Toll-Like Receptor 2 Promoter -196 to -174 Deletion Affects CD4 Levels Along Human Immunodeficiency Virus Infection Progression

J Infect Dis. 2020 Nov 13;222(12):2007-2011. doi: 10.1093/infdis/jiaa327.

Abstract

Toll-like receptor 2 (TLR2) plays a key role in innate immune response recognizing molecular patterns expressed by pathogens. rs111200466 is a TLR2 promoter insertion/deletion polymorphism with contradictory data about its role in human immunodeficiency virus type 1 (HIV-1) infection. We analyzed rs111200466 in HIV-1 disease progression and showed a correlation with a faster progression to the CD4+ < 200 cells/μL outcome for deletion allele carriers (Cox regression analysis: hazard ratio, 2.4 [95% confidence interval, 1.4-4]; P = .001). When naive patients with CD4+ < 200 cells/μL started antiretroviral treatment, rs111200466-deletion carriers showed a trend toward a slower, recovery rate (time required to reach CD4+ > 350 cells/μL; Cox P = .36). Our data suggest rs111200466 as a prognosis factor for HIV-1 disease progression.

Keywords: AIDS; HIV infection; HIV progression; TLR2; polymorphism; rs111200466.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • CD4 Lymphocyte Count*
  • Cohort Studies
  • Disease Progression
  • Female
  • HIV Infections / genetics*
  • HIV-1
  • Humans
  • Male
  • Polymorphism, Genetic*
  • Prognosis
  • Promoter Regions, Genetic
  • Survival Analysis
  • Toll-Like Receptor 2 / genetics*

Substances

  • Toll-Like Receptor 2