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HIV integration

AIDS ("acquired immune deficiency syndrome") is caused by the human immunodeficiency virus (HIV). Individuals with HIV have what is referred to as a "HIV infection". When infected semen, vaginal secretions, or blood come in contact with the mucous membranes or broken skin of an uninfected person, HIV may be transferred to the uninfected person ("horizontal transfer"), causing another infection. Additionally, HIV can also be passed from infected pregnant women to their uninfected baby during pregnancy and/or delivery ("vertical transmission"), or via breastfeeding. As a result of HIV infection, a portion of these individuals will progress and go on to develop clinically significant AIDS.

Hiv virion

HIV is a retrovirus, which comprise a large and diverse family of RNA viruses that make a DNA copy of their RNA genome after infection of a host cell. An essential step in the replication cycle of HIV-1 and other retroviruses is the integration of this viral DNA into the host DNA. The RNA genome of progeny virions and the template for translation of viral proteins are made when the integrated viral DNA is transcribed.

Background Information: HIV-1 Integrase edit

 
Structural domains of the HIV-1 integrase

The integration of HIV DNA into the host DNA is a critical step in the HIV life cycle. Understanding the integration process will provide a framework for gaining insight into multiple potential sites of therapeutic intervention for HIV infection and AIDS. HIV's enzyme for inserting the DNA version of its genome into the host cell DNA is called its "integrase". HIV-1 integrase catalyzes the “cut-and-paste” action of clipping the host DNA and joining the proviral genome to the clipped ends. This protein, which is 288 amino acids in length, contains three “domains”, in this order:[citation needed]

1. Amino (N)-terminal domain: Sometimes referred to as a "zinc finger", the N-terminal domain is composed of the conserved HHCC, His, and Cys residues, a motif that serves to bind zinc. The function of the N-terminal domain is not completely clear, but is thought to assist the integrase in forming multimers (fixed agglomerations of multiple integrase molecules).

2. The central catalytic domain (or "catalytic core"): The catalytic core encompasses the DDE catalytic triad of amino acids, or acid residues, that manage binding with a divalent metal (usually Mg2+ or Mn2−), forming the active catalytic site. In the case of HIV-1 integrase, the residues are Asp64, Asp116, and Glu152. This domain is also well conserved during evolution.

The HIV-1 catalytic domain appears dimeric in solution and in crystal structures. The vast surface area of the dimer interface indicates that it is biologically significant. The insertion sites on each strand of target DNA are separated by 5 base pairs, which parallel to approximately 15 Å for helical B-form DNA, implying that the catalytic domain (or the functional unit) of integrase should contain a pair of active sites separated by a like spacing. This said, the spacing among the active sites in the virtually spherical dimer is, however, apparently not very well-matched with the spacing among the insertion sites on the two strands of target DNA, as examination of crystal structures appears to reveal that the active sites in the dimers are separated by more than 30 Å when measured in a straight line through the proteins, and by an even greater distance when measured around the circumference of the dimer. Under the assumption that the dimer interface is preserved in the functional integrase multimer, at minimum a tetramer of integrase must be required for the complete integration reaction to proceed.[citation needed]

3. The Carboxy (C)- terminal domain : The C-terminal domain non-specifically binds DNA. Since the sites of integration into the target DNA are relatively non-specific, it is thought that this domain may work together in some fashion with the target DNA. Information retrieved from experiments with chimeric integrases show that recognition of the target site is controlled by the core domain. Cross-linking studies also suggest that the C-terminal domain works together with a subterminal region just inside the very ends of the viral DNA.

 
HIV integrase-binding domain

During the integration process, the HIV integrase enzyme performs two key catalytic reactions. First is the 3’ processing of the HIV DNA, followed by strand transfer of the HIV DNA into the host DNA. The integration of HIV DNA can occur either in dividing or resting cells, and the HIV integrase enzyme can exist in the form of a monomer, dimer, tetramer, and possibly even higher-order forms (such as octomers). Each HIV particle has an estimated 40 to 100 copies of the integrase enzyme.

Integrase functions are unique to retroviruses; human cells are not required to cut-and-paste pieces of DNA into the genome. For this reason, integrase inhibitors are prime targets for developing drug therapies for HIV infection and AIDS, since inhibition of integrase should not hamper the normal operations in human cells.

