PMID- 12964117 OWN - NLM STAT- MEDLINE DCOM- 20031015 LR - 20221207 IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 188 IP - 6 DP - 2003 Sep 15 TI - Influence of human leukocyte antigen-B22 alleles on the course of human immunodeficiency virus type 1 infection in 3 cohorts of white men. PG - 856-63 AB - The human leukocyte antigen (HLA)-B22 serogroup--which consists of the alleles B*54, B*55, and B*56--has been associated with rapidly progressive disease in white patients with human immunodeficiency virus (HIV) infection. Subjects from 3 cohorts of men who have sex with men (N=671), all of whom experienced HIV-1 seroconversion at roughly the same time, were molecularly typed at HLA-A, -B, and -C loci. Mean HIV RNA loads during early HIV infection were higher in B22-positive men than in B22-negative men (difference, 0.481 log(10) HIV RNA copies/mL; 95% confidence interval [CI], 0.156-0.806 log(10) HIV RNA copies/mL; P=.004). Independent of accepted markers of progression, time-to-AIDS was shorter in B22-positive seroconverters (adjusted hazard ratio, 1.98; 95% CI, 1.27-3.10; P=.003). White B22 serogroup alleles (B*55 and *56) appear to predispose to unfavorable outcome of HIV infection as strongly as some or all B*35 and B*53 alleles. This finding may have greater implications for Asians, because the marker frequency for B22 is higher among Asians than among whites (approximately 10% vs. approximately 4%). FAU - Dorak, M Tevfik AU - Dorak MT AD - Department of Epidemiology, University of Alabama at Birmingham, Alabama, USA. FAU - Tang, Jianming AU - Tang J FAU - Tang, Shenghui AU - Tang S FAU - Penman-Aguilar, Ana AU - Penman-Aguilar A FAU - Coutinho, Roel A AU - Coutinho RA FAU - Goedert, James J AU - Goedert JJ FAU - Detels, Roger AU - Detels R FAU - Kaslow, Richard A AU - Kaslow RA LA - eng GR - 5-M01-RR-00722/RR/NCRR NIH HHS/United States GR - R01 AI41951/AI/NIAID NIH HHS/United States GR - U01-AI-35039/AI/NIAID NIH HHS/United States GR - U01-AI-35040/AI/NIAID NIH HHS/United States GR - U01-AI-35041/AI/NIAID NIH HHS/United States GR - U01-AI-35042/AI/NIAID NIH HHS/United States GR - U01-AI-35043/AI/NIAID NIH HHS/United States GR - U01-AI-37613/AI/NIAID NIH HHS/United States GR - U01-AI-37984/AI/NIAID NIH HHS/United States PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, U.S. Gov't, P.H.S. DEP - 20030903 PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (HLA-B Antigens) RN - 0 (HLA-B22 antigen) RN - 0 (RNA, Viral) SB - IM MH - Adult MH - Alleles MH - Cohort Studies MH - Disease Progression MH - *Genetic Predisposition to Disease MH - HIV Infections/*genetics/*physiopathology MH - HIV-1/pathogenicity MH - HLA-B Antigens/*genetics MH - Histocompatibility Testing MH - Humans MH - Male MH - Proportional Hazards Models MH - RNA, Viral/blood MH - Viral Load MH - *White People EDAT- 2003/09/10 05:00 MHDA- 2003/10/16 05:00 CRDT- 2003/09/10 05:00 PHST- 2002/10/15 00:00 [received] PHST- 2003/04/03 00:00 [accepted] PHST- 2003/09/10 05:00 [pubmed] PHST- 2003/10/16 05:00 [medline] PHST- 2003/09/10 05:00 [entrez] AID - JID30204 [pii] AID - 10.1086/378071 [doi] PST - ppublish SO - J Infect Dis. 2003 Sep 15;188(6):856-63. doi: 10.1086/378071. Epub 2003 Sep 3.