HLA-B57/B5801 Human Immunodeficiency Virus Type 1 Elite Controllers Select for Rare Gag Variants Associated with Reduced Viral Replication Capacity and Strong Cytotoxic T-Lymphotye Recognition
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Published in | Journal of Virology Vol. 83; no. 6; pp. 2743 - 2755 |
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Main Authors | , , , , , , , , , , , , , , , , , , , |
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American Society for Microbiology
15.03.2009
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Human immunodeficiency virus type 1 (HIV-1) elite controllers (EC) maintain viremia below the limit of commercial assay detection (<50 RNA copies/ml) in the absence of antiviral therapy, but the mechanisms of control remain unclear. HLA-B57 and the closely related allele B*5801 are particularly associated with enhanced control and recognize the same Gag 240-249 TW10 epitope. The typical escape mutation (T242N) within this epitope diminishes viral replication capacity in chronically infected persons; however, little is known about TW10 epitope sequences in residual replicating viruses in B57/B*5801 EC and the extent to which mutations within this epitope may influence steady-state viremia. Here we analyzed TW10 in a total of 50 B57/B*5801-positive subjects (23 EC and 27 viremic subjects). Autologous plasma viral sequences from both EC and viremic subjects frequently harbored the typical cytotoxic T-lymphocyte (CTL)-selected mutation T242N (15/23 sequences [65.2%] versus 23/27 sequences [85.1%], respectively; P = 0.18). However, other unique mutants were identified in HIV controllers, both within and flanking TW10, that were associated with an even greater reduction in viral replication capacity in vitro. In addition, strong CTL responses to many of these unique TW10 variants were detected by gamma interferon-specific enzyme-linked immunospot assay. These data suggest a dual mechanism for durable control of HIV replication, consisting of viral fitness loss resulting from CTL escape mutations together with strong CD8 T-cell immune responses to the arising variant epitopes. Human immunodeficiency virus type 1 (HIV-1) elite controllers (EC) maintain viremia below the limit of commercial assay detection (<50 RNA copies/ml) in the absence of antiviral therapy, but the mechanisms of control remain unclear. HLA-B57 and the closely related allele B*5801 are particularly associated with enhanced control and recognize the same Gag240-249 TW10 epitope. The typical escape mutation (T242N) within this epitope diminishes viral replication capacity in chronically infected persons; however, little is known about TW10 epitope sequences in residual replicating viruses in B57/B*5801 EC and the extent to which mutations within this epitope may influence steady-state viremia. Here we analyzed TW10 in a total of 50 B57/B*5801-positive subjects (23 EC and 27 viremic subjects). Autologous plasma viral sequences from both EC and viremic subjects frequently harbored the typical cytotoxic T-lymphocyte (CTL)-selected mutation T242N (15/23 sequences [65.2%] versus 23/27 sequences [85.1%], respectively; P = 0.18). However, other unique mutants were identified in HIV controllers, both within and flanking TW10, that were associated with an even greater reduction in viral replication capacity in vitro. In addition, strong CTL responses to many of these unique TW10 variants were detected by gamma interferon-specific enzyme-linked immunospot assay. These data suggest a dual mechanism for durable control of HIV replication, consisting of viral fitness loss resulting from CTL escape mutations together with strong CD8 T-cell immune responses to the arising variant epitopes. |
Author | Chanson J. Brumme Todd M. Allen Alicja Trocha Nicole Frahm Brian L. Block Mark A. Brockman Toshiyuki Miura Arne Schneidewind Alissa C. Rothchild Bruce D. Walker Bin Li Zabrina L. Brumme Eric J. Arts Michael Lobritz Christian Brander Almas Rathod Emily Cutrell Florencia Pereyra Ildiko Toth Brett Baker |
AuthorAffiliation | Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129, 1 Howard Hughes Medical Institute, Chevy Chase, Maryland, 2 Harvard Medical School, Boston, Massachusetts, 3 Case Western Reserve University, Cleveland, Ohio 4 |
AuthorAffiliation_xml | – name: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129, 1 Howard Hughes Medical Institute, Chevy Chase, Maryland, 2 Harvard Medical School, Boston, Massachusetts, 3 Case Western Reserve University, Cleveland, Ohio 4 |