HIV Integration Mechanism edit

 
HIV genome integration

HIV integration is the insertion of HIV genetic material into the genome of the infected cell.[1] The process of HIV integration involves six sequential steps:

Binding of HIV Integrase to HIV DNA edit

The first step of the integration process occurs in the cytoplasm of the host cell following the completion of reverse transcription of the HIV RNA into c-DNA. This step involves the binding of integrase - most likely in the dimer form - to each end of the newly formed HIV c-DNA. The binding takes place at specific sequences in the long terminal repeat regions. The integrase-HIV DNA complex is part of an intracellular nucleoprotein particle known as the "preintegration complex" (PIC). This complex consists of linear HIV DNA, viral proteins, and host proteins. The viral proteins include integrase, nucleocapsid, matrix, viral protein R (Vpr), and reverse transcriptase. Several host proteins can also form part of this complex, although it is unclear whether some or all join the preintegration complex prior to nuclear transport.[citation needed]

Processing of the HIV DNA 3’ ends edit

In the second step of the integration process, which also takes place in the host cytoplasm, the integrase dimer cleaves the viral DNA at each 3’ end. This cleavage reaction removes GT dinucleotides on the 3’-side of a conserved CA dinucleotide region. The cleavage of the dinucleotide at each viral DNA 3’-end generates a dinucleotide 5’ "overhang" and a reactive intermediate that contains a 3’-hydroxyl group. This 3’ processing step is the first of two key catalytic reactions performed by the integrase enzyme, and it prepares the viral DNA for integration into the host DNA. In an alternative view of the DNA binding and 3’-processing reaction, the tetramer form of integrase (not the dimer) binds to the ends of the HIV DNA, and then cleaves the 3’ ends.[citation needed]

Translocation of HIV integrase to the host cell nucleus (Nuclear Translocation) edit

In the third step of the integration process, the preintegration complex is transported into the nucleus of the host cell, entering through one of the nuclear pore complexes.

Binding of the preintegration complex to the host DNA edit

Inside the nucleus, the host protein lens epithelium-derived growth factor/p75, commonly referred to in abbreviated form as LEDGF/p75, binds to the preintegration complex and the host DNA. The LEDGF/p75 serves as a tethering protein (or bridge) between the preintegration complex and the host DNA. The sequence of binding of the LEDGF/p75, the host DNA, and the preintegration complex remains unclear. In one version, the LEDGF/p75 binds first to the preintegration complex and then to the host DNA. On the other hand, LEDGF/p75 may bind first to the host DNA and then to the preintegration complex. Regardless of the sequence, it is believed that the presence of LEDGF/p75 results in the integrase dimers approaching each other to form a tetramer.[citation needed]

Transfer of HIV DNA into the host DNA (Strand Transfer) edit

The next step, the strand transfer reaction, takes place inside the host cell nucleus and involves the critical step of inserting the HIV DNA into a selected region of the host DNA. The region of insertion contains a weakly conserved palindromic sequence. This strand transfer reaction is initiated as the HIV integrase catalyzes the HIV DNA 3’-hydroxyl group attack on the host DNA. The attack by the HIV DNA occurs on opposite strands of the host DNA in a staggered fashion, typically 4-6 base pairs apart. This reaction leads to separation of the bonds in the host DNA base pairs located between the staggered cuts, and the joining of the HIV 3’-hydroxyl groups with the host DNA 5’ phosphate ends. At this point, the newly joined viral-host DNA region unfolds.[citation needed]

Repair of the gaps formed in the strand transfer process ("Gap Repair") edit

 
Hiv virion
 
Reverse transcription

Following the strand transfer process, the HIV-DNA and host DNA junctions have unpaired regions of DNA, referred to as DNA "gaps". In addition, the two base pairs at the end of the 5’ region of the viral DNA remain unpaired after the strand transfer. The insertion of the new HIV DNA and the remaining gaps that flank the integration site is currently thought to induce a host cellular DNA damage response, but much of this mechanism remains speculative. The host DNA damage response is thought to be critical in the final step of integration, known as "gap repair" and may require at least three host enzymes - polymerase, nuclease, and ligase. In the first step of gap repair, it is thought that the polymerase enzyme(s) extend(s) the host DNA on each end and, thus, fill in the gaps. Next, it is possible that host nuclease activity removes the 5’ dinucleotide "flaps" on the HIV DNA. Lastly, it is thought that the DNA ligase enzymes join the remaining unbound segment of the HIV and host DNA strands. Currently this mechanism is largely validated experimentally and is an area under investigation. This gap repair process completes the integration of the HIV DNA into the host DNA, with the fully integrated HIV DNA now being referred to as "proviral DNA".[citation needed]

