct variants) and novel sites (four distinct variants). While the weight of evidence suggests that prepartum AZT-based prophylaxis produces mtDNA mutations, additional research is needed to determine the degree to which fetal responses to maternal HIV-1 infection, in the absence of antiretroviral treatment, contribute to prenatal mtDNA mutagenesis. Environ. Mol. 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subjects 3TC
antiretrovirals
Antiviral agents
AZT
Base Sequence
Biological and medical sciences
Case-Control Studies
DGGE
DNA Primers
DNA, Mitochondrial - genetics
Drug Therapy, Combination
Fundamental and applied biological sciences. Psychology
Genetics of eukaryotes. Biological and molecular evolution
HIV Infections - prevention & control
HIV-1
Human immunodeficiency virus 1
Humans
Infant
Lamivudine - administration & dosage
Lamivudine - therapeutic use
Medical sciences
mitochondrial DNA mutation
Mutation
nucleoside analogs
Polymorphism, Genetic
Reverse Transcriptase Inhibitors - administration & dosage
Reverse Transcriptase Inhibitors - therapeutic use
RNA, Transfer - genetics
Toxicology
transplacental exposure
tRNA genes
Umbilical Cord - metabolism
Zidovudine - administration & dosage
Zidovudine - therapeutic use
title Mutational analysis of the mitochondrial tRNA genes and flanking regions in umbilical cord tissue from uninfected infants receiving AZT-based therapies for prophylaxis of HIV-1
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