HIV-infected sex workers with beneficial HLA-variants are potential hubs for selection of HIV-1 recombinants that may affect disease progression

Cytotoxic T lymphocyte (CTL) responses against the HIV Gag protein are associated with lowering viremia; however, immune control is undermined by viral escape mutations. The rapid viral mutation rate is a key factor, but recombination may also contribute. We hypothesized that CTL responses drive the...

Deskribapen osoa

Xehetasun bibliografikoak
Egile Nagusiak: Chang, C, Kist, N, Stuart Chester, T, Sreenu, V, Herman, M, Luo, M, Lunn, D, Bell, J, Plummer, F, Ball, T, Katzourakis, A, Iversen, A
Formatua: Journal article
Hizkuntza:English
Argitaratua: Nature Research 2015
_version_ 1826294180980195328
author Chang, C
Kist, N
Stuart Chester, T
Sreenu, V
Herman, M
Luo, M
Lunn, D
Bell, J
Plummer, F
Ball, T
Katzourakis, A
Iversen, A
author_facet Chang, C
Kist, N
Stuart Chester, T
Sreenu, V
Herman, M
Luo, M
Lunn, D
Bell, J
Plummer, F
Ball, T
Katzourakis, A
Iversen, A
author_sort Chang, C
collection OXFORD
description Cytotoxic T lymphocyte (CTL) responses against the HIV Gag protein are associated with lowering viremia; however, immune control is undermined by viral escape mutations. The rapid viral mutation rate is a key factor, but recombination may also contribute. We hypothesized that CTL responses drive the outgrowth of unique intra-patient HIV-recombinants (URFs) and examined gag sequences from a Kenyan sex worker cohort. We determined whether patients with HLA variants associated with effective CTL responses (beneficial HLA variants) were more likely to carry URFs and, if so, examined whether they progressed more rapidly than patients with beneficial HLA-variants who did not carry URFs. Women with beneficial HLA-variants (12/52) were more likely to carry URFs than those without beneficial HLA variants (3/61) (p < 0.0055; odds ratio = 5.7). Beneficial HLA variants were primarily found in slow/standard progressors in the URF group, whereas they predominated in long-term non-progressors/survivors in the remaining cohort (p = 0.0377). The URFs may sometimes spread and become circulating recombinant forms (CRFs) of HIV and local CRF fragments were over-represented in the URF sequences (p < 0.0001). Collectively, our results suggest that CTL-responses associated with beneficial HLA variants likely drive the outgrowth of URFs that might reduce the positive effect of these CTL responses on disease progression.
first_indexed 2024-03-07T03:41:40Z
format Journal article
id oxford-uuid:be1b92d0-a5fd-4973-94e9-16fa0fbdccbd
institution University of Oxford
language English
last_indexed 2024-03-07T03:41:40Z
publishDate 2015
publisher Nature Research
record_format dspace
spelling oxford-uuid:be1b92d0-a5fd-4973-94e9-16fa0fbdccbd2022-03-27T05:36:51ZHIV-infected sex workers with beneficial HLA-variants are potential hubs for selection of HIV-1 recombinants that may affect disease progressionJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:be1b92d0-a5fd-4973-94e9-16fa0fbdccbdEnglishSymplectic Elements at OxfordNature Research2015Chang, CKist, NStuart Chester, TSreenu, VHerman, MLuo, MLunn, DBell, JPlummer, FBall, TKatzourakis, AIversen, ACytotoxic T lymphocyte (CTL) responses against the HIV Gag protein are associated with lowering viremia; however, immune control is undermined by viral escape mutations. The rapid viral mutation rate is a key factor, but recombination may also contribute. We hypothesized that CTL responses drive the outgrowth of unique intra-patient HIV-recombinants (URFs) and examined gag sequences from a Kenyan sex worker cohort. We determined whether patients with HLA variants associated with effective CTL responses (beneficial HLA