Role of splicing in HIV-1 edit

Recent study suggested that HIV-1 prefers integration into highly spliced genes or genes with more introns.[2] This preference depends on the host chromatin binding protein LEDGF/p75 that interacts with many splicing factors.[2] Another study showed that HIV-1 preference for highly spliced genes depends on another host factor CPSF6, a poly adenylation factor.[3] Cancer genes with high number of introns are highly targeted by HIV-1.[2]

References edit

  1. ^ Smith JA, Nunnari G, Preuss M, Pomerantz RJ, Daniel R (2007). "Pentoxifylline suppresses transduction by HIV-1-based vectors". Intervirology. 50 (5): 377–86. doi:10.1159/000109752. PMID 17938572. S2CID 34357038.
  2. ^ a b c Singh, Parmit Kumar; Plumb R., Matthew; Ferris, Andrea L.; Iben, James R.; Wu, Xiaolin; Fadel, Hind J.; Luke, Brian T.; Esnault, Caroline; Poeschla, Eric M. (2015). "LEDGF/p75 interacts with mRNA splicing factors and targets HIV-1 integration to highly spliced genes". Genes Dev. 29 (21): 2287–97. doi:10.1101/gad.267609.115. PMC 4647561. PMID 26545813.
  3. ^ Sowd GA, Serrao E, Wang H, Wang W, Fadel HJ, Poeschla EM, et al. (2016). "A critical role for alternative polyadenylation factor CPSF6 in targeting HIV-1 integration to transcriptionally active chromatin". Proc Natl Acad Sci U S A. 113 (8): E1054–63. Bibcode:2016PNAS..113E1054S. doi:10.1073/pnas.1524213113. PMC 4776470. PMID 26858452.

Further reading edit

  • Ciuffi Angela; Bushman Frederic D (2006). "Retroviral DNA integration: HIV and the role of LEDGF/p75". Trends in Genetics. 22 (7): 388–395. doi:10.1016/j.tig.2006.05.006. PMID 16730094.
  • Brown; et al. (1987). "P.O. Brown, B. Bowerman, H.E. Varmus, J.M. Bishop, Correct integration of retroviral DNA in vitro". Cell. 49 (3): 347–356. doi:10.1016/0092-8674(87)90287-x. PMID 3032450. S2CID 35523639.
  • Bushman; et al. (1990). "Retroviral DNA integration directed by HIV integration protein in vitro". Science. 28 (4976): 1555–1558. Bibcode:1990Sci...249.1555B. doi:10.1126/science.2171144. PMID 2171144.
  • Ellison; et al. (1990). "V.H. Ellison, H. Abrams, T. Roe, J. Lifson, P.O. Brown, Human immunodeficiency virus integration in a cell-free system". J. Virol. 64 (6): 2711–2715. doi:10.1128/JVI.64.6.2711-2715.1990. PMC 249450. PMID 2335814.
  • Engelman Alan; Mizuuchi Kiyoshi; Craigie Robert (1991). "HIV-1 DNA integration: Mechanism of viral DNA cleavage and DNA strand transfer". Cell. 67 (6): 1211–1221. doi:10.1016/0092-8674(91)90297-C. PMID 1760846. S2CID 1721232.
  • Farnet C.M.; Haseltine W.A. (1990). "Integration of human immunodeficiency virus type 1 DNA in vitro". Proc. Natl. Acad. Sci. USA. 87 (11): 4164–4168. Bibcode:1990PNAS...87.4164F. doi:10.1073/pnas.87.11.4164. PMC 54068. PMID 2349226.
  • Lander E.S.; Linton L.M.; Birren B.; Nusbaum C.; Zody M.C.; Baldwin J.; Devon K.; Dewar K.; Doyle M.; Fitzhugh W.; et al. (2001). "Initial sequencing and analysis of the human genome" (PDF). Nature. 409 (6822): 860–921. Bibcode:2001Natur.409..860L. doi:10.1038/35057062. PMID 11237011.

