PMID- 23032422 OWN - NLM STAT- MEDLINE DCOM- 20130603 LR - 20151119 IS - 1473-5571 (Electronic) IS - 0269-9370 (Linking) VI - 26 IP - 18 DP - 2012 Nov 28 TI - The influence of HLA supertype on thymidine analogue associated with low peripheral fat in HIV. PG - 2337-44 LID - 10.1097/QAD.0b013e32835ab213 [doi] AB - OBJECTIVES: To examine the relationship between human leukocyte antigen (HLA) genotype and body composition changes induced by thymidine analogue nucleoside reverse transcriptase inhibitor (NtRTI) use in HIV-positive individuals. DESIGN: Data collected during the Simplification with Tenofovir-Emtricitabine (TDF-FTC) or Abacavir-Lamivudine (ABC-3TC) (STEAL) study were analysed to examine the potential association of HLA genotypes with changes in body composition in treatment-experienced HIV-positive individuals. METHODS: Demographic, HIV-related, body composition and HLA genotyping data from the STEAL study were used in this analysis. The mean percentage peripheral fat at study baseline was compared in participants with and without prior NtRTI use. Analyses were also carried out for each HLA supertype strata, for five HLA genes, within the thymidine-exposed group. These comparisons were made using Mann-Whitney rank-sum tests. RESULTS: Participants with prior NtRTI use had a significantly lower baseline mean peripheral fat percentage compared to those without NtRTI use (31.9 vs. 34.7%; P = 0.0045). However, participants carrying one or more of the three particular HLA supertype alleles, A01, B08 and DQ2, showed no significant difference in mean peripheral fat percentage at baseline by NtRTI use. Among participants with prior NtRTI exposure, there were significant differences in mean peripheral fat by HLA A01, B08 and DQ2 allele expression compared to those without expression of these alleles (A01: 34.91% vs. no A01: 30.3%; P = 0.0087; B08: 36.2% vs. no B08: 31.1%; P = 0.0317; DQ2: 35.16% vs. no DQ2: 30.06%; P = 0.0081). CONCLUSION: This analysis suggests that HIV-infected individuals carrying HLA A01, B08 or DQ2 supertype alleles may be resistant to NtRTI-induced peripheral fat loss. FAU - Cordery, Damien V AU - Cordery DV AD - The Kirby Institute, University of New South Wales, Sydney, Australia. dcordery@kirby.unsw.edu.au FAU - Martin, Allison AU - Martin A FAU - Amin, Janaki AU - Amin J FAU - Kelleher, Anthony D AU - Kelleher AD FAU - Emery, Sean AU - Emery S FAU - Cooper, David A AU - Cooper DA CN - STEAL study group LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - AIDS JT - AIDS (London, England) JID - 8710219 RN - 0 (Anti-HIV Agents) RN - 0 (Biomarkers) RN - 0 (Blood Glucose) RN - 0 (Dideoxynucleosides) RN - 0 (Drug Combinations) RN - 0 (HLA Antigens) RN - 0 (HLA-A1 Antigen) RN - 0 (HLA-B8 Antigen) RN - 0 (HLA-DQ Antigens) RN - 0 (HLA-DQ2 antigen) RN - 0 (Organophosphonates) RN - 0 (abacavir, lamivudine drug combination) RN - 0W860991D6 (Deoxycytidine) RN - 2T8Q726O95 (Lamivudine) RN - 99YXE507IL (Tenofovir) RN - G70B4ETF4S (Emtricitabine) RN - JAC85A2161 (Adenine) RN - VC2W18DGKR (Thymidine) SB - IM MH - Adenine/analogs & derivatives/pharmacology MH - Anti-HIV Agents/*pharmacology MH - Australia MH - Biomarkers/metabolism MH - Blood Glucose MH - *Body Fat Distribution MH - CD4 Lymphocyte Count MH - Deoxycytidine/analogs & derivatives/pharmacology MH - Dideoxynucleosides/pharmacology MH - Drug Combinations MH - Drug Resistance, Viral MH - Emtricitabine MH - Female MH - Genotype MH - HIV Infections/drug therapy/genetics/*metabolism MH - HIV-Associated Lipodystrophy Syndrome/drug therapy/genetics/*metabolism MH - HLA Antigens/drug effects/*metabolism MH - HLA-A1 Antigen/metabolism MH - HLA-B8 Antigen/metabolism MH - HLA-DQ Antigens/metabolism MH - Humans MH - Lamivudine/pharmacology MH - Linkage Disequilibrium MH - Male MH - Middle Aged MH - Multicenter Studies as Topic MH - Organophosphonates/pharmacology MH - Predictive Value of Tests MH - Randomized Controlled Trials as Topic MH - Tenofovir MH - Thymidine/analogs & derivatives/*metabolism FIR - Cooper, David IR - Cooper D FIR - Bloch, Mark IR - Bloch M FIR - Carr, Andrew IR - Carr A FIR - Baker, David IR - Baker D FIR - Finlayson, Robert IR - Finlayson R FIR - Hoy, Jennifer IR - Hoy J FIR - Read, Tim IR - Read T FIR - Doong, Nicholas IR - Doong N FIR - Roth, Norman IR - Roth N FIR - Anderson, Jonathan IR - Anderson J FIR - Moore, Richard IR - Moore R FIR - Chuah, John IR - Chuah J FIR - Street, Alan IR - Street A FIR - Shaw, David IR - Shaw D FIR - Orth, David IR - Orth D FIR - Kelly, Mark IR - Kelly M FIR - Smith, David IR - Smith D FIR - Nolan, David IR - Nolan D FIR - Boyd, Mark IR - Boyd M FIR - Gordon, David IR - Gordon D FIR - Medland, Nicholas IR - Medland N FIR - Tee, Ban Kiem IR - Tee BK FIR - Dwyer, Dominic IR - Dwyer D FIR - Dyer, John IR - Dyer J FIR - Woolley, Ian IR - Woolley I FIR - Giles, Michelle IR - Giles M FIR - Davies, Stephen IR - Davies S FIR - Dayan, Linda IR - Dayan L FIR - Donohue, William IR - Donohue W FIR - Russell, Darren IR - Russell D FIR - Post, Jeffrey IR - Post J FIR - Quin, John IR - Quin J FIR - Smith, Don IR - Smith D FIR - Allworth, Anthony IR - Allworth A EDAT- 2012/10/04 06:00 MHDA- 2013/06/05 06:00 CRDT- 2012/10/04 06:00 PHST- 2012/10/04 06:00 [entrez] PHST- 2012/10/04 06:00 [pubmed] PHST- 2013/06/05 06:00 [medline] AID - 10.1097/QAD.0b013e32835ab213 [doi] PST - ppublish SO - AIDS. 2012 Nov 28;26(18):2337-44. doi: 10.1097/QAD.0b013e32835ab213.