PMID- 36695358 OWN - NLM STAT- MEDLINE DCOM- 20230126 LR - 20230921 IS - 1473-5571 (Electronic) IS - 0269-9370 (Print) IS - 0269-9370 (Linking) VI - 37 IP - 3 DP - 2023 Mar 1 TI - Host variation in type I interferon signaling genes (MX1), C-C chemokine receptor type 5 gene, and major histocompatibility complex class I alleles in treated HIV+ noncontrollers predict viral reservoir size. PG - 477-488 LID - 10.1097/QAD.0000000000003428 [doi] AB - OBJECTIVE: Prior genomewide association studies have identified variation in major histocompatibility complex (MHC) class I alleles and C-C chemokine receptor type 5 gene (CCR5Delta32) as genetic predictors of viral control, especially in 'elite' controllers, individuals who remain virally suppressed in the absence of therapy. DESIGN: Cross-sectional genomewide association study. METHODS: We analyzed custom whole exome sequencing and direct human leukocyte antigen (HLA) typing from 202 antiretroviral therapy (ART)-suppressed HIV+ noncontrollers in relation to four measures of the peripheral CD4+ T-cell reservoir: HIV intact DNA, total (t)DNA, unspliced (us)RNA, and RNA/DNA. Linear mixed models were adjusted for potential covariates including age, sex, nadir CD4+ T-cell count, pre-ART HIV RNA, timing of ART initiation, and duration of ART suppression. RESULTS: Previously reported 'protective' host genetic mutations related to viral setpoint (e.g. among elite controllers) were found to predict smaller HIV reservoir size. The HLA 'protective' B *57:01 was associated with significantly lower HIV usRNA (q = 3.3 x 10-3), and among the largest subgroup, European ancestry individuals, the CCR5Delta32 deletion was associated with smaller HIV tDNA (P = 4.3 x 10-3) and usRNA (P = 8.7 x 10-3). In addition, genomewide analysis identified several single nucleotide polymorphisms in MX1 (an interferon stimulated gene) that were significantly associated with HIV tDNA (q = 0.02), and the direction of these associations paralleled MX1 gene eQTL expression. CONCLUSIONS: We observed a significant association between previously reported 'protective' MHC class I alleles and CCR5Delta32 with the HIV reservoir size in noncontrollers. We also found a novel association between MX1 and HIV total DNA (in addition to other interferon signaling relevant genes, PPP1CB, DDX3X). These findings warrant further investigation in future validation studies. CI - Copyright (c) 2022 The Author(s). Published by Wolters Kluwer Health, Inc. FAU - Siegel, David A AU - Siegel DA AD - Department of Medicine, Division of HIV, Infectious Diseases & Global Medicine. FAU - Thanh, Cassandra AU - Thanh C AD - Department of Medicine, Division of Experimental Medicine. FAU - Wan, Eunice AU - Wan E AD - Institute of Human Genetics. FAU - Hoh, Rebecca AU - Hoh R AD - Department of Medicine, Division of HIV, Infectious Diseases & Global Medicine. FAU - Hobbs, Kristen AU - Hobbs K AD - Department of Medicine, Division of Experimental Medicine. FAU - Pan, Tony AU - Pan T AD - Department of Medicine, Division of Experimental Medicine. FAU - Gibson, Erica A AU - Gibson EA AD - Department of Medicine, Division of Experimental Medicine. FAU - Kroetz, Deanna L AU - Kroetz DL AD - Department of Bioengineering and Therapeutic Sciences. FAU - Martin, Jeffrey AU - Martin J AD - Department of Biostatistics & Epidemiology, University of California San Francisco, California. FAU - Hecht, Frederick AU - Hecht F AD - Department of Medicine, Division of HIV, Infectious Diseases & Global Medicine. FAU - Pilcher, Christopher