PMID- 29302013 OWN - NLM STAT- MEDLINE DCOM- 20180410 LR - 20210703 IS - 1095-9203 (Electronic) IS - 0036-8075 (Print) IS - 0036-8075 (Linking) VI - 359 IP - 6371 DP - 2018 Jan 5 TI - Elevated HLA-A expression impairs HIV control through inhibition of NKG2A-expressing cells. PG - 86-90 LID - 10.1126/science.aam8825 [doi] AB - The highly polymorphic human leukocyte antigen (HLA) locus encodes cell surface proteins that are critical for immunity. HLA-A expression levels vary in an allele-dependent manner, diversifying allele-specific effects beyond peptide-binding preference. Analysis of 9763 HIV-infected individuals from 21 cohorts shows that higher HLA-A levels confer poorer control of HIV. Elevated HLA-A expression provides enhanced levels of an HLA-A-derived signal peptide that specifically binds and determines expression levels of HLA-E, the ligand for the inhibitory NKG2A natural killer (NK) cell receptor. HLA-B haplotypes that favor NKG2A-mediated NK cell licensing (i.e., education) exacerbate the deleterious effect of high HLA-A on HIV control, consistent with NKG2A-mediated inhibition impairing NK cell clearance of HIV-infected targets. Therapeutic blockade of HLA-E:NKG2A interaction may yield benefit in HIV disease. CI - Copyright (c) 2017, American Association for the Advancement of Science. FAU - Ramsuran, Veron AU - Ramsuran V AUID- ORCID: 0000-0003-1590-9893 AD - Cancer and Inflammation Program, Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, MD 21702, USA. AD - Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard University, Cambridge, MA 02139, USA. AD - KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, Durban, South Africa. AD - Centre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, South Africa. FAU - Naranbhai, Vivek AU - Naranbhai V AUID- ORCID: 0000-0003-4281-8882 AD - Cancer and Inflammation Program, Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, MD 21702, USA. AD - Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard University, Cambridge, MA 02139, USA. AD - Centre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, South Africa. AD - Wellcome Trust Centre for Human Genetics, Nuffield Department of Medicine, University of Oxford, Oxford, UK. FAU - Horowitz, Amir AU - Horowitz A AUID- ORCID: 0000-0003-4602-1440 AD - Department of Oncological Sciences, Precision Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA. FAU - Qi, Ying AU - Qi Y AD - Cancer and Inflammation Program, Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, MD 21702, USA. FAU - Martin, Maureen P AU - Martin MP AD - Cancer and Inflammation Program, Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, MD 21702, USA. FAU - Yuki, Yuko AU - Yuki Y AD - Cancer and Inflammation Program, Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, MD 21702, USA. FAU - Gao, Xiaojiang AU - Gao X AD - Cancer and Inflammation Program, Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, MD 21702, USA. FAU - Walker-Sperling, Victoria AU - Walker-Sperling V AUID- ORCID: 0000-0001-7847-7931 AD - Cancer and Inflammation Program, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Frederick, MD 21702, USA. FAU - Del Prete, Gregory Q AU - Del Prete GQ AUID- ORCID: 0000-0001-6180-5361 AD - AIDS and Cancer Virus Program, Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, MD 21702, USA. FAU - Schneider, Douglas K AU - Schneider DK AD - AIDS and Cancer Virus Program, Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, MD 21702, USA. FAU - Lifson, Jeffrey D AU - Lifson JD AD - AIDS and Cancer Virus Program, Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, MD 21702, USA. FAU - Fellay, Jacques AU - Fellay J AUID- ORCID: 0000-0002-8240-939X AD - School of Life Sciences, Ecole Polytechnique Federale de Lausanne, and Swiss Institute of Bioinformatics, Lausanne, Switzerland. FAU - Deeks, Steven G AU - Deeks SG AUID- ORCID: 0000-0001-6371-747X AD - Department of Medicine University of California, San Francisco, CA 94143, USA. FAU - Martin, Jeffrey N AU - Martin JN AUID- ORCID: 0000-0002-9773-3256 AD - Department of Epidemiology and Biostatistics, University of California, San Francisco, CA 