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Apolipoprotein L1 (APOL1) is a human protein that confers immunity to  Trypanosoma brucei  infections but can be countered by a trypanosome-encoded antagonist SRA.  APOL1  belongs to a family of programmed cell death genes whose proteins can initiate host apoptosis or autophagic death. We report here that all six members of the  APOL  gene family ( APOL1-6 ) present in humans have rapidly evolved in simian primates.  APOL6 , furthermore, shows evidence of an adaptive sweep during recent human evolution. In each  APOL  gene tested, we found rapidly evolving codons in or adjacent to the SRA-interacting protein domain (SID), which is the domain of APOL1 that interacts with SRA. In  APOL6 , we also found a rapidly changing 13-amino-acid cluster in the membrane-addressing domain (MAD), which putatively functions as a pH sensor and regulator of cell death. We predict that  APOL  genes are antagonized by pathogens by at least two distinct mechanisms: SID antagonists, which include SRA, that interact with the SID of various APOL proteins, and MAD antagonists that interact with the MAD hinge base of APOL6. These antagonists either block or prematurely cause APOL-mediated programmed cell death of host cells to benefit the infecting pathogen. These putative interactions must occur inside host cells, in contrast to secreted APOL1 that trafficks to the trypanosome lysosome. Hence, the dynamic  APOL  gene family appears to be an important link between programmed cell death of host cells and immunity to pathogens.

The apolipoprotein L family of programmed cell death and immunity genes rapidly evolved in primates at discrete sites of host–pathogen interactions