Reduced CCR5 expression among Uganda HIV controllers

Abstract Background Several mechanisms including reduced CCR5 expression, protective HLA, viral restriction factors, broadly neutralizing antibodies, and more efficient T-cell responses, have been reported to account for HIV control among HIV controllers. However, no one mechanism universally accoun...

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Main Authors: Brian Nyiro, Sharon Bright Amanya, Alice Bayiyana, Francis Wasswa, Eva Nabulime, Alex Kayongo, Immaculate Nankya, Gerald Mboowa, David Patrick Kateete, Obondo James Sande
Format: Article
Language:English
Published: BMC 2023-05-01
Series:Retrovirology
Subjects:
Online Access:https://doi.org/10.1186/s12977-023-00626-7
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author Brian Nyiro
Sharon Bright Amanya
Alice Bayiyana
Francis Wasswa
Eva Nabulime
Alex Kayongo
Immaculate Nankya
Gerald Mboowa
David Patrick Kateete
Obondo James Sande
author_facet Brian Nyiro
Sharon Bright Amanya
Alice Bayiyana
Francis Wasswa
Eva Nabulime
Alex Kayongo
Immaculate Nankya
Gerald Mboowa
David Patrick Kateete
Obondo James Sande
author_sort Brian Nyiro
collection DOAJ
description Abstract Background Several mechanisms including reduced CCR5 expression, protective HLA, viral restriction factors, broadly neutralizing antibodies, and more efficient T-cell responses, have been reported to account for HIV control among HIV controllers. However, no one mechanism universally accounts for HIV control among all controllers. In this study we determined whether reduced CCR5 expression accounts for HIV control among Ugandan HIV controllers. We determined CCR5 expression among Ugandan HIV controllers compared with treated HIV non-controllers through ex-vivo characterization of CD4 + T cells isolated from archived PBMCs collected from the two distinct groups. Results The percentage of CCR5 + CD4 + T cells was similar between HIV controllers and treated HIV non-controllers (ECs vs. NCs, P = 0.6010; VCs vs. NCs, P = 0.0702) but T cells from controllers had significantly reduced CCR5 expression on their cell surface (ECs vs. NCs, P = 0.0210; VCs vs. NCs, P = 0.0312). Furthermore, we identified rs1799987 SNP among a subset of HIV controllers, a mutation previously reported to reduce CCR5 expression. In stark contrast, we identified the rs41469351 SNP to be common among HIV non-controllers. This SNP has previously been shown to be associated with increased perinatal HIV transmission, vaginal shedding of HIV-infected cells and increased risk of death. Conclusion CCR5 has a non-redundant role in HIV control among Ugandan HIV controllers. HIV controllers maintain high CD4 + T cells despite being ART naïve partly because their CD4 + T cells have significantly reduced CCR5 densities.
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spelling doaj.art-d404b6fb29e3407e8c1284220d7f36ce2023-05-28T11:26:31ZengBMCRetrovirology1742-46902023-05-012011710.1186/s12977-023-00626-7Reduced CCR5 expression among Uganda HIV controllersBrian Nyiro0Sharon Bright Amanya1Alice Bayiyana2Francis Wasswa3Eva Nabulime4Alex Kayongo5Immaculate Nankya6Gerald Mboowa7David Patrick Kateete8Obondo James Sande9New Jersey Medical School, Rutgers UniversityBaylor College of MedicineDepartment of Immunology and Molecular Biology, Makerere UniversityDepartment of Immunology and Molecular Biology, Makerere UniversityCentre for AIDS Research Laboratory, Joint Clinical Research CentreDepartment of Immunology and Molecular Biology, Makerere UniversityCentre for AIDS Research Laboratory, Joint Clinical Research CentreDepartment of Immunology and Molecular Biology, Makerere UniversityDepartment of Immunology and Molecular Biology, Makerere UniversityDepartment of Immunology and Molecular Biology, Makerere UniversityAbstract Background Several mechanisms including reduced CCR5 expression, protective HLA, viral restriction factors, broadly neutralizing antibodies, and more efficient T-cell responses, have been reported to account for HIV control among HIV controllers. However, no one mechanism universally accounts for HIV control among all controllers. In this study we determined whether reduced CCR5 expression accounts for HIV control among Ugandan HIV controllers. We determined CCR5 expression among Ugandan HIV controllers compared with treated HIV non-controllers through ex-vivo characterization of CD4 + T cells isolated from archived PBMCs collected from the two distinct groups. Results The percentage of CCR5 + CD4 + T cells was similar between HIV controllers and treated HIV non-controllers (ECs vs. NCs, P = 0.6010; VCs vs. NCs, P = 0.0702) but T cells from controllers had significantly reduced CCR5 expression on their cell surface (ECs vs. NCs, P = 0.0210; VCs vs. NCs, P = 0.0312). Furthermore, we identified rs1799987 SNP among a subset of HIV controllers, a mutation previously reported to reduce CCR5 expression. In stark contrast, we identified the rs41469351 SNP to be common among HIV non-controllers. This SNP has previously been shown to be associated with increased perinatal HIV transmission, vaginal shedding of HIV-infected cells and increased risk of death. Conclusion CCR5 has a non-redundant role in HIV control among Ugandan HIV controllers. HIV controllers maintain high CD4 + T cells despite being ART naïve partly because their CD4 + T cells have significantly reduced CCR5 densities.https://doi.org/10.1186/s12977-023-00626-7Elite controllersViremic controllersNon-controllersHIVCCR5 promoter polymorphisms
spellingShingle Brian Nyiro
Sharon Bright Amanya
Alice Bayiyana
Francis Wasswa
Eva Nabulime
Alex Kayongo
Immaculate Nankya
Gerald Mboowa
David Patrick Kateete
Obondo James Sande
Reduced CCR5 expression among Uganda HIV controllers
Retrovirology
Elite controllers
Viremic controllers
Non-controllers
HIV
CCR5 promoter polymorphisms
title Reduced CCR5 expression among Uganda HIV controllers
title_full Reduced CCR5 expression among Uganda HIV controllers
title_fullStr Reduced CCR5 expression among Uganda HIV controllers
title_full_unstemmed Reduced CCR5 expression among Uganda HIV controllers
title_short Reduced CCR5 expression among Uganda HIV controllers
title_sort reduced ccr5 expression among uganda hiv controllers
topic Elite controllers
Viremic controllers
Non-controllers
HIV
CCR5 promoter polymorphisms
url https://doi.org/10.1186/s12977-023-00626-7
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