HLA alleles associated with delayed progression to AIDS contribute strongly to the initial CD8+ T cell response against HIV-1
2006

HLA Alleles and CD8+ T Cell Response in HIV-1 Infection

Sample size: 104 publication 10 minutes Evidence: high

Author Information

Author(s): Altfeld Marcus, Kalife Elizabeth T, Qi Ying, Streeck Hendrik, Lichterfeld Mathias, Johnston Mary N, Burgett Nicole, Swartz Martha E, Yang Amy, Alter Galit, Yu Xu G, Meier Angela, Rockstroh Juergen K, Allen Todd M, Jessen Heiko, Rosenberg Eric S, Carrington Mary, Walker Bruce D

Primary Institution: Partners AIDS Research Center, Massachusetts General Hospital and Harvard Medical School

Hypothesis

Do specific HLA types and HIV-1 protein fragments influence CD8 T cell responses and disease progression in HIV-1 infection?

Conclusion

The study shows that certain HLA class I alleles are associated with stronger CD8+ T cell responses against HIV-1 and slower disease progression.

Supporting Evidence

  • A subset of CD8+ T cell epitopes within HIV-1 are consistently targeted early after infection.
  • Certain HLA alleles contributed more to the total virus-specific CD8+ T cell response during primary infection.
  • HLA class I alleles associated with slower HIV-1 disease progression contributed strongly to the CD8+ T cell response.

Takeaway

Some parts of the virus help our body's defense cells fight HIV better, especially if a person has certain genes.

Methodology

The study analyzed CD8+ T cell responses in blood samples from 104 individuals with primary HIV-1 infection using an IFN-γ ELISPOT assay.

Potential Biases

Potential bias due to the selection of participants based on HLA types.

Limitations

The study was limited to individuals with specific HLA alleles and may not represent all HIV-infected populations.

Participant Demographics

The majority were men who have sex with men (94%) and of Northern European descent (80%).

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pmed.0030403

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