External links edit

  • Stowell, Dan (2006). . The Molecules of HIV - A Hypertextbook. Archived from the original on 2016-03-03. Retrieved 2016-01-11.

integration, aids, acquired, immune, deficiency, syndrome, caused, human, immunodeficiency, virus, individuals, with, have, what, referred, infection, when, infected, semen, vaginal, secretions, blood, come, contact, with, mucous, membranes, broken, skin, unin. AIDS acquired immune deficiency syndrome is caused by the human immunodeficiency virus HIV Individuals with HIV have what is referred to as a HIV infection When infected semen vaginal secretions or blood come in contact with the mucous membranes or broken skin of an uninfected person HIV may be transferred to the uninfected person horizontal transfer causing another infection Additionally HIV can also be passed from infected pregnant women to their uninfected baby during pregnancy and or delivery vertical transmission or via breastfeeding As a result of HIV infection a portion of these individuals will progress and go on to develop clinically significant AIDS Hiv virion HIV is a retrovirus which comprise a large and diverse family of RNA viruses that make a DNA copy of their RNA genome after infection of a host cell An essential step in the replication cycle of HIV 1 and other retroviruses is the integration of this viral DNA into the host DNA The RNA genome of progeny virions and the template for translation of viral proteins are made when the integrated viral DNA is transcribed Contents 1 Background Information HIV 1 Integrase 2 HIV Integration Mechanism 2 1 Binding of HIV Integrase to HIV DNA 2 2 Processing of the HIV DNA 3 ends 2 3 Translocation of HIV integrase to the host cell nucleus Nuclear Translocation 2 4 Binding of the preintegration complex to the host DNA 2 5 Transfer of HIV DNA into the host DNA Strand Transfer 2 6 Repair of the gaps formed in the strand transfer process Gap Repair 2 7 Role of splicing in HIV 1 3 References 4 Further reading 5 External linksBackground Information HIV 1 Integrase edit nbsp Structural domains of the HIV 1 integrase The integration of HIV DNA into the host DNA is a critical step in the HIV life cycle Understanding the integration process will provide a framework for gaining insight into multiple potential sites of therapeutic intervention for HIV infection and AIDS HIV s enzyme for inserting the DNA version of its genome into the host cell DNA is called its integrase HIV 1 integrase catalyzes the cut and paste action of clipping the host DNA and joining the proviral genome to the clipped ends This protein which is 288 amino acids in length contains three domains in this order citation needed 1 Amino N terminal domain Sometimes referred to as a zinc finger the N terminal domain is composed of the conserved HHCC His and Cys residues a motif that serves to bind zinc The function of the N terminal domain is not completely clear but is thought to assist the integrase in forming multimers fixed agglomerations of multiple integrase molecules 2 The central catalytic domain or catalytic core The catalytic core encompasses the DDE catalytic triad of amino acids or acid residues that manage binding with a divalent metal usually Mg2 or Mn2 forming the active catalytic site In the case of HIV 1 integrase the residues are Asp64 Asp116 and Glu152 This domain is also well conserved during evolution The HIV 1 catalytic domain appears dimeric in solution and in crystal structures The vast surface area of the dimer interface indicates that it is biologically significant The insertion sites on each strand of target DNA are separated by 5 base pairs which parallel to approximately 15 A for helical B form DNA implying that the catalytic domain or the functional unit of integrase should contain a pair of active sites separated by a like spacing This said the spacing among the active sites in the virtually spherical dimer is however apparently not very well matched with the spacing among the insertion sites on the two strands of target DNA as examination of crystal structures appears to reveal that the active sites in the dimers are separated by more than 30 A when measured in a straight line through the proteins and by an even greater distance when measured around the circumference of the dimer Under the assumption that the dimer interface is preserved in the functional integrase multimer at minimum a tetramer of integrase must be required for the complete integration reaction to proceed citation needed 3 The Carboxy C terminal domain The C terminal domain non specifically binds DNA Since the sites of integration into the target DNA are relatively non specific it is thought that this domain may work