TY - JOUR
T1 - Polymorphisms in the interleukin-7 receptor [alpha] gene and mortality in untreated HIV-infected individuals
AU - Hartling, Hans Jakob
AU - Th�rner, Lise Wegner
AU - Erikstrup, Christian
AU - Zinyama, Rutendo
AU - Kallestrup, Per
AU - Gomo, Exnevia
AU - Poulsen, Susanne Dam
AU - Ullum, Henrik
PY - 2013/6/19
Y1 - 2013/6/19
N2 - Objectives: Recently, polymorphisms in the gene encoding the interleukin-7 receptor a(IL7Ra) have been shown to influence the CD4 cell count in HIV-infected individuals. The objective of this study was to examine the impact of 10 single nucleotide polymorphisms (SNPs) in or in close proximity to the IL7Ra on mortality among 152 untreated HIV infected in a Zimbabwean cohort. Methods: Patients were followed prospectively, median time of follow-up 3.9 year. SNPs were genotyped using competitive allele-specific PCR. Cox regression was used for survival analyses. Results: We found an increased mortality among carriers of the IL7Ra, rs6897932, T-allele (hazard ratio: 2.56 [95% confidence interval (CI) 1.22-5.35], P = 0.013). This association remained significant after adjusting for age, sex, baseline HIV-RNA and baseline CD4 cell count (hazard ratio = 2.36 (95% CI 1.06-2.58), P= 0.036). Conclusion: The results suggest an association between the IL7Ra, rs6897932, T-allele and increased mortality among untreated HIV-infected, Zimbabwean individuals.
AB - Objectives: Recently, polymorphisms in the gene encoding the interleukin-7 receptor a(IL7Ra) have been shown to influence the CD4 cell count in HIV-infected individuals. The objective of this study was to examine the impact of 10 single nucleotide polymorphisms (SNPs) in or in close proximity to the IL7Ra on mortality among 152 untreated HIV infected in a Zimbabwean cohort. Methods: Patients were followed prospectively, median time of follow-up 3.9 year. SNPs were genotyped using competitive allele-specific PCR. Cox regression was used for survival analyses. Results: We found an increased mortality among carriers of the IL7Ra, rs6897932, T-allele (hazard ratio: 2.56 [95% confidence interval (CI) 1.22-5.35], P = 0.013). This association remained significant after adjusting for age, sex, baseline HIV-RNA and baseline CD4 cell count (hazard ratio = 2.36 (95% CI 1.06-2.58), P= 0.036). Conclusion: The results suggest an association between the IL7Ra, rs6897932, T-allele and increased mortality among untreated HIV-infected, Zimbabwean individuals.
U2 - 10.1097/qad.0b013e3283606c2d
DO - 10.1097/qad.0b013e3283606c2d
M3 - Journal article
C2 - 23462217
SN - 0269-9370
VL - 27
SP - 1615
EP - 1620
JO - AIDS
JF - AIDS
IS - 10
ER -