Rapid Progression to AIDS in HIV + Individuals with a Structural Variant of the Chemokine Receptor CX 3 CR1

Author:

Faure Sophie1,Meyer Laurence2,Costagliola Dominique3,Vaneensberghe Céline1,Genin Emmanuelle4,Autran Brigitte1,ALT French,Groups IMMUNOCO Study,Delfraissy Jean-François5,Group SEROCO Study,McDermott David H.6,Murphy Philip M.6,Debré Patrice1,Théodorou Ioannis1,Combadière Christophe167

Affiliation:

1. Laboratoire d'Immunologie Cellulaire et Tissulaire, Centre National de la Recherche Scientifique UMR 7627, Hôpital Pitié-Salpétrière, Paris, France.

2. Institut National de la Santé et de la Recherche Médicale U292, Département d'Epidémiologie, Hôpital de Bicêtre, Facultéde Médecine, Kremlin-Bicêtre, France.

3. Institut National de la Santé et de la Recherche Médicale SC4, Faculté de Médecine Saint-Antoine, Paris, France.

4. Institut National de la Santé et de la Recherche Médicale U155, Hôpital de Bicêtre, Kremlin-Bicêtre, France.

5. Service de Médecine Interne, Hôpital de Bicêtre, Kremlin-Bicêtre, France.

6. Laboratory of Host Defenses, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA.

7. Institut National de la Santé et de la Recherche Médicale U479, CHU Bichat, Paris, France.

Abstract

Human immunodeficiency virus (HIV) enters cells in vitro via CD4 and a coreceptor. Which of 15 known coreceptors are important in vivo is poorly defined but may be inferred from disease-modifying mutations, as for CCR5. Here two single nucleotide polymorphisms are described in Caucasians in CX 3 CR1, an HIV coreceptor and leukocyte chemotactic/adhesion receptor for the chemokine fractalkine. HIV-infected patients homozygous for CX 3 CR1-I249 M280, a variant haplotype affecting two amino acids (isoleucine-249 and methionine-280), progressed to AIDS more rapidly than those with other haplotypes. Functional CX 3 CR1 analysis showed that fractalkine binding is reduced among patients homozygous for this particular haplotype. Thus, CX 3 CR1-I249 M280 is a recessive genetic risk factor in HIV/AIDS.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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