together in some fashion with the target DNA Information retrieved from experiments with chimeric integrases show that recognition of the target site is controlled by the core domain Cross linking studies also suggest that the C terminal domain works together with a subterminal region just inside the very ends of the viral DNA nbsp HIV integrase binding domain During the integration process the HIV integrase enzyme performs two key catalytic reactions First is the 3 processing of the HIV DNA followed by strand transfer of the HIV DNA into the host DNA The integration of HIV DNA can occur either in dividing or resting cells and the HIV integrase enzyme can exist in the form of a monomer dimer tetramer and possibly even higher order forms such as octomers Each HIV particle has an estimated 40 to 100 copies of the integrase enzyme Integrase functions are unique to retroviruses human cells are not required to cut and paste pieces of DNA into the genome For this reason integrase inhibitors are prime targets for developing drug therapies for HIV infection and AIDS since inhibition of integrase should not hamper the normal operations in human cells HIV Integration Mechanism edit nbsp HIV genome integration HIV integration is the insertion of HIV genetic material into the genome of the infected cell 1 The process of HIV integration involves six sequential steps Binding of HIV Integrase to HIV DNA edit The first step of the integration process occurs in the cytoplasm of the host cell following the completion of reverse transcription of the HIV RNA into c DNA This step involves the binding of integrase most likely in the dimer form to each end of the newly formed HIV c DNA The binding takes place at specific sequences in the long terminal repeat regions The integrase HIV DNA complex is part of an intracellular nucleoprotein particle known as the preintegration complex PIC This complex consists of linear HIV DNA viral proteins and host proteins The viral proteins include integrase nucleocapsid matrix viral protein R Vpr and reverse transcriptase Several host proteins can also form part of this complex although it is unclear whether some or all join the preintegration complex prior to nuclear transport citation needed Processing of the HIV DNA 3 ends edit In the second step of the integration process which also takes place in the host cytoplasm the integrase dimer cleaves the viral DNA at each 3 end This cleavage reaction removes GT dinucleotides on the 3 side of a conserved CA dinucleotide region The cleavage of the dinucleotide at each viral DNA 3 end generates a dinucleotide 5 overhang and a reactive intermediate that contains a 3 hydroxyl group This 3 processing step is the first of two key catalytic reactions performed by the integrase enzyme and it prepares the viral DNA for integration into the host DNA In an alternative view of the DNA binding and 3 processing reaction the tetramer form of integrase not the dimer binds to the ends of the HIV DNA and then cleaves the 3 ends citation needed Translocation of HIV integrase to the host cell nucleus Nuclear Translocation edit In the third step of the integration process the preintegration complex is transported into the nucleus of the host cell entering through one of the nuclear pore complexes Binding of the preintegration complex to the host DNA edit Inside the nucleus the host protein lens epithelium derived growth factor p75 commonly referred to in abbreviated form as LEDGF p75 binds to the preintegration complex and the host DNA The LEDGF p75 serves as a tethering protein or bridge between the preintegration complex and the host DNA The sequence of binding of the LEDGF p75 the host DNA and the preintegration complex remains unclear In one version the LEDGF p75 binds first to the preintegration complex and then to the host DNA On the other hand LEDGF p75 may bind first to the host DNA and then to the preintegration complex Regardless of the sequence it is believed that the presence of LEDGF p75 results in the integrase dimers approaching each other to form a tetramer citation needed Transfer of HIV DNA into the host DNA Strand Transfer edit The next step the strand transfer reaction takes place inside the host cell nucleus and involves the critical step of inserting the HIV DNA into a selected region of the host DNA The region of insertion contains a weakly conserved palindromic sequence This strand transfer reaction is initiated as the HIV integrase catalyzes the HIV DNA 3 hydroxyl group attack on the host DNA The attack by the HIV DNA occurs on opposite strands of the host DNA in a staggered fashion typically 4 6 base pairs apart This reaction leads to separation of the bonds in