PMID- 20032191 OWN - NLM STAT- MEDLINE DCOM- 20100317 LR - 20221207 IS - 1098-5514 (Electronic) IS - 0022-538X (Print) IS - 0022-538X (Linking) VI - 84 IP - 5 DP - 2010 Mar TI - Human leukocyte antigen class I supertypes and HIV-1 control in African Americans. PG - 2610-7 LID - 10.1128/JVI.01962-09 [doi] AB - The role of human leukocyte antigen (HLA) class I supertypes in controlling human immunodeficiency virus type 1 (HIV-1) infection in African Americans has not been established. We examined the effects of the HLA-A and HLA-B alleles and supertypes on the outcomes of HIV-1 clade B infection among 338 African American women and adolescents. HLA-B58 and -B62 supertypes (B58s and B62s) were associated with favorable HIV-1 disease control (proportional odds ratio [POR] of 0.33 and 95% confidence interval [95% CI] of 0.21 to 0.52 for the former and POR of 0.26 and 95% CI of 0.09 to 0.73 for the latter); B7s and B44s were associated with unfavorable disease control (POR of 2.39 and 95% CI of 1.54 to 3.73 for the former and POR of 1.63 and 95% CI of 1.08 to 2.47 for the latter). In general, individual alleles within specific B supertypes exerted relatively homogeneous effects. A notable exception was B27s, whose protective influence (POR, 0.58; 95% CI, 0.35 to 0.94) was masked by the opposing effect of its member allele B*1510. The associations of most B supertypes (e.g., B58s and B7s) were largely explained either by well-known effects of constituent B alleles or by effects of previously unimplicated B alleles aggregated into a particular supertype (e.g., B44s and B62s). A higher frequency of HLA-B genotypic supertypes correlated with a higher mean viral load (VL) and lower mean CD4 count (Pearson's r = 0.63 and 0.62, respectively; P = 0.03). Among the genotypic supertypes, B58s and its member allele B*57 contributed disproportionately to the explainable VL variation. The study demonstrated the dominant role of HLA-B supertypes in HIV-1 clade B-infected African Americans and further dissected the contributions of individual class I alleles and their population frequencies to the supertype effects. FAU - Lazaryan, Aleksandr AU - Lazaryan A AD - University of Alabama at Birmingham, Birmingham, Alabama 35294-0022, USA. FAU - Song, Wei AU - Song W FAU - Lobashevsky, Elena AU - Lobashevsky E FAU - Tang, Jianming AU - Tang J FAU - Shrestha, Sadeep AU - Shrestha S FAU - Zhang, Kui AU - Zhang K FAU - Gardner, Lytt I AU - Gardner LI FAU - McNicholl, Janet M AU - McNicholl JM FAU - Wilson, Craig M AU - Wilson CM FAU - Klein, Robert S AU - Klein RS FAU - Rompalo, Anne AU - Rompalo A FAU - Mayer, Kenneth AU - Mayer K FAU - Sobel, Jack AU - Sobel J FAU - Kaslow, Richard A AU - Kaslow RA CN - HIV Epidemiology Research Study CN - Reaching for Excellence in Adolescent Care and Health Study LA - eng GR - R01 AI071906/AI/NIAID NIH HHS/United States GR - U01 HD040533/HD/NICHD NIH HHS/United States GR - U01 HD32830/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. DEP - 20091223 PL - United States TA - J Virol JT - Journal of virology JID - 0113724 RN - 0 (HLA-A Antigens) RN - 0 (HLA-B Antigens) RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - Adolescent MH - Adult MH - Black or African American/*genetics MH - Alleles MH - Child MH - Female MH - Genotype MH - HIV Infections/*ethnology/genetics/*immunology/*prevention & control MH - HIV-1/*immunology MH - HLA-A Antigens/genetics/immunology MH - HLA-B Antigens/genetics/immunology MH - Histocompatibility Antigens Class I/genetics/*immunology MH - Humans MH - Middle Aged MH - Odds Ratio MH - Viral Load MH - Young Adult PMC - PMC2820922 FIR - Klein, Robert S IR - Klein RS FIR - Schoenbaum, Ellie IR - Schoenbaum E FIR - Arnsten, Julia IR - Arnsten J FIR - Burk, Robert D IR - Burk RD FIR - Demas, Penelope IR - Demas P FIR - Howard, Andrea IR - Howard A FIR - Schuman, Paula IR - Schuman P FIR - Sobel, Jack IR - Sobel J FIR - Lancaster, Wayne IR - Lancaster W FIR - Rompalo, Anne IR - Rompalo A FIR - Vlahov, David IR - Vlahov D FIR - Celentano, David IR - Celentano D FIR - Carpenter, Charles IR - Carpenter C FIR - Mayer, Kenneth IR - Mayer K FIR - Cu-Uvin, Susan IR - Cu-Uvin S FIR - Flanigan, Timothy IR - Flanigan T FIR - Hogan, Joseph IR - Hogan J FIR - Rich, Josiah IR - Rich J FIR - Gardner, Lytt I IR - Gardner LI FIR - Heilig, Chad IR - Heilig C FIR - Holmberg, Scott D IR - Holmberg SD FIR - Jamieson, Denise J IR - Jamieson DJ FIR - Moore, Janet S IR - Moore JS FIR - Smith, Dawn K IR - Smith DK FIR - Davenny, Katherine IR - Davenny K EDAT- 2009/12/25 06:00 MHDA- 2010/03/18 06:00 PMCR- 2010/09/01 CRDT- 2009/12/25 06:00 PHST- 2009/12/25 06:00 [entrez] PHST- 2009/12/25 06:00 [pubmed] PHST- 2010/03/18 06:00 [medline] PHST- 2010/09/01 00:00 [pmc-release] AID - JVI.01962-09 [pii] AID - 1962-09 [pii] AID - 10.1128/JVI.01962-09 [doi] PST - ppublish SO - J Virol. 2010 Mar;84(5):2610-7. doi: 10.1128/JVI.01962-09. Epub 2009 Dec 23.