A Whole-Genome Association Study of Major Determinants for Host Control of HIV-1

Author:

Fellay Jacques12345,Shianna Kevin V.12345,Ge Dongliang12345,Colombo Sara12345,Ledergerber Bruno12345,Weale Mike12345,Zhang Kunlin12345,Gumbs Curtis12345,Castagna Antonella12345,Cossarizza Andrea12345,Cozzi-Lepri Alessandro12345,De Luca Andrea12345,Easterbrook Philippa12345,Francioli Patrick12345,Mallal Simon12345,Martinez-Picado Javier12345,Miro José M.12345,Obel Niels12345,Smith Jason P.12345,Wyniger Josiane12345,Descombes Patrick12345,Antonarakis Stylianos E.12345,Letvin Norman L.12345,McMichael Andrew J.12345,Haynes Barton F.12345,Telenti Amalio12345,Goldstein David B.12345

Affiliation:

1. Center for Population Genomics and Pharmacogenetics, Duke Institute for Genome Sciences and Policy, Duke University, Durham, NC 27710, USA.

2. Duke Institute for Genome Sciences and Policy, Duke University, Durham, NC 27710, USA.

3. Institute of Microbiology, University Hospital Center; and University of Lausanne, 1011 Lausanne, Switzerland.

4. Division of Infectious Diseases, University Hospital, 8091 Zürich, Switzerland.

5. Clinic of Infectious Diseases, Istituto di Ricovero e Cura a Carattere Scientifico, San Raffaele Hospital, 20127 Milan, Italy.

Abstract

Understanding why some people establish and maintain effective control of HIV-1 and others do not is a priority in the effort to develop new treatments for HIV/AIDS. Using a whole-genome association strategy, we identified polymorphisms that explain nearly 15% of the variation among individuals in viral load during the asymptomatic set-point period of infection. One of these is found within an endogenous retroviral element and is associated with major histocompatibility allele human leukocyte antigen ( HLA )– B*5701 , whereas a second is located near the HLA-C gene. An additional analysis of the time to HIV disease progression implicated two genes, one of which encodes an RNA polymerase I subunit. These findings emphasize the importance of studying human genetic variation as a guide to combating infectious agents.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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