the host DNA base pairs located between the staggered cuts and the joining of the HIV 3 hydroxyl groups with the host DNA 5 phosphate ends At this point the newly joined viral host DNA region unfolds citation needed Repair of the gaps formed in the strand transfer process Gap Repair edit nbsp Hiv virion nbsp Reverse transcription Following the strand transfer process the HIV DNA and host DNA junctions have unpaired regions of DNA referred to as DNA gaps In addition the two base pairs at the end of the 5 region of the viral DNA remain unpaired after the strand transfer The insertion of the new HIV DNA and the remaining gaps that flank the integration site is currently thought to induce a host cellular DNA damage response but much of this mechanism remains speculative The host DNA damage response is thought to be critical in the final step of integration known as gap repair and may require at least three host enzymes polymerase nuclease and ligase In the first step of gap repair it is thought that the polymerase enzyme s extend s the host DNA on each end and thus fill in the gaps Next it is possible that host nuclease activity removes the 5 dinucleotide flaps on the HIV DNA Lastly it is thought that the DNA ligase enzymes join the remaining unbound segment of the HIV and host DNA strands Currently this mechanism is largely validated experimentally and is an area under investigation This gap repair process completes the integration of the HIV DNA into the host DNA with the fully integrated HIV DNA now being referred to as proviral DNA citation needed Role of splicing in HIV 1 edit Recent study suggested that HIV 1 prefers integration into highly spliced genes or genes with more introns 2 This preference depends on the host chromatin binding protein LEDGF p75 that interacts with many splicing factors 2 Another study showed that HIV 1 preference for highly spliced genes depends on another host factor CPSF6 a poly adenylation factor 3 Cancer genes with high number of introns are highly targeted by HIV 1 2 References edit Smith JA Nunnari G Preuss M Pomerantz RJ Daniel R 2007 Pentoxifylline suppresses transduction by HIV 1 based vectors Intervirology 50 5 377 86 doi 10 1159 000109752 PMID 17938572 S2CID 34357038 a b c Singh Parmit Kumar Plumb R Matthew Ferris Andrea L Iben James R Wu Xiaolin Fadel Hind J Luke Brian T Esnault Caroline Poeschla Eric M 2015 LEDGF p75 interacts with mRNA splicing factors and targets HIV 1 integration to highly spliced genes Genes Dev 29 21 2287 97 doi 10 1101 gad 267609 115 PMC 4647561 PMID 26545813 Sowd GA Serrao E Wang H Wang W Fadel HJ Poeschla EM et al 2016 A critical role for alternative polyadenylation factor CPSF6 in targeting HIV 1 integration to transcriptionally active chromatin Proc Natl Acad Sci U S A 113 8 E1054 63 Bibcode 2016PNAS 113E1054S doi 10 1073 pnas 1524213113 PMC 4776470 PMID 26858452 Further reading editCiuffi Angela Bushman Frederic D 2006 Retroviral DNA integration HIV and the role of LEDGF p75 Trends in Genetics 22 7 388 395 doi 10 1016 j tig 2006 05 006 PMID 16730094 Brown et al 1987 P O Brown B Bowerman H E Varmus J M Bishop Correct integration of retroviral DNA in vitro Cell 49 3 347 356 doi 10 1016 0092 8674 87 90287 x PMID 3032450 S2CID 35523639 Bushman et al 1990 Retroviral DNA integration directed by HIV integration protein in vitro Science 28 4976 1555 1558 Bibcode 1990Sci 249 1555B doi 10 1126 science 2171144 PMID 2171144 Ellison et al 1990 V H Ellison H Abrams T Roe J Lifson P O Brown Human immunodeficiency virus integration in a cell free system J Virol 64 6 2711 2715 doi 10 1128 JVI 64 6 2711 2715 1990 PMC 249450 PMID 2335814 Engelman Alan Mizuuchi Kiyoshi Craigie Robert 1991 HIV 1 DNA integration Mechanism of viral DNA cleavage and DNA strand transfer Cell 67 6 1211 1221 doi 10 1016 0092 8674 91 90297 C PMID 1760846 S2CID 1721232 Farnet C M Haseltine W A 1990 Integration of human immunodeficiency virus type 1 DNA in vitro Proc Natl Acad Sci USA 87 11 4164 4168 Bibcode 1990PNAS 87 4164F doi 10 1073 pnas 87 11 4164 PMC 54068 PMID 2349226 Lander E S Linton L M Birren B Nusbaum C Zody M C Baldwin J Devon K Dewar K Doyle M Fitzhugh W et al 2001 Initial sequencing and analysis of the human genome PDF Nature 409 6822 860 921 Bibcode 2001Natur 409 860L doi 10 1038 35057062 PMID 11237011 External links edit nbsp Wikimedia Commons has media related to HIV Stowell Dan 2006 preintegration complex The Molecules of HIV A Hypertextbook Archived from the original on 2016 03 03 Retrieved 2016 01 11 Retrieved from https en wikipedia org w index php title HIV integration amp oldid 1169475707, wikipedia, wiki, book, books, library,

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