University of Alabama at Birmingham, Birmingham, AL 35294-0022, USA.
Hum Immunol. 2011 Apr;72(4):312-8. doi: 10.1016/j.humimm.2011.01.003. Epub 2011 Jan 21.
Populations of African ancestry continue to account for a disproportionate burden of the human immunodeficiency virus type 1 (HIV-1) epidemic in the United States. We investigated the effects of human leukocyte antigen (HLA) class I markers in association with virologic and immunologic control of HIV-1 infection among 338 HIV-1 subtype B-infected African Americans in 2 cohorts: Reaching for Excellence in Adolescent Care and Health (REACH) and HIV Epidemiology Research Study (HERS). One-year treatment-free interval measurements of HIV-1 RNA viral loads and CD4(+) T cells were examined both separately and combined to represent 3 categories of HIV-1 disease control (76 controllers, 169 intermediates, and 93 noncontrollers). Certain previously or newly implicated HLA class I alleles (A32, A36, A74, B14, B1510, B3501, B45, B53, B57, Cw04, Cw08, Cw12, and Cw18) were associated with 1 or more of the endpoints in univariate analyses. After multivariable adjustments for other genetic and nongenetic risk factors of HIV-1 progression, the subset of alleles more strongly or consistently associated with HIV-1 disease control included A32, A74, B14, B45, B53, B57, and Cw08. Carriage of infrequent HLA-B but not HLA-A alleles was associated with more favorable disease outcomes. Certain HLA class I associations with control of HIV-1 infection cross the boundaries of race and viral subtype, whereas others appear confined within one or the other of those boundaries.
非洲裔人群在美国继续承担着不成比例的 HIV-1 (人类免疫缺陷病毒 1 型)流行负担。我们在 2 个队列中研究了人类白细胞抗原(HLA)I 类标志物与 HIV-1 感染的病毒学和免疫学控制之间的关系,这两个队列包括追求卓越青少年保健和健康(REACH)和 HIV 流行病学研究(HERS)。我们分别和合并了 1 年的无治疗间隔时间的 HIV-1 RNA 病毒载量和 CD4+T 细胞测量结果,将其表示为 HIV-1 疾病控制的 3 个类别(76 名控制者、169 名中间者和 93 名非控制者)。某些先前或新确定的 HLA I 类等位基因(A32、A36、A74、B14、B1510、B3501、B45、B53、B57、Cw04、Cw08、Cw12 和 Cw18)在单变量分析中与 1 个或多个终点相关。在多变量调整了 HIV-1 进展的其他遗传和非遗传风险因素后,与 HIV-1 疾病控制更强烈或更一致相关的等位基因子集包括 A32、A74、B14、B45、B53、B57 和 Cw08。罕见 HLA-B 等位基因的携带而不是 HLA-A 等位基因的携带与更有利的疾病结局相关。某些与 HIV-1 感染控制相关的 HLA I 类关联跨越了种族和病毒亚型的界限,而其他关联似乎局限于这些界限中的一个或另一个。