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Studying the
genetic relatedness of multiple single-virion amplicons by using a limiting-dilution
RT-PCR technique provides useful insight into the evolution of genetic diversity
of HIV-1 populations. The figure illustrates that chronically infected patients
initiating treatment have highly diverse populations prior to therapy. Even
though rapid viral load declines occur after initiation of treatment (shown by
the arrow), phylogenetic analysis has revealed that HIV-1 population structure
post-treatment is indistinguishable from pretherapy samples, even following greater
than 100-fold decreases in plasma HIV-1 RNA levels. These results suggest
a large replicating HIV-1 population in infected persons.
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