PMID- 28500742 OWN - NLM STAT- MEDLINE DCOM- 20180405 LR - 20190106 IS - 1096-9071 (Electronic) IS - 0146-6615 (Linking) VI - 89 IP - 10 DP - 2017 Oct TI - Amino acids at positions 3, 168, and 169 are associated with the ability of Nef proteins from HIV-1 CRF01_AE to downmodulate CD4. PG - 1788-1795 LID - 10.1002/jmv.24851 [doi] AB - Several HIV-1 subtypes are co-circulating among various high-risk groups in China, and an increasing prevalence of CRF01_AE was observed among MSM (men who have sex with men) within recent years. Patients infected with CRF01_AE may experience a more rapid disease progression than patients infected with non-CRF01_AE; however, the underlying mechanisms remains elusive. HIV-1 Nef is a multifunctional protein and plays critical roles in viral pathogenesis. Nef downregulates CD4 and human leukocyte antigen (HLA) to promote viral transmission and escape from the host immune response. In this study, we investigated the CD4 downmodulation activity of Nef proteins isolated from HIV-1 CRF01_AE and analyzed a potential relationship of Nef's capacity to downregulate CD4 with disease progression. We found that the majority of these Nefs from HIV-1 CRF01_AE efficiently downregulated CD4; Nefs with weaker CD4 downmodulation activity tended to be associated with higher CD4 levels and lower viral loads. Further elucidation revealed that amino acid residues at positions 3, 168, and 169 of CRF01_AE Nefs were associated with the capacity to downregulate CD4. Our data suggest that the capacity of Nef-mediated CD4 downregulation is not the only determinant for controlling disease progression, and other host and viral factors should be considered to explain the rapid disease progression of patients infected with HIV-1 CRF01_AE. CI - (c) 2017 Wiley Periodicals, Inc. FAU - Kuang, Wen-Dong AU - Kuang WD AD - CAS Key Laboratory of Molecular Virology and Immunology, Institut Pasteur of Shanghai, Chinese Academy of Sciences, Shanghai, China. AD - University of Chinese Academy of Sciences, Beijing, China. FAU - Zhou, Yan-Heng AU - Zhou YH AD - CAS Key Laboratory of Molecular Virology and Immunology, Institut Pasteur of Shanghai, Chinese Academy of Sciences, Shanghai, China. FAU - Zhong, Ping AU - Zhong P AD - Department of AIDS and STD, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China. FAU - Zhang, Chiyu AU - Zhang C AD - CAS Key Laboratory of Molecular Virology and Immunology, Institut Pasteur of Shanghai, Chinese Academy of Sciences, Shanghai, China. FAU - Wang, Jian-Hua AU - Wang JH AUID- ORCID: 0000-0002-6435-9907 AD - CAS Key Laboratory of Molecular Virology and Immunology, Institut Pasteur of Shanghai, Chinese Academy of Sciences, Shanghai, China. AD - University of Chinese Academy of Sciences, Beijing, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170710 PL - United States TA - J Med Virol JT - Journal of medical virology JID - 7705876 RN - 0 (Amino Acids) RN - 0 (CD4 Antigens) RN - 0 (Gene Products, nef) SB - IM MH - Amino Acids/*chemistry MH - CD4 Antigens/*genetics/immunology MH - CD4-Positive T-Lymphocytes/*immunology MH - China/epidemiology MH - Disease Progression MH - Down-Regulation MH - Gene Products, nef/genetics/*metabolism MH - HIV Infections/immunology/transmission/*virology MH - HIV-1/*chemistry/genetics/*immunology/pathogenicity MH - HeLa Cells MH - Humans MH - Male MH - Viral Load OTO - NOTNLM OT - CD4 OT - HIV-1 OT - Nef EDAT- 2017/05/14 06:00 MHDA- 2018/04/06 06:00 CRDT- 2017/05/14 06:00 PHST- 2017/02/20 00:00 [received] PHST- 2017/04/24 00:00 [accepted] PHST- 2017/05/14 06:00 [pubmed] PHST- 2018/04/06 06:00 [medline] PHST- 2017/05/14 06:00 [entrez] AID - 10.1002/jmv.24851 [doi] PST - ppublish SO - J Med Virol. 2017 Oct;89(10):1788-1795. doi: 10.1002/jmv.24851. Epub 2017 Jul 10.