PMID- 19276793 OWN - NLM STAT- MEDLINE DCOM- 20100330 LR - 20221207 IS - 1473-5571 (Electronic) IS - 0269-9370 (Print) IS - 0269-9370 (Linking) VI - 23 IP - 6 DP - 2009 Mar 27 TI - Host genetics and HIV-1 viral load set-point in African-Americans. PG - 673-7 LID - 10.1097/QAD.0b013e328325d414 [doi] AB - OBJECTIVE: In a recent genome-wide association study of HIV-1-infected individuals in the Euro-CHAVI cohort, viral load set-point was strongly associated with genotypes defined by two single nucleotide polymorphisms (SNPs) (rs9264942 and rs2395029) within the human major histocompatibility complex (MHC) region on chromosome 6. We attempted to confirm this finding in African-Americans and to address whether these SNPs are in linkage disequilibrium with human leukocyte antigen (HLA) class I alleles that mediate innate and adaptive immunity. DESIGN: Our analyses relied on 121 African-American adolescents with chronic HIV-1 infection and quarterly immunological and virological outcome measures in the absence of therapy. METHODS: PCR-based techniques were used to genotype two SNPs along with HLA class I alleles. Their associations with HIV-1 viral load set-point and longitudinal CD4+ and CD8+CD38+ T cell counts were tested in univariate and multivariable models. RESULTS: The CC genotype at rs9264942 was associated with reduced viral load, but not with immunological outcomes or category of disease control. Consistent associations of favorable virologic outcomes were observed with B*57 (mostly B*5703) but not with rs2395029G allele at the HCP5 locus, which is in absolute linkage disequilibrium with B*5701 (in individuals of European descent), and not B*5703. CONCLUSION: Although rs9264942 and B*57 (but not rs2395029G) are clearly associated with control of viral load set-point among African-Americans, fine-mapping of MHC SNPs in populations of African and European descent should help reveal the causative variants and the underlying functional mechanisms. FAU - Shrestha, Sadeep AU - Shrestha S AD - Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama 35294-0022, USA. sshresth@uab.edu FAU - Aissani, Brahim AU - Aissani B FAU - Song, Wei AU - Song W FAU - Wilson, Craig M AU - Wilson CM FAU - Kaslow, Richard A AU - Kaslow RA FAU - Tang, Jianming AU - Tang J LA - eng GR - P30 AI027767/AI/NIAID NIH HHS/United States GR - R01 AI051173/AI/NIAID NIH HHS/United States GR - R01 AI041951/AI/NIAID NIH HHS/United States GR - U01 HD032830-07/HD/NICHD NIH HHS/United States GR - R01-AI41951/AI/NIAID NIH HHS/United States GR - U01 HD040533/HD/NICHD NIH HHS/United States GR - P30 AI027767-20/AI/NIAID NIH HHS/United States GR - U01-HD32830/HD/NICHD NIH HHS/United States GR - R01 AI051173-04/AI/NIAID NIH HHS/United States GR - 5P30 AI27767-20/AI/NIAID NIH HHS/United States GR - R01-AI51173/AI/NIAID NIH HHS/United States GR - R01 AI041951-08/AI/NIAID NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PL - England TA - AIDS JT - AIDS (London, England) JID - 8710219 RN - 0 (Histocompatibility Antigens Class II) SB - IM MH - Adolescent MH - Black or African American/*genetics MH - CD4-Positive T-Lymphocytes/immunology MH - CD8-Positive T-Lymphocytes/immunology MH - Female MH - Genetic Predisposition to Disease MH - HIV Infections/*genetics/immunology/virology MH - HIV-1/*isolation & purification MH - Histocompatibility Antigens Class II/genetics MH - Histocompatibility Testing MH - Humans MH - Linkage Disequilibrium MH - Male MH - Polymerase Chain Reaction/methods MH - Polymorphism, Single Nucleotide MH - Viral Load MH - Young Adult PMC - PMC2663898 MID - NIHMS89959 EDAT- 2009/03/12 09:00 MHDA- 2010/03/31 06:00 PMCR- 2010/03/27 CRDT- 2009/03/12 09:00 PHST- 2009/03/12 09:00 [entrez] PHST- 2009/03/12 09:00 [pubmed] PHST- 2010/03/31 06:00 [medline] PHST- 2010/03/27 00:00 [pmc-release] AID - 10.1097/QAD.0b013e328325d414 [doi] PST - ppublish SO - AIDS. 2009 Mar 27;23(6):673-7. doi: 10.1097/QAD.0b013e328325d414.