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Grouping HLA-B locus serologic specificities according to shared structural motifs suggests that different peptide-anchoring pockets may have contrasting influences on the course of HIV-1 infection.

Abstract
Two different groups of HLA-B specificities were associated with two contrasting outcomes of HIV-1 infection. HLA-B45, -B49, and -B50 were each found at a moderately increased frequency among individuals responding to HIV-1 infection with a marked circulating and infiltrative CD8 T-cell lymphocytosis, a slow rate of CD4 T-cell decline, very low frequency of opportunistic infections, and low viral strain heterogeneity. In contrast, among HIV-infected individuals with more rapid progression to opportunistic infections, HLA-B35 was found to be increased in frequency and to act as a dominant marker for this adverse outcome. HLA-B45, -B49, and -B50 contain identical peptide-anchoring "B" and "C-terminal" pocket structures, which differ greatly from those present in HLA-B35, implying that different immunogenic peptides are likely to be bound by these two groups of alleles. Placing HLA-B45, -B49, and -B50 into one structurally defined group revealed a much stronger and statistically significant association with the CD8 lymphocytosis syndrome (OR = 5.3, p = 0.0005). The B pocket structure in these alleles contains an easily accessible lysine residue at position 45, suggesting that the P2 or P3 anchor residue of a bound peptide is negatively charged. Additionally, by observing the effect on the ORs of adding structures containing amino acid substitutions in the C-terminal pocket of HLA-B45, -B49, and -B50, this region was also shown to influence susceptibility to this host response.(ABSTRACT TRUNCATED AT 250 WORDS)
AuthorsS Itescu, S Rose, E Dwyer, R Winchester
JournalHuman immunology (Hum Immunol) Vol. 42 Issue 1 Pg. 81-9 (Jan 1995) ISSN: 0198-8859 [Print] United States
PMID7751163 (Publication Type: Comparative Study, Journal Article, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • HLA-B Antigens
  • HLA-B35 Antigen
  • HLA-B45 antigen
  • Peptide Fragments
  • Lysine
Topics
  • AIDS-Related Opportunistic Infections (genetics, immunology)
  • Adult
  • Antigen Presentation
  • Binding Sites
  • CD4 Lymphocyte Count
  • CD8-Positive T-Lymphocytes
  • Child
  • Disease Progression
  • Disease Susceptibility (immunology)
  • Gene Frequency
  • Genetic Predisposition to Disease
  • HIV Infections (immunology)
  • HIV-1
  • HLA-B Antigens (chemistry, classification, genetics, immunology)
  • HLA-B35 Antigen (chemistry)
  • Humans
  • Lymphocyte Count
  • Lysine (chemistry)
  • Peptide Fragments (immunology)
  • Protein Binding
  • Protein Conformation

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