PMID- 31651980 OWN - NLM STAT- MEDLINE DCOM- 20201112 LR - 20240423 IS - 1537-1719 (Electronic) IS - 0737-4038 (Print) IS - 0737-4038 (Linking) VI - 37 IP - 3 DP - 2020 Mar 1 TI - HLA Heterozygote Advantage against HIV-1 Is Driven by Quantitative and Qualitative Differences in HLA Allele-Specific Peptide Presentation. PG - 639-650 LID - 10.1093/molbev/msz249 [doi] AB - Pathogen-mediated balancing selection is regarded as a key driver of host immunogenetic diversity. A hallmark for balancing selection in humans is the heterozygote advantage at genes of the human leukocyte antigen (HLA), resulting in improved HIV-1 control. However, the actual mechanism of the observed heterozygote advantage is still elusive. HLA heterozygotes may present a broader array of antigenic viral peptides to immune cells, possibly resulting in a more efficient cytotoxic T-cell response. Alternatively, heterozygosity may simply increase the chance to carry the most protective HLA alleles, as individual HLA alleles are known to differ substantially in their association with HIV-1 control. Here, we used data from 6,311 HIV-1-infected individuals to explore the relative contribution of quantitative and qualitative aspects of peptide presentation in HLA heterozygote advantage against HIV. Screening the entire HIV-1 proteome, we observed that heterozygous individuals exhibited a broader array of HIV-1 peptides presented by their HLA class I alleles. In addition, viral load was negatively correlated with the breadth of the HIV-1 peptide repertoire bound by an individual's HLA variants, particularly at HLA-B. This suggests that heterozygote advantage at HLA-B is at least in part mediated by quantitative peptide presentation. We also observed higher HIV-1 sequence diversity among HLA-B heterozygous individuals, suggesting stronger evolutionary pressure from HLA heterozygosity. However, HLA heterozygotes were also more likely to carry certain HLA alleles, including the highly protective HLA-B*57:01 variant, indicating that HLA heterozygote advantage ultimately results from a combination of quantitative and qualitative effects in antigen presentation. CI - (c) The Author(s) 2019. Published by Oxford University Press on behalf of the Society for Molecular Biology and Evolution. FAU - Arora, Jatin AU - Arora J AD - Research Group for Evolutionary Immunogenomics, Max Planck Institute for Evolutionary Biology, Plon, Germany. FAU - Pierini, Federica AU - Pierini F AD - Research Group for Evolutionary Immunogenomics, Max Planck Institute for Evolutionary Biology, Plon, Germany. FAU - McLaren, Paul J AU - McLaren PJ AD - JC Wilt Infectious Diseases Research Center, National HIV and Retrovirology Laboratory, Public Health Agency of Canada, Winnipeg, MB, Canada. AD - Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, MB, Canada. FAU - Carrington, Mary AU - Carrington M AD - Basic Science Program, Frederick National Laboratory for Cancer Research, Frederick, MD. AD - Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology and Harvard University, Cambridge, MA. FAU - Fellay, Jacques AU - Fellay J AD - Global Health Institute, School of Life Sciences, Ecole Polytechnique Federale de Lausanne, Lausanne, Switzerland. AD - Swiss Institute of Bioinformatics, Lausanne, Switzerland. AD - Precision Medicine Unit, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland. FAU - Lenz, Tobias L AU - Lenz TL AD - Research Group for Evolutionary Immunogenomics, Max Planck Institute for Evolutionary Biology, Plon, Germany. LA - eng GR - HHSN261200800001C/RC/CCR NIH HHS/United States GR - HHSN261200800001E/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Mol Biol Evol JT - Molecular biology and evolution JID - 8501455 RN - 0 (HLA Antigens) RN - 0 (HLA-B Antigens) RN - 0 (HLA-B*57:01 antigen) RN - 0 (Peptides) RN - 0 (Viral Proteins) SB - IM MH - Antigen Presentation MH - Genetic Variation MH - Genome, Viral MH - HIV Infections/genetics/*immunology/virology MH - HIV-1/immunology/*physiology MH - HLA Antigens/*genetics/immunology MH - HLA-B Antigens/genetics MH - Heterozygote MH - Humans MH - Peptides/*immunology MH - Viral Load MH - Viral Proteins/*chemistry PMC - PMC7038656 OTO - NOTNLM OT - MHC evolution OT - antigen presentation OT - divergent allele advantage OT - human leukocyte antigen OT - major histocompatibility complex OT - pathogen-mediated balancing selection EDAT- 2019/10/28 06:00 MHDA- 2020/11/13 06:00 PMCR- 2019/10/22 CRDT- 2019/10/26 06:00 PHST- 2019/10/28 06:00 [pubmed] PHST- 2020/11/13 06:00 [medline] PHST- 2019/10/26 06:00 [entrez] PHST- 2019/10/22 00:00 [pmc-release] AID - 5607306 [pii] AID - msz249 [pii] AID - 10.1093/molbev/msz249 [doi] PST - ppublish SO - Mol Biol Evol. 2020 Mar 1;37(3):639-650. doi: 10.1093/molbev/msz249.