PMID- 35841889 OWN - NLM STAT- MEDLINE DCOM- 20220815 LR - 20220818 IS - 1934-6069 (Electronic) IS - 1931-3128 (Print) IS - 1931-3128 (Linking) VI - 30 IP - 8 DP - 2022 Aug 10 TI - HLA-B *46 associates with rapid HIV disease progression in Asian cohorts and prominent differences in NK cell phenotype. PG - 1173-1185.e8 LID - S1931-3128(22)00310-9 [pii] LID - 10.1016/j.chom.2022.06.005 [doi] AB - Human leukocyte antigen (HLA) alleles have been linked to HIV disease progression and attributed to differences in cytotoxic T lymphocyte (CTL) epitope representation. These findings are largely based on treatment-naive individuals of European and African ancestry. We assessed HLA associations with HIV-1 outcomes in 1,318 individuals from Thailand and found HLA-B *46:01 (B *46) associated with accelerated disease in three independent cohorts. B *46 had no detectable effect on HIV-specific T cell responses, but this allele is unusual in containing an HLA-C epitope that binds inhibitory receptors on natural killer (NK) cells. Unbiased transcriptomic screens showed increased NK cell activation in people with HIV, without B *46, and simultaneous single-cell profiling of surface proteins and transcriptomes revealed a NK cell subset primed for increased responses in the absence of B *46. These findings support a role for NK cells in HIV pathogenesis, revealed by the unique properties of the B *46 allele common only in Asia. CI - Published by Elsevier Inc. FAU - Li, Shuying S AU - Li SS AD - Fred Hutchinson Cancer Center, Vaccine and Infectious Disease Division, Seattle, WA 98104, USA. FAU - Hickey, Andrew AU - Hickey A AD - Division of HIV Prevention, U.S. Centers for Disease Control and Prevention, Atlanta, GA 30329, USA; Thailand Ministry of Public Health, U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi 11000, Thailand. FAU - Shangguan, Shida AU - Shangguan S AD - U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA; Henry M. Jackson Foundation for the Advancement of Military Medicine Inc., Bethesda, MD 20817, USA. FAU - Ehrenberg, Philip K AU - Ehrenberg PK AD - U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA. FAU - Geretz, Aviva AU - Geretz A AD - U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA; Henry M. Jackson Foundation for the Advancement of Military Medicine Inc., Bethesda, MD 20817, USA. FAU - Butler, Lauryn AU - Butler L AD - U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA; Henry M. Jackson Foundation for the Advancement of Military Medicine Inc., Bethesda, MD 20817, USA. FAU - Kundu, Gautam AU - Kundu G AD - U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA; Henry M. Jackson Foundation for the Advancement of Military Medicine Inc., Bethesda, MD 20817, USA. FAU - Apps, Richard AU - Apps R AD - Center for Human Immunology, National Institutes of Health, Bethesda, MD 20892, USA. FAU - Creegan, Matthew AU - Creegan M AD - U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA; Henry M. Jackson Foundation for the Advancement of Military Medicine Inc., Bethesda, MD 20817, USA. FAU - Clifford, Robert J AU - Clifford RJ AD - U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA; Henry M. Jackson Foundation for the Advancement of Military Medicine Inc., Bethesda, MD 20817, USA. FAU - Pinyakorn, Suteeraporn AU - Pinyakorn S AD - U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA; Henry M. Jackson Foundation for the Advancement of Military Medicine Inc., Bethesda, MD 20817, USA. FAU - Eller, Leigh Anne AU - Eller LA AD - U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA; Henry