Association of HLA-DRB1-restricted CD4⁺ T cell responses with HIV immune control

Nat Med. 2013 Jul;19(7):930-3. doi: 10.1038/nm.3229. Epub 2013 Jun 23.

Abstract

The contribution of HLA class II-restricted CD4(+) T cell responses to HIV immune control is poorly defined. Here, we delineated previously uncharacterized peptide-DRB1 restrictions in functional assays and analyzed the host genetic effects of HLA-DRB1 alleles on HIV viremia in a large cohort of HIV controllers and progressors. We found distinct stratifications in the effect of HLA-DRB1 alleles on HIV viremia, with HLA-DRB1*15:02 significantly associated with low viremia and HLA-DRB1*03:01 significantly associated with high viremia. Notably, a subgroup of HLA-DRB1 variants linked with low viremia showed the ability to promiscuously present a larger breadth of peptides with lower functional avidity when compared to HLA-DRB1 variants linked with high viremia. Our data provide systematic evidence that HLA-DRB1 variant expression has a considerable impact on the control of HIV replication, an effect that seems to be mediated primarily by the protein specificity of CD4(+) T cell responses to HIV Gag and Nef.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, N.I.H., Intramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Alleles
  • CD4-Positive T-Lymphocytes / immunology*
  • Cells, Cultured
  • Cohort Studies
  • Disease Resistance / genetics*
  • Disease Resistance / immunology
  • Gene Frequency
  • Genetic Association Studies
  • Genetic Predisposition to Disease
  • HIV Infections / blood
  • HIV Infections / immunology*
  • HIV Infections / virology
  • HIV-1 / immunology*
  • HIV-1 / physiology
  • HLA-DRB1 Chains / genetics
  • HLA-DRB1 Chains / immunology
  • HLA-DRB1 Chains / metabolism
  • Humans
  • Viral Load / genetics
  • Viral Load / physiology
  • Virus Replication / genetics
  • Virus Replication / immunology

Substances

  • HLA-DRB1 Chains