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Influence of human leukocyte antigen-B22 alleles on the course of human immunodeficiency virus type 1 infection in 3 cohorts of white men

Lookup NU author(s): Dr Tevfik Dorak

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Abstract

The human leukocyte antigen (HLA)-B22 serogroup--which consists of the alleles B*54, B*55, and B*56--has been associated with rapidly progressive disease in white patients with human immunodeficiency virus (HIV) infection. Subjects from 3 cohorts of men who have sex with men (N=671), all of whom experienced HIV-1 seroconversion at roughly the same time, were molecularly typed at HLA-A, -B, and -C loci. Mean HIV RNA loads during early HIV infection were higher in B22-positive men than in B22-negative men (difference, 0.481 log(10) HIV RNA copies/mL; 95% confidence interval [CI], 0.156-0.806 log(10) HIV RNA copies/mL; P=.004). Independent of accepted markers of progression, time-to-AIDS was shorter in B22-positive seroconverters (adjusted hazard ratio, 1.98; 95% CI, 1.27-3.10; P=.003). White B22 serogroup alleles (B*55 and *56) appear to predispose to unfavorable outcome of HIV infection as strongly as some or all B*35 and B*53 alleles. This finding may have greater implications for Asians, because the marker frequency for B22 is higher among Asians than among whites (approximately 10% vs. approximately 4%).

Publication metadata

Author(s): Dorak MT; Tang J; Tang S; Penman-Aguilar A; Coutinho RA; Goedert JJ; Detels R; Kaslow RA

Publication type: Article

Publication status: Published

Journal: Journal of Infectious Diseases

Year: 2003

Volume: 188

Issue: 6

Pages: 856-863

ISSN (print): 0022-1899

ISSN (electronic): 1537-6613

Publisher: Oxford University Press

URL: http://dx.doi.org/10.1086/378071

DOI: 10.1086/378071

PubMed id: 12964117

Notes: Multicenter Study

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