Temporal association of HLA-B*81:01- and HLA-B*39:10-mediated HIV-1 p24 sequence evolution with disease progression

R S Ntale1, D R Chopera, N K Ngandu

  • 1Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa.

Journal of Virology
|August 31, 2012
PubMed

Insights

Human Leukocyte Antigen (HLA)-B*81:01 alleles influence HIV-1 subtype C evolution. Escape mutations in the TL9 epitope impact viral load control, demonstrating HLA-B*81:01

Area of Science:

  • Immunogenetics
  • Virology
  • HIV Pathogenesis

Background:

  • Certain Human Leukocyte Antigen (HLA) alleles, including HLA-B*81:01 and HLA-B*39:10, are linked to controlling HIV-1 subtype C.
  • These HLA alleles restrict the p24 Gag TL9 epitope, and escape mutations are associated with a viral fitness cost.

Purpose of the Study:

  • To investigate the timing and impact of mutations within the TL9 epitope on disease progression in individuals with HIV-1 subtype C carrying HLA-B*81:01 or HLA-B*39:10.

Main Methods:

  • Analysis of viral sequences from HIV-1 subtype C infected individuals (n=7) with specific HLA alleles (HLA-B*81:01 and HLA-B*39:10).
  • Tracking of escape mutations in the TL9 epitope over time post-infection.
  • Correlation of escape mutations with viral load and coevolving residues in Gag.

Main Results:

  • HLA-B*39:10 participants showed early TL9 escape mutations (within 2 months post-infection).
  • HLA-B*81:01 participants exhibited variable timing of TL9 escape mutations, with some showing late escape (10 months post-infection) or no detectable escape.
  • Escape mutations were linked to Gag coevolution and, in some cases, late increases in viral load, particularly in HLA-B*81:01 individuals.

Conclusions:

  • The timing of TL9 escape mutations varies between HLA-B*39:10 and HLA-B*81:01 alleles in HIV-1 subtype C.
  • Late escape mutations in the TL9 epitope, coupled with compensatory mutations, can detrimentally impact viral load control in individuals with HLA-B*81:01.
  • This study provides in vivo evidence for HLA-B*81:01-driven viral evolution affecting viremia control through a single Gag p24 epitope.