PMID- 11778647 OWN - NLM STAT- MEDLINE DCOM- 20020423 LR - 20180821 IS - 1076-1551 (Print) IS - 1528-3658 (Electronic) IS - 1076-1551 (Linking) VI - 7 IP - 9 DP - 2001 Sep TI - Genetic determinants of pediatric HIV-1 infection: vertical transmission and disease progression among children. PG - 583-9 AB - It is very likely that perinatal human immunodeficiency virus type 1 (HIV-1) infection is influenced by a combination of virologic and host factors. A greater understanding of the role played by various risk factors for HIV-1 infection is crucial for the design of new preventive and therapeutic strategies. In recent years, a number of studies have suggested that host genetic factors are important determinants of both the susceptibility to perinatal HIV-1 infection and the subsequent pathogenesis of acquired immunodeficiency syndrome (AIDS). Control of HIV-1 infection involves the processing of specific viral peptides and their presentation to cells of the immune system by highly polymorphic human leukocyte antigen (HLA) alleles. The contribution of multiple HLA class I and II alleles in modulating pediatric HIV/AIDS outcomes has now been confirmed by several independent groups. Penetration of HIV-1 into cells is mediated by interaction between CD4 and chemokine receptors that serve as entry coreceptors. Genetic polymorphisms in chemokine ligand and chemokine receptor genes have recently been associated both with mother-to-child HIV-1 transmission and disease progression in children. These observations suggest a key role for genetic factors in pediatric HIV-1 infection. This article describes the current state of knowledge regarding host genetic influences on pediatric HIV-1 infection and discusses the role of these genes in HIV/AIDS pathogenesis. FAU - Matt, C AU - Matt C AD - Laboratoire d'immunogenetique, Centre de Recherche du Centre Hospitalier de l'Universite de Montreal, Quebec, Canada. FAU - Roger, M AU - Roger M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Mol Med JT - Molecular medicine (Cambridge, Mass.) JID - 9501023 RN - 0 (HLA Antigens) RN - 0 (Receptors, Chemokine) RN - 0 (Receptors, HIV) SB - IM MH - Child MH - *Disease Progression MH - Female MH - HIV Infections/*genetics/immunology/transmission MH - *HIV-1/immunology/physiology MH - HLA Antigens/genetics/immunology MH - Humans MH - Infant MH - *Infectious Disease Transmission, Vertical MH - Polymorphism, Genetic MH - Receptors, Chemokine/genetics/metabolism MH - Receptors, HIV/genetics/metabolism PMC - PMC1950069 EDAT- 2002/01/10 10:00 MHDA- 2002/04/24 10:01 PMCR- 2001/09/01 CRDT- 2002/01/10 10:00 PHST- 2002/01/10 10:00 [pubmed] PHST- 2002/04/24 10:01 [medline] PHST- 2002/01/10 10:00 [entrez] PHST- 2001/09/01 00:00 [pmc-release] PST - ppublish SO - Mol Med. 2001 Sep;7(9):583-9.