The major genetic determinants of HIV-1 control affect HLA class I peptide presentation.

Authors

Publication/Presentation Date

12-10-2010

Abstract

Infectious and inflammatory diseases have repeatedly shown strong genetic associations within the major histocompatibility complex (MHC); however, the basis for these associations remains elusive. To define host genetic effects on the outcome of a chronic viral infection, we performed genome-wide association analysis in a multiethnic cohort of HIV-1 controllers and progressors, and we analyzed the effects of individual amino acids within the classical human leukocyte antigen (HLA) proteins. We identified >300 genome-wide significant single-nucleotide polymorphisms (SNPs) within the MHC and none elsewhere. Specific amino acids in the HLA-B peptide binding groove, as well as an independent HLA-C effect, explain the SNP associations and reconcile both protective and risk HLA alleles. These results implicate the nature of the HLA-viral peptide interaction as the major factor modulating durable control of HIV infection.

Volume

330

Issue

6010

First Page

1551

Last Page

1557

ISSN

1095-9203

Disciplines

Medicine and Health Sciences

PubMedID

21051598

Department(s)

Department of Medicine

Document Type

Article

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