Wasik Tomasz J, Smoleń Joanna, Kruszyński Piotr, Bratosiewicz-Wasik Jolanta, Beniowski Marek
Z Zakładu Wirusologii w Sosnowcu.
Wiad Lek. 2005;58(9-10):500-7.
Among many factors that can influence vulnerability to infection and disease progression are genetic host factors together with the phenotype/genotype of the transmitting virus and the route of infection. Each of these factors alone or in combination could determine susceptibility to infection and subsequent rate of progression towards AIDS. Between host genetic factors identified and analyzed for their role in HIV-1 transmission and disease progression are polymorphisms in the genes encoding chemokine receptors and CCR5, CCR2 and SDF-1 a natural ligand for CXCR4 receptor. It has been shown that the distribution of this genetic polymorphisms and their role in the course of disease varies between different racial, ethnic and risk groups. The aim of present study was to examine the frequencies of polymorphic alleles CCR5-delta32, CCR2-64I and SDF-1-3'A and their role in human immunodeficiency virus (HIV-1) transmission in Polish population. The allelic and genotype distribution was studied in 103 HIV-1 infected patients (group HIV+) and 59 seronegative participants (group HIV-). Genotyping was done by the use of polymerase chain reaction with sequence-specific primers and restriction fragment length polymorphism. We found higher prevalence of CCR5-delta32 mutant allele among seronegative participants (13.6%) compared with HIV-infected patients (9.7%), although this did not attain statistical significance (p = 0.29). The CCR2-64I allelic frequency was almost identical in the HIV- and HIV+ groups (12.7% vs. 12.6%; respectively; p = 0.98). In contrast, the SDF-1-3'A allelic frequency was slightly lower among seronegative participants (15.3%) compared with HIV-infected patients (16.5%), and observed difference was not statistically significant (p = 0.77). Furthermore, we found that the genotype or allelic frequencies among HIV-1 infected patients were independent on the participant's sex, age at HIV-1 infection and the transmission route. Our results showed no significant differences in the prevalence of examined alleles and genotypes between HIV-1 infected patients and seronegative participants, which indicates that in the examined population they are not influencing host susceptibility to the HIV-1 infection.
在众多能够影响感染易感性和疾病进展的因素中,宿主遗传因素、传播病毒的表型/基因型以及感染途径都起着作用。这些因素单独或共同作用,都可能决定感染的易感性以及后续发展为艾滋病的速度。在已确定并分析其在HIV-1传播和疾病进展中作用的宿主遗传因素中,编码趋化因子受体的基因多态性以及CCR5、CCR2和SDF-1(CXCR4受体的天然配体)存在多态性。研究表明,这种基因多态性的分布及其在疾病进程中的作用在不同种族、民族和风险群体之间存在差异。本研究的目的是检测波兰人群中多态性等位基因CCR5-Δ32、CCR2-64I和SDF-1-3'A的频率及其在人类免疫缺陷病毒(HIV-1)传播中的作用。对103例HIV-1感染患者(HIV+组)和59例血清阴性参与者(HIV-组)的等位基因和基因型分布进行了研究。采用序列特异性引物聚合酶链反应和限制性片段长度多态性方法进行基因分型。我们发现,血清阴性参与者中CCR5-Δ32突变等位基因的患病率(13.6%)高于HIV感染患者(9.7%),但差异无统计学意义(p = 0.29)。HIV-组和HIV+组的CCR2-64I等位基因频率几乎相同(分别为12.7%和12.6%;p = 0.98)。相反,血清阴性参与者中SDF-1-3'A等位基因频率(15.3%)略低于HIV感染患者(16.5%),观察到的差异无统计学意义(p = 0.77)。此外,我们发现HIV-1感染患者中的基因型或等位基因频率与参与者的性别、HIV-1感染时的年龄以及传播途径无关。我们的结果表明,HIV-1感染患者和血清阴性参与者之间检测到的等位基因和基因型患病率无显著差异,这表明在所研究的人群中,它们不会影响宿主对HIV-1感染的易感性。