Human immunodeficiency virus type 1 reverse transcriptase (HIV1 RT) is
essential for virus replication. After cell infection, RT catalyses t
he synthesis of the proviral genome, which is then integrated into the
host cell genome. The present understanding of the origin of viral ge
netic information variations following provirus synthesis is summarize
d here. During reverse transcription, the structures of the primer-tem
plate nucleic acid duplex (A, A-like and B forms), and the local helix
bends, modulate RT DNA polymerizing activity by acting on kinetic par
ameters of nucleotide incorporation and on enzyme processivity. Moreov
er, the cellular microenvironment, such as dNTP pool imbalance, is inv
olved in mutation fixation by directly influencing RT activity and vir
al mutation rates. In addition to genome variations linked to RT activ
ity, other parameters, like permanent viral replication and compartmen
talization, contribute to HIV1 variability. The implications of these
findings on therapy directed against HIV1 infection are discussed.