M. Jackson Foundation for the Advancement of Military Medicine Inc., Bethesda, MD 20817, USA. FAU - Luechai, Pikunchai AU - Luechai P AD - Division of HIV Prevention, U.S. Centers for Disease Control and Prevention, Atlanta, GA 30329, USA; Thailand Ministry of Public Health, U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi 11000, Thailand. FAU - Gilbert, Peter B AU - Gilbert PB AD - Fred Hutchinson Cancer Center, Vaccine and Infectious Disease Division, Seattle, WA 98104, USA. FAU - Holtz, Timothy H AU - Holtz TH AD - Division of HIV Prevention, U.S. Centers for Disease Control and Prevention, Atlanta, GA 30329, USA; Thailand Ministry of Public Health, U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi 11000, Thailand; Office of AIDS Research, National Institutes of Health, Bethesda, MD 20892, USA. FAU - Chitwarakorn, Anupong AU - Chitwarakorn A AD - Department of Disease Control, Thailand Ministry of Public Health, Nonthaburi 11000, Thailand. FAU - Sacdalan, Carlo AU - Sacdalan C AD - Institute of HIV Research and Innovation, Bangkok 10330, Thailand. FAU - Kroon, Eugene AU - Kroon E AD - Institute of HIV Research and Innovation, Bangkok 10330, Thailand. FAU - Phanuphak, Nittaya AU - Phanuphak N AD - Institute of HIV Research and Innovation, Bangkok 10330, Thailand. FAU - de Souza, Mark AU - de Souza M AD - Institute of HIV Research and Innovation, Bangkok 10330, Thailand. FAU - Ananworanich, Jintanat AU - Ananworanich J AD - Department of Global Health, Amsterdam Medical Center, University of Amsterdam, 1105 BP Amsterdam, the Netherlands. FAU - O'Connell, Robert J AU - O'Connell RJ AD - Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA. FAU - Robb, Merlin L AU - Robb ML AD - U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA; Henry M. Jackson Foundation for the Advancement of Military Medicine Inc., Bethesda, MD 20817, USA. FAU - Michael, Nelson L AU - Michael NL AD - Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA. FAU - Vasan, Sandhya AU - Vasan S AD - U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA; Henry M. Jackson Foundation for the Advancement of Military Medicine Inc., Bethesda, MD 20817, USA. FAU - Thomas, Rasmi AU - Thomas R AD - U.S. Military HIV Research Program, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA. Electronic address: rthomas@hivresearch.org. LA - eng GR - AAI20052001/AI/NIAID NIH HHS/United States GR - UM1 AI068635/AI/NIAID NIH HHS/United States PT - Journal Article DEP - 20220715 PL - United States TA - Cell Host Microbe JT - Cell host & microbe JID - 101302316 RN - 0 (Epitopes) RN - 0 (HLA-B Antigens) SB - IM MH - Disease Progression MH - Epitopes MH - *HIV Infections/metabolism MH - *HLA-B Antigens/genetics/metabolism MH - Humans MH - Killer Cells, Natural MH - Phenotype PMC - PMC9380401 MID - NIHMS1817876 OTO - NOTNLM OT - CD4 counts OT - CITE-seq OT - HLA OT - KIR OT - NK cells OT - RNA-seq OT - Thailand OT - acute HIV infection OT - cytotoxic T lymphocytes COIS- Declaration of interests The authors declare no competing interests. EDAT- 2022/07/17 06:00 MHDA- 2022/08/16 06:00 PMCR- 2022/08/16 CRDT- 2022/07/16 18:43 PHST- 2021/11/30 00:00 [received] PHST- 2022/01/17 00:00 [revised] PHST- 2022/06/09 00:00 [accepted] PHST- 2022/07/17 06:00 [pubmed] PHST- 2022/08/16 06:00 [medline] PHST- 2022/07/16 18:43 [entrez] PHST- 2022/08/16 00:00 [pmc-release] AID - S1931-3128(22)00310-9 [pii] AID - 10.1016/j.chom.2022.06.005 [doi] PST - ppublish SO - Cell Host Microbe. 2022 Aug 10;30(8):1173-1185.e8. doi: 10.1016/j.chom.2022.06.005. Epub 2022 Jul 15.