RT Journal Article SR Electronic T1 Macrophage activation of cGAS and TRIM5 distinguish pandemic and non-pandemic HIV JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.01.21.477263 DO 10.1101/2022.01.21.477263 A1 Lorena Zuliani Alvarez A1 Morten L. Govasli A1 Jane Rasaiyaah A1 Chris Monit A1 Stephen O. Perry A1 Rebecca P. Sumner A1 Simon McAlpine-Scott A1 Claire Dickson A1 K. M. Rifat Faysal A1 Laura Hilditch A1 Richard J. Miles A1 Frederic Bibollet-Ruche A1 Beatrice H. Hahn A1 Till Boecking A1 Nikos Pinotsis A1 Leo C. James A1 David A. Jacques A1 Greg J. Towers YR 2022 UL http://biorxiv.org/content/early/2022/01/22/2022.01.21.477263.abstract AB Pandemic viruses remain a global threat to health and economics but how they adapt to become pandemic remains poorly understood. Here we compare pandemic HIV-1(M) and non-pandemic HIV-(O) and HIV-2 strains finding that non-pandemic HIV replicate poorly in myeloid cell models due to activation of cGAS and TRIM5, and ensuing antiviral responses. We use phylogenetics and viral capsid structural biology to define specific differences between pandemic and non-pandemic HIV capsids and demonstrate that their genetic reversal in HIV-1(M) mutants causes TRIM5, cGAS and innate immune activation. We propose a model in which the parental lineage of pandemic HIV-1(M) has uniquely evolved a dynamic capsid that avoids activation of cGAS and TRIM5 to establish cloaked replication in myeloid cells. The unique adaptations of the pandemic virus lineage suggests a role in effective human-to-human transmissibility and highlight the importance of avoiding innate immune activation during pandemic human-to-human viral transmission.Competing Interest StatementThe authors have declared no competing interest.