94143, USA. FAU - Goedert, James J AU - Goedert JJ AD - Infections and Immunoepidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD 20850, USA. FAU - Wolinsky, Steven M AU - Wolinsky SM AD - Division of Infectious Diseases, The Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA. FAU - Michael, Nelson L AU - Michael NL AUID- ORCID: 0000-0001-5882-5548 AD - U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA. FAU - Kirk, Gregory D AU - Kirk GD AD - Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205, USA. FAU - Buchbinder, Susan AU - Buchbinder S AD - Department of Medicine University of California, San Francisco, CA 94143, USA. AD - Department of Epidemiology and Biostatistics, University of California, San Francisco, CA 94143, USA. AD - San Francisco Department of Public Health, HIV Research Section, San Francisco, CA 94102, USA. FAU - Haas, David AU - Haas D AUID- ORCID: 0000-0002-5813-1594 AD - Vanderbilt University School of Medicine, Nashville, TN 37232, USA. FAU - Ndung'u, Thumbi AU - Ndung'u T AUID- ORCID: 0000-0003-2962-3992 AD - Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard University, Cambridge, MA 02139, USA. AD - African Health Research Institute, Durban, South Africa. AD - HIV Pathogenesis Programme, Doris Duke Medical Research Institute, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa. AD - Max Planck Institute for Infection Biology, Berlin, Germany. FAU - Goulder, Philip AU - Goulder P AUID- ORCID: 0000-0002-9842-4674 AD - African Health Research Institute, Durban, South Africa. AD - Department of Paediatrics, University of Oxford, Oxford, UK. FAU - Parham, Peter AU - Parham P AD - Departments of Structural Biology and Microbiology and Immunology, Stanford University, Stanford, CA 94305, USA. FAU - Walker, Bruce D AU - Walker BD AUID- ORCID: 0000-0001-6122-9245 AD - Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard University, Cambridge, MA 02139, USA. AD - African Health Research Institute, Durban, South Africa. AD - Institute for Medical and Engineering Sciences, Massachusetts Institute of Technology, Cambridge, MA 02139, USA. FAU - Carlson, Jonathan M AU - Carlson JM AUID- ORCID: 0000-0001-6618-3653 AD - Microsoft Research, Redmond, WA 98052, USA. FAU - Carrington, Mary AU - Carrington M AUID- ORCID: 0000-0002-2692-2180 AD - Cancer and Inflammation Program, Leidos Biomedical Research, Inc., Frederick National Laboratory for Cancer Research, Frederick, MD 21702, USA. carringm@mail.nih.gov. AD - Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard University, Cambridge, MA 02139, USA. LA - eng GR - R01 AI133673/AI/NIAID NIH HHS/United States GR - R01 AI077505/AI/NIAID NIH HHS/United States GR - HHMI/Howard Hughes Medical Institute/United States GR - UM1 AI068634/AI/NIAID NIH HHS/United States GR - UM1 AI069496/AI/NIAID NIH HHS/United States GR - P30 AI027763/AI/NIAID NIH HHS/United States GR - U01 AI035039/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20180104 PL - United States TA - Science JT - Science (New York, N.Y.) JID - 0404511 RN - 0 (HLA Antigens) RN - 0 (KLRC1 protein, human) RN - 0 (Ligands) RN - 0 (NK Cell Lectin-Like Receptor Subfamily C) RN - 0 (Protein Sorting Signals) SB - IM EIN - Science. 2019 Aug 2;365(6452):. PMID: 31371579 MH - Alleles MH - CD4 Lymphocyte Count MH - Cohort Studies MH - HIV/*immunology MH - HIV Infections/drug therapy/genetics/*immunology MH - HLA Antigens/genetics/*metabolism MH - Humans MH - Killer Cells, Natural/*immunology MH - Ligands MH - NK Cell Lectin-Like Receptor Subfamily C/antagonists & inhibitors/genetics/*metabolism MH - Protein Sorting Signals MH - Viremia/immunology PMC - PMC5933048 MID - NIHMS949646 EDAT- 2018/01/06 06:00 MHDA- 2018/04/11 06:00 PMCR- 2018/07/05 CRDT- 2018/01/06 06:00 PHST- 2017/01/30 00:00 [received] PHST- 2017/10/16 00:00 [revised] PHST- 2017/12/04 00:00 [accepted] PHST- 2018/01/06 06:00 [entrez] PHST- 2018/01/06 06:00 [pubmed] PHST- 2018/04/11 06:00 [medline] PHST- 2018/07/05 00:00 [pmc-release] AID - 359/6371/86 [pii] AID - 10.1126/science.aam8825 [doi] PST - ppublish SO - Science. 2018 Jan 5;359(6371):86-90. doi: 10.1126/science.aam8825. Epub 2018 Jan 4.