PMID- 23462218 OWN - NLM STAT- MEDLINE DCOM- 20140110 LR - 20130627 IS - 1473-5571 (Electronic) IS - 0269-9370 (Linking) VI - 27 IP - 11 DP - 2013 Jul 17 TI - MHC-driven HIV-1 control on the long run is not systematically determined at early times post-HIV-1 infection. PG - 1707-16 LID - 10.1097/QAD.0b013e328360a4bd [doi] AB - INTRODUCTION: Human leukocyte antigen (HLA) class I-driven long-term protection against HIV-1 is mainly associated with HLA-B*27 and HLA-B*57. This effect is observed early after infection. Clarification needs to be established concerning the moment of action for the other HLA-B or HLA-C alleles. METHODS: HLA-B and HLA-C alleles from 111 individuals that control HIV-1 disease for over 8 years and from 747 seroconverters frequencies were compared. Also, HLA-B and HLA-C influence on early levels of plasma HIV-RNA, cellular HIV-DNA, CD4, CD8 and CD4/CD8 ratio was evaluated among the seroconverters. We performed univariate, multivariate and haplotypic analyses in order to disentangle the respective contribution of the HLA-B and HLA-C genes. RESULTS: The haplotypes analysis shows three patterns of protective effects of HLA-B and HLA-C alleles or haplotypes. First, the HLA B*57, HLA-B*27, HLA-B*13 and HLA-C*14 alleles, which have a strong effect on long-term disease control, also influence at least one of the early infection phenotypes. Second, HLA-B*52 has a strong effect during early time points on HIV-RNA without significant effect on the long-term control of HIV-1. Finally, the HLA-B*14-C*08 haplotype has a strong effect on the long-term protection, without influencing early viral control. CONCLUSION: Our study highlighted independent effects of HLA-B and HLA-C alleles on HIV-disease progression. Furthermore, some alleles appeared to be specifically associated with either long-term control or early virological parameters, suggesting different immunological mechanisms according to the disease stages. FAU - Antoni, Guillemette AU - Antoni G AD - Epidemiology and Public Health Service, APHP, Hopital du Kremlin Bicetre, Universite Paris-Sud, Paris, France. FAU - Guergnon, Julien AU - Guergnon J FAU - Meaudre, Celine AU - Meaudre C FAU - Samri, Assia AU - Samri A FAU - Boufassa, Faroudy AU - Boufassa F FAU - Goujard, Cecile AU - Goujard C FAU - Lambotte, Olivier AU - Lambotte O FAU - Autran, Brigitte AU - Autran B FAU - Rouzioux, Christine AU - Rouzioux C FAU - Costagliola, Dominique AU - Costagliola D FAU - Meyer, Laurence AU - Meyer L FAU - Theodorou, Ioannis AU - Theodorou I LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - AIDS JT - AIDS (London, England) JID - 8710219 RN - 0 (HLA-B Antigens) RN - 0 (HLA-C Antigens) SB - IM MH - Gene Frequency MH - *Genetic Predisposition to Disease MH - HIV Infections/*immunology MH - HIV-1/*immunology MH - HLA-B Antigens/*genetics/*immunology MH - HLA-C Antigens/*genetics/*immunology MH - Haplotypes MH - Humans EDAT- 2013/03/07 06:00 MHDA- 2014/01/11 06:00 CRDT- 2013/03/07 06:00 PHST- 2013/03/07 06:00 [entrez] PHST- 2013/03/07 06:00 [pubmed] PHST- 2014/01/11 06:00 [medline] AID - 10.1097/QAD.0b013e328360a4bd [doi] PST - ppublish SO - AIDS. 2013 Jul 17;27(11):1707-16. doi: 10.1097/QAD.0b013e328360a4bd.