variants) were more likely to carry URFs and, if so, examined whether they progressed more rapidly than patients with beneficial HLA-variants who did not carry URFs. Women with beneficial HLA-variants (12/52) were more likely to carry URFs than those without beneficial HLA variants (3/61) (p < 0.0055; odds ratio = 5.7). Beneficial HLA variants were primarily found in slow/standard progressors in the URF group, whereas they predominated in long-term non-progressors/survivors in the remaining cohort (p = 0.0377). The URFs may sometimes spread and become circulating recombinant forms (CRFs) of HIV and local CRF fragments were over-represented in the URF sequences (p < 0.0001). Collectively, our results suggest that CTL-responses associated with beneficial HLA variants likely drive the outgrowth of URFs that might reduce the positive effect of these CTL responses on disease progression.
spellingShingle Chang, C
Kist, N
Stuart Chester, T
Sreenu, V
Herman, M
Luo, M
Lunn, D
Bell, J
Plummer, F
Ball, T
Katzourakis, A
Iversen, A
HIV-infected sex workers with beneficial HLA-variants are potential hubs for selection of HIV-1 recombinants that may affect disease progression
title HIV-infected sex workers with beneficial HLA-variants are potential hubs for selection of HIV-1 recombinants that may affect disease progression
title_full HIV-infected sex workers with beneficial HLA-variants are potential hubs for selection of HIV-1 recombinants that may affect disease progression
title_fullStr HIV-infected sex workers with beneficial HLA-variants are potential hubs for selection of HIV-1 recombinants that may affect disease progression
title_full_unstemmed HIV-infected sex workers with beneficial HLA-variants are potential hubs for selection of HIV-1 recombinants that may affect disease progression
title_short HIV-infected sex workers with beneficial HLA-variants are potential hubs for selection of HIV-1 recombinants that may affect disease progression
title_sort hiv infected sex workers with beneficial hla variants are potential hubs for selection of hiv 1 recombinants that may affect disease progression
work_keys_str_mv AT changc hivinfectedsexworkerswithbeneficialhlavariantsarepotentialhubsforselectionofhiv1recombinantsthatmayaffectdiseaseprogression
AT kistn hivinfectedsexworkerswithbeneficialhlavariantsarepotentialhubsforselectionofhiv1recombinantsthatmayaffectdiseaseprogression
AT stuartchestert hivinfectedsexworkerswithbeneficialhlavariantsarepotentialhubsforselectionofhiv1recombinantsthatmayaffectdiseaseprogression
AT sreenuv hivinfectedsexworkerswithbeneficialhlavariantsarepotentialhubsforselectionofhiv1recombinantsthatmayaffectdiseaseprogression
AT hermanm hivinfectedsexworkerswithbeneficialhlavariantsarepotentialhubsforselectionofhiv1recombinantsthatmayaffectdiseaseprogression
AT luom hivinfectedsexworkerswithbeneficialhlavariantsarepotentialhubsforselectionofhiv1recombinantsthatmayaffectdiseaseprogression
AT lunnd hivinfectedsexworkerswithbeneficialhlavariantsarepotentialhubsforselectionofhiv1recombinantsthatmayaffectdiseaseprogression
AT bellj hivinfectedsexworkerswithbeneficialhlavariantsarepotentialhubsforselectionofhiv1recombinantsthatmayaffectdiseaseprogression
AT plummerf hivinfectedsexworkerswithbeneficialhlavariantsarepotentialhubsforselectionofhiv1recombinantsthatmayaffectdiseaseprogression
AT ballt hivinfectedsexworkerswithbeneficialhlavariantsarepotentialhubsforselectionofhiv1recombinantsthatmayaffectdiseaseprogression
AT katzourakisa hivinfectedsexworkerswithbeneficialhlavariantsarepotentialhubsforselectionofhiv1recombinantsthatmayaffectdiseaseprogression
AT iversena hivinfectedsexworkerswithbeneficialhlavariantsarepotentialhubsforselectionofhiv1recombinantsthatmayaffectdiseaseprogression