TY - JOUR
T1 - HLA-A*7401-mediated control of HIV viremia is independent of its linkage disequilibrium with HLA-B*5703
AU - Matthews, Philippa C
AU - Adland, Emily
AU - Listgarten, Jennifer
AU - Leslie, Alasdair
AU - Mkhwanazi, Nompumelelo
AU - Carlson, Jonathan M
AU - Harndahl, Mikkel
AU - Buus, Anette Stryhn
AU - Payne, Rebecca P
AU - Ogwu, Anthony
AU - Huang, Kuan-Hsiang Gary
AU - Frater, John
AU - Paioni, Paolo
AU - Kloverpris, Henrik
AU - Jooste, Pieter
AU - Goedhals, Dominique
AU - van Vuuren, Cloete
AU - Steyn, Dewald
AU - Riddell, Lynn
AU - Chen, Fabian
AU - Luzzi, Graz
AU - Balachandran, Thambiah
AU - Ndung'u, Thumbi
AU - Buus, Søren
AU - Carrington, Mary
AU - Shapiro, Roger
AU - Heckerman, David
AU - Goulder, Philip J R
PY - 2011/5/15
Y1 - 2011/5/15
N2 - The potential contribution of HLA-A alleles to viremic control in chronic HIV type 1 (HIV-1) infection has been relatively understudied compared with HLA-B. In these studies, we show that HLA-A*7401 is associated with favorable viremic control in extended southern African cohorts of >2100 C-clade-infected subjects. We present evidence that HLA-A*7401 operates an effect that is independent of HLA-B*5703, with which it is in linkage disequilibrium in some populations, to mediate lowered viremia. We describe a novel statistical approach to detecting additive effects between class I alleles in control of HIV-1 disease, highlighting improved viremic control in subjects with HLA-A*7401 combined with HLA-B*57. In common with HLA-B alleles that are associated with effective control of viremia, HLA-A*7401 presents highly targeted epitopes in several proteins, including Gag, Pol, Rev, and Nef, of which the Gag epitopes appear immunodominant. We identify eight novel putative HLA-A*7401-restricted epitopes, of which three have been defined to the optimal epitope. In common with HLA-B alleles linked with slow progression, viremic control through an HLA-A*7401-restricted response appears to be associated with the selection of escape mutants within Gag epitopes that reduce viral replicative capacity. These studies highlight the potentially important contribution of an HLA-A allele to immune control of HIV infection, which may have been concealed by a stronger effect mediated by an HLA-B allele with which it is in linkage disequilibrium. In addition, these studies identify a factor contributing to different HIV disease outcomes in individuals expressing HLA-B*5703.
AB - The potential contribution of HLA-A alleles to viremic control in chronic HIV type 1 (HIV-1) infection has been relatively understudied compared with HLA-B. In these studies, we show that HLA-A*7401 is associated with favorable viremic control in extended southern African cohorts of >2100 C-clade-infected subjects. We present evidence that HLA-A*7401 operates an effect that is independent of HLA-B*5703, with which it is in linkage disequilibrium in some populations, to mediate lowered viremia. We describe a novel statistical approach to detecting additive effects between class I alleles in control of HIV-1 disease, highlighting improved viremic control in subjects with HLA-A*7401 combined with HLA-B*57. In common with HLA-B alleles that are associated with effective control of viremia, HLA-A*7401 presents highly targeted epitopes in several proteins, including Gag, Pol, Rev, and Nef, of which the Gag epitopes appear immunodominant. We identify eight novel putative HLA-A*7401-restricted epitopes, of which three have been defined to the optimal epitope. In common with HLA-B alleles linked with slow progression, viremic control through an HLA-A*7401-restricted response appears to be associated with the selection of escape mutants within Gag epitopes that reduce viral replicative capacity. These studies highlight the potentially important contribution of an HLA-A allele to immune control of HIV infection, which may have been concealed by a stronger effect mediated by an HLA-B allele with which it is in linkage disequilibrium. In addition, these studies identify a factor contributing to different HIV disease outcomes in individuals expressing HLA-B*5703.
KW - Africa
KW - Alleles
KW - CD4 Lymphocyte Count
KW - CD8-Positive T-Lymphocytes
KW - Epitopes, T-Lymphocyte
KW - Female
KW - Flow Cytometry
KW - HIV Infections
KW - HIV-1
KW - HLA-A Antigens
KW - HLA-B Antigens
KW - Humans
KW - Linkage Disequilibrium
KW - Molecular Sequence Data
KW - Sequence Analysis, Protein
KW - Viral Load
KW - Viremia
KW - gag Gene Products, Human Immunodeficiency Virus
KW - nef Gene Products, Human Immunodeficiency Virus
KW - pol Gene Products, Human Immunodeficiency Virus
KW - rev Gene Products, Human Immunodeficiency Virus
U2 - 10.4049/jimmunol.1003711
DO - 10.4049/jimmunol.1003711
M3 - Journal article
C2 - 21498667
SN - 1550-6606
VL - 186
SP - 5675
EP - 5686
JO - Journal of Immunology
JF - Journal of Immunology
IS - 10
ER -