PMID- 10342673 OWN - NLM STAT- MEDLINE DCOM- 19990809 LR - 20080815 IS - 0306-9877 (Print) IS - 0306-9877 (Linking) VI - 52 IP - 1 DP - 1999 Jan TI - How HIV-1 lentivirus causes immune deficiency disease. PG - 59-67 AB - Human immunodeficiency virus (HIV-1) associated immune deficiency has the characteristics of chronic graft versus host disease (GVHD) caused by human leukocyte antigen (HLA) class 2 incompatibility. The envelope glycoprotein fragment TKAKRRVVEREKR mimics HLA class 1 C molecules serologically, and also mimics an immune regulatory T cell epitope, in the region of amino acids 67 to 71, within the HLA DR beta chain. This beta chain alloepitopic region (between amino acids 67 to 80) furnishes peptides predicted to bind optimally to HLA class 1 B alleles. The hypothesis predicts that viral parameters, such as viral load, and clinical parameters, such as rate of progress to acquired immune deficiency syndrome (AIDS) and severity of the associated immune deficient state, are linked to the HLA B and HLA DR beta chain haplotype in infected patients. Immune suppression is caused by HLA class 1 B restricted CD8+ T cells which normally regulate HLA class 2 DR restricted antigen specific responses. The hypothesis further predicts the severity of immune deficiency to be linked to those HLA DR beta chain allotypes which express the amino-acid glutamine (Q) in position 70. FAU - Habeshaw, J A AU - Habeshaw JA AD - Department of Medical Microbiology, St Bartholomew's and the Royal London School of Medicine & Dentistry, Whitechapel, UK. FAU - Wilson, S E AU - Wilson SE FAU - Hounsell, E F AU - Hounsell EF FAU - Oxford, J S AU - Oxford JS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Med Hypotheses JT - Medical hypotheses JID - 7505668 RN - 0 (Gene Products, env) RN - 0 (HLA Antigens) RN - 0 (Peptide Fragments) SB - IM MH - Amino Acid Sequence MH - Animals MH - Disease Models, Animal MH - Gene Products, env/genetics/immunology MH - Graft vs Host Disease/immunology MH - HIV Infections/*etiology/immunology MH - HIV-1/genetics/immunology/*pathogenicity MH - HLA Antigens/genetics/immunology MH - Humans MH - Mice MH - *Models, Biological MH - Molecular Sequence Data MH - Peptide Fragments/genetics/immunology EDAT- 1999/05/26 00:00 MHDA- 1999/05/26 00:01 CRDT- 1999/05/26 00:00 PHST- 1999/05/26 00:00 [pubmed] PHST- 1999/05/26 00:01 [medline] PHST- 1999/05/26 00:00 [entrez] AID - S0306-9877(97)90632-0 [pii] AID - 10.1054/mehy.1997.0632 [doi] PST - ppublish SO - Med Hypotheses. 1999 Jan;52(1):59-67. doi: 10.1054/mehy.1997.0632.