AIDS

Skip Navigation LinksHome > July 11, 2008 - Volume 22 - Issue 11 > Human leukocyte antigen-specific polymorphisms in HIV-1 Gag...
AIDS:
doi: 10.1097/QAD.0b013e3283021a8c
Basic Science

Human leukocyte antigen-specific polymorphisms in HIV-1 Gag and their association with viral load in chronic untreated infection

Brumme, Zabrina La; Tao, Irisb,*; Szeto, Sharonb,*; Brumme, Chanson Ja; Carlson, Jonathan Mc,d; Chan, Dennisonb; Kadie, Carlc; Frahm, Nicolea; Brander, Christiana; Walker, Brucea,e; Heckerman, Davidc; Harrigan, P Richardb,f

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Abstract

Objective: Selection of specific human leukocyte antigen (HLA)-restricted cytotoxic T-lymphocyte (CTL) escape mutations in key Gag epitopes has been associated with loss of HIV immune control on an individual basis. Here we undertake a population-based identification of HLA-associated polymorphisms in Gag and investigate their relationship with plasma viral load.

Design: Cross-sectional analysis of 567 chronically HIV subtype B-infected, treatment-naive individuals.

Methods: HLA class I-associated Gag substitutions were identified using phylogenetically corrected analysis methods featuring a multivariate adjustment for HLA linkage disequilibrium and a q-value correction for multiple tests. Presence of HLA-associated substitutions and markers of HIV disease status were correlated using Spearman's rank test.

Results: We have created a gene-wide map of HLA class I-associated substitutions in HIV-1 subtype B Gag. This features 111 HLA-associated substitutions occurring at 51 of 500 Gag codons, more than 50% of which occur within published and/or putative HLA-restricted CTL epitopes. A modest inverse correlation was observed between the total number of HLA-associated Gag polymorphic sites within each individual and plasma viral load in chronic untreated infection (R = −0.17, P < 0.0001), supporting the hypothesis that a broad ability to target Gag in vivo contributes to viral control. A modest positive correlation was observed between the proportion of these sites exhibiting HLA-associated substitutions and plasma viral load (R = 0.09, P = 0.03), consistent with a loss of viremia control with the accumulation of CTL escape mutations.

Conclusion: Results contribute to our understanding of immune-driven viral adaptation and suggest that the accumulation of CTL escape mutations in Gag results in clinically detectable consequences at the population level. These data have implications for HIV vaccines.

© 2008 Lippincott Williams & Wilkins, Inc.

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