Class I HLA‐A*7401 Is Associated with Protection from HIV‐1 Acquisition and Disease Progression in Mbeya, Tanzania
Author(s) -
Rebecca N. Koehler,
Anne Walsh,
Elmar Saathoff,
Sodsai Tovanabutra,
Miguel A. Arroyo,
Jeffery R. Currier,
Leonard Maboko,
Michael Hoelsher,
Merlin L. Robb,
Nelson L. Michael,
F. E. McCutchan,
Jerome H. Kim,
Gustavo H. Kijak
Publication year - 2010
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1086/656913
Subject(s) - tanzania , immunology , odds ratio , human leukocyte antigen , cohort , medicine , allele , linkage disequilibrium , confidence interval , biology , haplotype , genetics , antigen , environmental science , environmental planning , gene
Here we explore associations between HLA variation and human immunodeficiency virus type 1 (HIV-1) acquisition and disease progression in a community cohort in Mbeya, Tanzania, a region that, despite harboring high rates of HIV-1 infection, remains understudied. African-specific allele HLA-A*74:01 was associated with decreased risk of infection (odds ratio [OR], 0.37; 95% confidence interval [CI], 0.14-0.80; P = .011) and with protection from CD4(+) cell counts <200 cells/uL in women (OR, 0.31; 95% CI, 0.07-0.91; P = .032) and men (OR, 0.15; 95% CI, 0.01-0.78; P = .020). These associations remained significant after adjustment for linkage disequilibrium with HLA-B and HLA-C alleles. This observation calls for additional investigation of mechanisms by which HLA-A*74:01 may influence HIV-1 acquisition and control of the infection.
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