PMID- 25119688 OWN - NLM STAT- MEDLINE DCOM- 20150226 LR - 20220321 IS - 1473-5571 (Electronic) IS - 0269-9370 (Linking) VI - 27 IP - 18 DP - 2013 Nov 28 TI - On stand by: host genetics of HIV control. PG - 2831-9 LID - 10.1097/01.aids.0000432536.85335.c8 [doi] AB - The impact of host genetic variation on determining the differential outcomes after HIV infection has been studied by two approaches: targeting of candidate genes and genome-wide association studies (GWASs). The overlap in genetic variants that has been identified by these two means has essentially been restricted to variants near to the human leukocyte antigen (HLA) class I genes, although variation in the CCR5 locus, which was first shown to have an effect on HIV outcomes using the candidate gene approach, does reach significance genome-wide when very large samples sizes (i.e. thousands) are used in GWAS. Overall, many of the variants identified by the candidate gene approach are likely to be spurious, as no additional variants apart from a novel variant near the HLA-C gene have been consistently identified by GWAS. Variants with low frequency and/or low impact on HIV outcomes are likely to exist in the genome and there could be many of them, but these are not identifiable, given current GWAS sample sizes. Several loci centrally involved in the immune response, including the immunoglobulin genes, T-cell receptor loci, or leukocyte receptor complex, are either poorly covered on the GWAS chips or difficult to interpret due to their repetitive nature and/or the presence of insertion/deletion polymorphisms in the region. These loci warrant further interrogation, but genetic characterization of these regions across a range of individuals will first be required. Finally, synergistic interactions between loci may affect outcome after infection, as suggested by associations of specific, functionally relevant HLA and killer cell immunoglobulin-like receptor variants with HIV disease outcomes, and these require further consideration as well. FAU - Carrington, Mary AU - Carrington M AD - aCancer and Inflammation Program, Laboratory of Experimental Immunology, SAIC Frederick Inc., Frederick National Laboratory for Cancer Research, Frederick, Maryland bRagon Institute of MGH, MIT and Harvard, Boston, Massachusetts, USA cSchool of Life Sciences, Ecole Polytechnique Federale de Lausanne dInstitute of Microbiology, University Hospital Center and University of Lausanne, Lausanne, Switzerland eProgram in Medical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA. FAU - Bashirova, Arman A AU - Bashirova AA FAU - McLaren, Paul J AU - McLaren PJ LA - eng GR - HHSN261200800001E/PHS HHS/United States GR - Intramural NIH HHS/United States PT - Editorial PT - Research Support, N.I.H., Extramural PT - Research Support, N.I.H., Intramural PT - Review PL - England TA - AIDS JT - AIDS (London, England) JID - 8710219 SB - IM MH - Biomedical Research/trends MH - *Genetics, Medical MH - Genome-Wide Association Study MH - HIV Infections/*genetics/*immunology MH - Humans MH - *Immunogenetics EDAT- 2014/08/15 06:00 MHDA- 2015/02/27 06:00 CRDT- 2014/08/15 06:00 PHST- 2014/08/15 06:00 [entrez] PHST- 2014/08/15 06:00 [pubmed] PHST- 2015/02/27 06:00 [medline] AID - 00002030-201311280-00002 [pii] AID - 10.1097/01.aids.0000432536.85335.c8 [doi] PST - ppublish SO - AIDS. 2013 Nov 28;27(18):2831-9. doi: 10.1097/01.aids.0000432536.85335.c8.