PMID- 18391752 OWN - NLM STAT- MEDLINE DCOM- 20080708 LR - 20200930 IS - 1525-4135 (Print) IS - 1525-4135 (Linking) VI - 48 IP - 2 DP - 2008 Jun 1 TI - Role of cytotoxic T-lymphocyte-mediated immune selection in a dominant human leukocyte antigen-B8-restricted cytotoxic T-lymphocyte epitope in Nef. PG - 133-41 LID - 10.1097/QAI.0b013e31816fdc4a [doi] AB - OBJECTIVES: To study the role of cytotoxic T-lymphocyte (CTL) escape for disease progression in HIV-1 infection, we analyzed the CTL response to the dominant human leukocyte antigen (HLA)-B8-restricted CTL epitope FLKEKGGL (FL8) in HIV-1 Nef. METHODS: HIV-1 nef genes derived from 56 patients were analyzed by polymerase chain reaction (PCR)-based sequencing. T-cell responses against FL8 and mutated FL8 variants were detected by gamma-interferon (gamma-IFN) enzyme linked immunospot (ELISPOT) assay. RESULTS: The longitudinal analysis of an HIV-1-infected patient with good control of HIV-1 viremia for several years demonstrated an association of rising viremia with the emergence of CTL escape mutations within the HLA-B8-restricted Nef-specific CTL epitopes FLKEKGGL and WPAIRERM. Analysis of nef genes in 56 HIV-1-infected patients demonstrated a significant correlation between the occurrence of mutations in the FL8 epitope and the presence of HLA-B8. The mutations within the FL8 epitope could decrease CTL recognition; however, there was strong variation regarding the recognition of viral variants between individual donors. The presence of FL8 mutations was associated with lower CD4 cell counts and higher viral loads. CONCLUSIONS: Our data demonstrate a strong CTL selection pressure on the immunodominant HLA-B8-restricted CTL epitope FL8 in HIV-1 Nef. The association of FL8 mutations with lower CD4 cell counts indicates an important role of CTL escape mutations for disease progression. FAU - Maurer, Katja AU - Maurer K AD - Department of Internal Medicine 3, University Erlangen-Nuremberg, Germany. FAU - Harrer, Ellen G AU - Harrer EG FAU - Goldwich, Andreas AU - Goldwich A FAU - Eismann, Kathrin AU - Eismann K FAU - Bergmann, Silke AU - Bergmann S FAU - Schmitt-Haendle, Matthias AU - Schmitt-Haendle M FAU - Spriewald, Bernd AU - Spriewald B FAU - Mueller, Sandra M AU - Mueller SM FAU - Harrer, Thomas AU - Harrer T CN - German Competence Network for HIV/AIDS LA - eng SI - GENBANK/EU015077 SI - GENBANK/EU015080 SI - GENBANK/EU370449 SI - GENBANK/EU370450 PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Acquir Immune Defic Syndr JT - Journal of acquired immune deficiency syndromes (1999) JID - 100892005 RN - 0 (Epitopes, T-Lymphocyte) RN - 0 (HLA-B8 Antigen) RN - 0 (Immunodominant Epitopes) RN - 0 (nef Gene Products, Human Immunodeficiency Virus) RN - 0 (nef protein, Human immunodeficiency virus 1) SB - IM EIN - J Acquir Immune Defic Syndr. 2009 Mar 1;50(3):343 MH - Acquired Immunodeficiency Syndrome/*immunology/virology MH - Base Sequence MH - CD4 Lymphocyte Count MH - *Epitopes, T-Lymphocyte MH - Female MH - HLA-B8 Antigen/analysis/*physiology MH - Humans MH - *Immunodominant Epitopes MH - Longitudinal Studies MH - Middle Aged MH - Molecular Sequence Data MH - Mutation MH - T-Lymphocytes, Cytotoxic/*immunology MH - Viral Load MH - nef Gene Products, Human Immunodeficiency Virus/chemistry/*immunology EDAT- 2008/04/09 09:00 MHDA- 2008/07/09 09:00 CRDT- 2008/04/09 09:00 PHST- 2008/04/09 09:00 [pubmed] PHST- 2008/07/09 09:00 [medline] PHST- 2008/04/09 09:00 [entrez] AID - 10.1097/QAI.0b013e31816fdc4a [doi] PST - ppublish SO - J Acquir Immune Defic Syndr. 2008 Jun 1;48(2):133-41. doi: 10.1097/QAI.0b013e31816fdc4a.