HLA and AIDS: a cautionary tale

Trends Mol Med. 2001 Sep;7(9):379-81. doi: 10.1016/s1471-4914(01)02131-1.

Abstract

The human major histocompatibility complex HLA has been implicated repeatedly as a regulator of the outcome of HIV exposure and infection. A new study of long-term survivors who naturally depress HIV-1 replication and avoid the signs of AIDS for years after infection suggests that homozygosity for a group of HLA-B locus alleles termed Bw4 confers resistance, ostensibly by regulating natural killer cell-ligand interactions. However, close inspection of the accumulated evidence raises some questions and urges validation of the potential Bw4 effects in additional studies.

Publication types

  • News

MeSH terms

  • Acquired Immunodeficiency Syndrome / epidemiology
  • Acquired Immunodeficiency Syndrome / genetics*
  • Acquired Immunodeficiency Syndrome / immunology
  • Acquired Immunodeficiency Syndrome / mortality
  • Alleles
  • Disease Progression
  • Genes, MHC Class I / genetics*
  • Genetic Predisposition to Disease / genetics*
  • Genotype
  • HIV Long-Term Survivors* / statistics & numerical data
  • HIV-1 / immunology
  • HLA-B Antigens / genetics*
  • HLA-B Antigens / immunology
  • Humans
  • Killer Cells, Natural / immunology
  • Reproducibility of Results

Substances

  • HLA-B Antigens