Author_xml | – sequence: 1 givenname: Toshiyuki surname: Miura fullname: Miura, Toshiyuki organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129, Howard Hughes Medical Institute, Chevy Chase, Maryland, Harvard Medical School, Boston, Massachusetts – sequence: 2 givenname: Mark A. surname: Brockman fullname: Brockman, Mark A. organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129, Harvard Medical School, Boston, Massachusetts – sequence: 3 givenname: Arne surname: Schneidewind fullname: Schneidewind, Arne organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129, Harvard Medical School, Boston, Massachusetts – sequence: 4 givenname: Michael surname: Lobritz fullname: Lobritz, Michael organization: Case Western Reserve University, Cleveland, Ohio – sequence: 5 givenname: Florencia surname: Pereyra fullname: Pereyra, Florencia organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129, Harvard Medical School, Boston, Massachusetts – sequence: 6 givenname: Almas surname: Rathod fullname: Rathod, Almas organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129 – sequence: 7 givenname: Brian L. surname: Block fullname: Block, Brian L. organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129 – sequence: 8 givenname: Zabrina L. surname: Brumme fullname: Brumme, Zabrina L. organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129, Harvard Medical School, Boston, Massachusetts – sequence: 9 givenname: Chanson J. surname: Brumme fullname: Brumme, Chanson J. organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129 – sequence: 10 givenname: Brett surname: Baker fullname: Baker, Brett organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129 – sequence: 11 givenname: Alissa C. surname: Rothchild fullname: Rothchild, Alissa C. organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129 – sequence: 12 givenname: Bin surname: Li fullname: Li, Bin organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129, Harvard Medical School, Boston, Massachusetts – sequence: 13 givenname: Alicja surname: Trocha fullname: Trocha, Alicja organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129, Howard Hughes Medical Institute, Chevy Chase, Maryland – sequence: 14 givenname: Emily surname: Cutrell fullname: Cutrell, Emily organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129 – sequence: 15 givenname: Nicole surname: Frahm fullname: Frahm, Nicole organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129, Harvard Medical School, Boston, Massachusetts – sequence: 16 givenname: Christian surname: Brander fullname: Brander, Christian organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129, Harvard Medical School, Boston, Massachusetts – sequence: 17 givenname: Ildiko surname: Toth fullname: Toth, Ildiko organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129 – sequence: 18 givenname: Eric J. surname: Arts fullname: Arts, Eric J. organization: Case Western Reserve University, Cleveland, Ohio – sequence: 19 givenname: Todd M. surname: Allen fullname: Allen, Todd M. organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129, Harvard Medical School, Boston, Massachusetts – sequence: 20 givenname: Bruce D. surname: Walker fullname: Walker, Bruce D. organization: Ragon Institute (formerly Partners AIDS Research Center), Massachusetts General Hospital, Charlestown, Massachusetts 02129, Howard Hughes Medical Institute, Chevy Chase, Maryland, Harvard Medical School, Boston, Massachusetts |
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Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 Corresponding author. Mailing address: Ragon Institute, Massachusetts General Hospital, 149 13th St., Room 5212, Charlestown, MA 02129. Phone for Bruce D. Walker: (617) 724-8332. Fax: (617) 726-4691. E-mail: bwalker@partners.org. Phone for Toshiyuki Miura: (617) 643-2836. Fax: (617) 726-5411. E-mail: miura523@hotmail.com |
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Delicious... Human immunodeficiency virus type 1 (HIV-1) elite controllers (EC) maintain viremia below the limit of commercial assay detection (<50 RNA copies/ml) in the... |
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SubjectTerms | Human immunodeficiency virus 1 Pathogenesis and Immunity |
Title | HLA-B57/B5801 Human Immunodeficiency Virus Type 1 Elite Controllers Select for Rare Gag Variants Associated with Reduced Viral Replication Capacity and Strong Cytotoxic T-Lymphotye Recognition |
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