PMID- 18279072 OWN - NLM STAT- MEDLINE DCOM- 20080605 LR - 20111117 IS - 0022-1899 (Print) IS - 0022-1899 (Linking) VI - 197 IP - 6 DP - 2008 Mar 15 TI - A nonprogressive clinical course in HIV-infected individuals expressing human leukocyte antigen B57/5801 is associated with preserved CD8+ T lymphocyte responsiveness to the HW9 epitope in Nef. PG - 871-9 LID - 10.1086/528695 [doi] AB - The human leukocyte antigen (HLA) B57 allele and the closely related HLA-B5801 allele are overrepresented among human immunodeficiency virus type 1 (HIV-1)-infected individuals with a long-term nonprogressive clinical course of disease (known as "long-term nonprogressors" [LTNPs]). These alleles are, however, also present among individuals with normal disease progression (known as "progressors"). In a comparison of HLA-B57/5801-expressing progressors and LTNPs, we observed a similar prevalence of escape mutations in 4 Nef epitopes and a similar reactivity of CD8+ T cells against 3 of 4 of these epitopes and their autologous escape variants. However, LTNPs tended to have frequent and preserved CD8+ T cell interferon-gamma responses against the wild-type HW9 Nef epitope, whereas progressors did not maintain a specific CD8+ T cell response. This finding is in line with the findings of a more exhausted phenotype of CD8+ T cells in progressors, as is demonstrated by their enhanced level of expression of inhibitory receptor "programmed death 1" (PD-1). The results of the present study suggest that preservation of HW9-specific T cell responses is associated with a more benign clinical course of infection. FAU - Navis, Marjon AU - Navis M AD - Sanquin Research, Landsteiner Laboratory, and Center for Infectious Diseases and Immunity Amsterdam at the Academic Medical Center, Amsterdam, The Netherlands. FAU - Schellens, Ingrid M M AU - Schellens IM FAU - van Swieten, Peter AU - van Swieten P FAU - Borghans, Jose A M AU - Borghans JA FAU - Miedema, Frank AU - Miedema F FAU - Kootstra, Neeltje A AU - Kootstra NA FAU - van Baarle, Debbie AU - van Baarle D FAU - Schuitemaker, Hanneke AU - Schuitemaker H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - 0 (Antigens, CD) RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (Epitopes, T-Lymphocyte) RN - 0 (HLA-B Antigens) RN - 0 (HLA-B57 antigen) RN - 0 (PDCD1 protein, human) RN - 0 (Programmed Cell Death 1 Receptor) RN - 0 (nef Gene Products, Human Immunodeficiency Virus) RN - 0 (nef protein, Human immunodeficiency virus 1) SB - IM MH - Antigens, CD/biosynthesis/immunology MH - Apoptosis Regulatory Proteins/biosynthesis/immunology MH - CD4 Lymphocyte Count MH - Cohort Studies MH - Epitopes, T-Lymphocyte/genetics/*immunology MH - HIV Infections/genetics/*immunology/virology MH - HIV Long-Term Survivors MH - HIV-1/*immunology MH - HLA-B Antigens/*biosynthesis/genetics/immunology MH - Humans MH - Programmed Cell Death 1 Receptor MH - T-Lymphocytes, Cytotoxic/*immunology MH - nef Gene Products, Human Immunodeficiency Virus/genetics/*immunology EDAT- 2008/02/19 09:00 MHDA- 2008/06/06 09:00 CRDT- 2008/02/19 09:00 PHST- 2008/02/19 09:00 [pubmed] PHST- 2008/06/06 09:00 [medline] PHST- 2008/02/19 09:00 [entrez] AID - 10.1086/528695 [doi] PST - ppublish SO - J Infect Dis. 2008 Mar 15;197(6):871-9. doi: 10.1086/528695.