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Interplay between Selective Pressure and Genetic Diversity of Viral Populations in HIV Patients Change in V3 nucleotide diversity 0.060 0.050 Mean sequence diversity Hypothesis: As the diversity of the HIV gp120 V3 region increased, CD4 counts would drop. 0.040 SUBJECT 15 SUBJECT 2 0.030 0.020 V3 0.010 0.000 0 200 400 600 800 1000 CD4 count (per dcl) Measurements of diversity: Compare two patients over time: one whose CD4 counts were stable, one whose dropped Diversity vs. CD4 count: ClustalW was used to produce a distance matrix using amino acid sequence. Mean diversity was plotted against CD4 count. 235:G 79:A •nucleotide vs protein alignments/trees •Mean, maximum •Mapping of sequence changes onto multiple alignment 59:C, 235:C Rooted tree built from patient 2 V3 nucleotide sequences Gp120/antibody complex Conclusions: The hypothesis is rejected. High levels of sequence diversity are associated with high CD4 counts. Potential hypothesis raised by this observation: There is an balance between viral fitness and diversity. Increased diversity can aid with immune avoidance, however can also result in accumulation of deleterious mutations elsewhere in the virus genome that decrease fitness.