PMID- 17804494 OWN - NLM STAT- MEDLINE DCOM- 20071212 LR - 20220317 IS - 0022-538X (Print) IS - 1098-5514 (Electronic) IS - 0022-538X (Linking) VI - 81 IP - 22 DP - 2007 Nov TI - Escape from the dominant HLA-B27-restricted cytotoxic T-lymphocyte response in Gag is associated with a dramatic reduction in human immunodeficiency virus type 1 replication. PG - 12382-93 AB - Human leukocyte antigen (HLA)-B27-positive subjects are uncommon in their ability to control infection with human immunodeficiency virus type 1 (HIV-1). However, late viral escape from a narrowly directed immunodominant Gag-specific CD8(+) T-lymphocyte (CTL) response has been linked to AIDS progression in these individuals. Identifying the mechanism of the immune-mediated control may provide critical insights into HIV-1 vaccine development. Here, we illustrate that the CTL escape mutation R(264)K in the HLA-B27-restricted KK10 epitope in the capsid resulted in a significant defect in viral replication in vitro. The R(264)K variant was impaired in generating late reverse transcription products, indicating that replication was blocked at a postentry step. Notably, the R(264)K mutation was associated in vivo with the development of a rare secondary mutation, S(173)A, which restored viral replication in vitro. Furthermore, infectivity of the R(264)K variant was rescued by the addition of cyclosporine A or infection of a cyclophilin A-deficient cell line. These data demonstrate a severe functional defect imposed by the R(264)K mutation during an early step in viral replication that is likely due to the inability of this variant to replicate efficiently in the presence of normal levels of cyclophilin A. We conclude that the impact of the R(264)K substitution on capsid structure constrains viral escape and enables long-term maintenance of the dominant CTL response against B27-KK10, providing an explanation for the protective effect of HLA-B27 during HIV infection. FAU - Schneidewind, Arne AU - Schneidewind A AD - Partners AIDS Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. FAU - Brockman, Mark A AU - Brockman MA FAU - Yang, Ruifeng AU - Yang R FAU - Adam, Rahma I AU - Adam RI FAU - Li, Bin AU - Li B FAU - Le Gall, Sylvie AU - Le Gall S FAU - Rinaldo, Charles R AU - Rinaldo CR FAU - Craggs, Sharon L AU - Craggs SL FAU - Allgaier, Rachel L AU - Allgaier RL FAU - Power, Karen A AU - Power KA FAU - Kuntzen, Thomas AU - Kuntzen T FAU - Tung, Chang-Shung AU - Tung CS FAU - LaBute, Montiago X AU - LaBute MX FAU - Mueller, Sandra M AU - Mueller SM FAU - Harrer, Thomas AU - Harrer T FAU - McMichael, Andrew J AU - McMichael AJ FAU - Goulder, Philip J R AU - Goulder PJ FAU - Aiken, Christopher AU - Aiken C FAU - Brander, Christian AU - Brander C FAU - Kelleher, Anthony D AU - Kelleher AD FAU - Allen, Todd M AU - Allen TM LA - eng GR - R21 AI067078/AI/NIAID NIH HHS/United States GR - MC_U137884177/MRC_/Medical Research Council/United Kingdom GR - R01 AI050423/AI/NIAID NIH HHS/United States GR - R01 AI054178/AI/NIAID NIH HHS/United States GR - U01 AI052403/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20070905 PL - United States TA - J Virol JT - Journal of virology JID - 0113724 RN - 0 (HLA-B27 Antigen) RN - 0 (Immunodominant Epitopes) RN - 0 (gag Gene Products, Human Immunodeficiency Virus) RN - 83HN0GTJ6D (Cyclosporine) SB - IM MH - Amino Acid Sequence MH - Capsid/immunology MH - Cyclosporine/pharmacology MH - HIV Infections/*immunology MH - HIV-1/genetics/*physiology MH - HLA-B27 Antigen/analysis/*immunology MH - Humans MH - Immunodominant Epitopes/*genetics/immunology MH - Molecular Sequence Data MH - Mutation MH - T-Lymphocytes, Cytotoxic/*immunology MH - Virus Replication/genetics MH - gag Gene Products, Human Immunodeficiency Virus/*genetics/immunology PMC - PMC2169010 EDAT- 2007/09/07 09:00 MHDA- 2007/12/13 09:00 PMCR- 2008/03/01 CRDT- 2007/09/07 09:00 PHST- 2007/09/07 09:00 [pubmed] PHST- 2007/12/13 09:00 [medline] PHST- 2007/09/07 09:00 [entrez] PHST- 2008/03/01 00:00 [pmc-release] AID - JVI.01543-07 [pii] AID - 1543-07 [pii] AID - 10.1128/JVI.01543-07 [doi] PST - ppublish SO - J Virol. 2007 Nov;81(22):12382-93. doi: 10.1128/JVI.01543-07. Epub 2007 Sep 5.