AU - Pilcher C AD - Department of Medicine, Division of HIV, Infectious Diseases & Global Medicine. FAU - Martin, Maureen AU - Martin M AD - Basic Science Program, Frederick National Laboratory for Cancer Research, National Cancer Institute, Frederick, and Laboratory of Integrative Cancer Immunology, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland. FAU - Carrington, Mary AU - Carrington M AD - Basic Science Program, Frederick National Laboratory for Cancer Research, National Cancer Institute, Frederick, and Laboratory of Integrative Cancer Immunology, Center for Cancer Research, National Cancer Institute, Bethesda, Maryland. AD - Ragon Institute of MGH, MIT and Harvard, Cambridge, Massachusetts. FAU - Pillai, Satish AU - Pillai S AD - Vitalant Blood Bank, San Francisco, California. FAU - Busch, Michael P AU - Busch MP AD - Vitalant Blood Bank, San Francisco, California. FAU - Stone, Mars AU - Stone M AD - Vitalant Blood Bank, San Francisco, California. FAU - Levy, Claire N AU - Levy CN AD - Department of Obstetrics and Gynecology. FAU - Huang, Meei-Li AU - Huang ML AD - Department of Laboratory Medicine and Pathology, University of Washington. AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. FAU - Roychoudhury, Pavitra AU - Roychoudhury P AD - Department of Laboratory Medicine and Pathology, University of Washington. AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. FAU - Hladik, Florian AU - Hladik F AD - Department of Obstetrics and Gynecology. AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. FAU - Jerome, Keith R AU - Jerome KR AD - Department of Laboratory Medicine and Pathology, University of Washington. AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. FAU - Kiem, Hans-Peter AU - Kiem HP AD - Department of Laboratory Medicine and Pathology, University of Washington. AD - Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA. FAU - Henrich, Timothy J AU - Henrich TJ AD - Department of Bioengineering and Therapeutic Sciences. FAU - Deeks, Steven G AU - Deeks SG AD - Department of Medicine, Division of HIV, Infectious Diseases & Global Medicine. FAU - Lee, Sulggi A AU - Lee SA AD - Department of Medicine, Division of HIV, Infectious Diseases & Global Medicine. LA - eng GR - R01 AI143464/AI/NIAID NIH HHS/United States GR - U19 AI096109/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 - 20221118 PL - England TA - AIDS JT - AIDS (London, England) JID - 8710219 RN - 0 (Histocompatibility Antigens Class I) RN - 0 (HLA Antigens) RN - 63231-63-0 (RNA) RN - 0 (Receptors, Chemokine) RN - 0 (Interferon Type I) RN - 0 (MX1 protein, human) RN - 0 (Myxovirus Resistance Proteins) SB - IM MH - Humans MH - *HIV Infections/drug therapy/genetics MH - Alleles MH - CD8-Positive T-Lymphocytes MH - Cross-Sectional Studies MH - *HIV-1/genetics MH - Histocompatibility Antigens Class I/genetics MH - HLA Antigens MH - RNA MH - Major Histocompatibility Complex MH - Receptors, Chemokine/genetics MH - *Interferon Type I/metabolism MH - Viral Load MH - Myxovirus Resistance Proteins PMC - PMC9894159 COIS- There are no conflicts of interest. EDAT- 2023/01/26 06:00 MHDA- 2023/01/27 06:00 PMCR- 2023/02/02 CRDT- 2023/01/25 06:33 PHST- 2023/01/25 06:33 [entrez] PHST- 2023/01/26 06:00 [pubmed] PHST- 2023/01/27 06:00 [medline] PHST- 2023/02/02 00:00 [pmc-release] AID - 00002030-202303010-00011 [pii] AID - AIDS-D-22-00405 [pii] AID - 10.1097/QAD.0000000000003428 [doi] PST - ppublish SO - AIDS. 2023 Mar 1;37(3):477-488. doi: 10.1097/QAD.0000000000003428. Epub 2022 Nov 18.