HLA-B∗46 associates with rapid HIV disease progression in Asian cohorts and prominent differences in NK cell phenotype.

HLA-B∗46 associates with rapid HIV disease progression in Asian cohorts and prominent differences in NK cell phenotype.
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DOI:
10.1016/j.chom.2022.06.005
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发表时间:
2022-08-10
影响因子:
30.3
通讯作者:
Thomas, Rasmi
Thomas, Rasmi
中科院分区:
医学1区
文献类型:
--
作者:
Li, Shuying S.;Hickey, Andrew;Shangguan, Shida;Ehrenberg, Philip K.;Geretz, Aviva;Butler, Lauryn;Kundu, Gautam;Apps, Richard;Creegan, Matthew;Clifford, Robert J.;Pinyakorn, Suteeraporn;Eller, Leigh Anne;Luechai, Pikunchai;Gilbert, Peter B.;Holtz, Timothy H.;Chitwarakorn, Anupong;Sacdalan, Carlo;Kroon, Eugene;Phanuphak, Nittaya;de Souza, Mark;Ananworanich, Jintanat;O'Connell, Robert J.;Robb, Merlin L.;Michael, Nelson L.;Vasan, Sandhya;Thomas, Rasmi

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人类白细胞抗原(HLA)等位基因与HIV疾病进展有关,并归因于细胞毒性T淋巴细胞(CTL)表位表征的差异。这些发现主要是基于欧洲和非洲血统的未接受治疗的个体。我们评估了来自泰国的1,318个人的HLA与HIV-1结局的关系,发现HLA-B*46:01 (B*46)与三个独立队列中的疾病加速相关。B*46对hiv特异性T细胞反应没有可检测到的影响,但这种等位基因在含有与自然杀伤(NK)细胞上的抑制性受体结合的HLA-C表位方面是不寻常的。无偏倚转录组筛选显示,没有B*46的HIV感染者NK细胞活化增加,同时单细胞表面蛋白和转录组分析显示,在没有B*46的情况下,NK细胞亚群的反应增加。这些发现支持NK细胞在HIV发病机制中的作用,这是由仅在亚洲常见的B*46等位基因的独特特性揭示的。Li等人在三个独立的队列中表明,泰国最常见的HLA-B等位基因B*46与HIV疾病进展有关。这可能是由于NK细胞群的差异,特别是在HLA-B*46患者中发现的具有活化表型的亚群。
Human leukocyte antigen (HLA) alleles have been linked to HIV disease progression and attributed to differences in cytotoxic T lymphocyte (CTL) epitope representation. These findings are largely based on treatment-naive individuals of European and African ancestry. We assessed HLA associations with HIV-1 outcomes in 1,318 individuals from Thailand and found HLA-B*46:01 (B*46) associated with accelerated disease in three independent cohorts. B*46 had no detectable effect on HIV-specific T cell responses, but this allele is unusual in containing an HLA-C epitope that binds inhibitory receptors on natural killer (NK) cells. Unbiased transcriptomic screens showed increased NK cell activation in people with HIV, without B*46, and simultaneous single-cell profiling of surface proteins and transcriptomes revealed a NK cell subset primed for increased responses in the absence of B*46. These findings support a role for NK cells in HIV pathogenesis, revealed by the unique properties of the B*46 allele common only in Asia. Li et al. show that B*46, the most frequent HLA-B allele in Thailand, is associated with HIV disease progression in three independent cohorts. This may result from differences in NK cell populations, specifically a subset with an activated phenotype that was found to be absent in people with HLA-B*46.
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