X Chromosomal Variation Is Associated with Slow Progression to AIDS in HIV-1-Infected Women.

Siddiqui, R. A., Sauermann, U., Altmuller, J., Fritzer, E., Nothnagel, M., Dalibor, N., Fellay, J., Kaup, F. J., Stahl-Hennig, C., Nurnberg, P., Krawczak, Michael and Platzer, M. (2009) X Chromosomal Variation Is Associated with Slow Progression to AIDS in HIV-1-Infected Women. American Journal of Human Genetics, 85 (2). pp. 228-239. DOI 10.1016/j.ajhg.2009.07.013.

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Supplementary data:


AIDS has changed from a mostly male-specific health problem to one that predominantly affects females. Although sex differences in HIV-1 susceptibility are beyond doubt, the extent to which sex affects the onset and progression of AIDS has remained elusive. Here, we provide evidence for an influence of X chromosomal variation on the course of retroviral infection, both in HIV-1-infected patients and in the rhesus macaque model of AIDS. A two-stage, Microsatellite-based GWAS of SIV-infected monkeys revealed MHC class I markers and a hitherto-unknown X chromosomal locus as being associated with a nominal score measuring progression to AIDS (Fisher's exact p < 10(-6)). The X chromosomal association was subsequently confirmed in HIV-1-infected patients with published SNP genotype data. SNP rs5968255, located at human Xq21.1 in a conserved sequence element near the RPS6KA6 and CYLC1 genes, was identified as a significant genetic determinant of disease progression in females (ANOVA p = 8.8 x 10(-5)), but not in males (p = 0.19). Heterozygous female carriers of the C allele showed significantly slower CD4 cell decline and a lower viral load at set point than 17 homozygous females and than males. Inspection of HapMap revealed that the CT genotype is significantly more frequent among Asians than among Europeans or Africans. Our results suggest that, in addition to the individual innate and adaptive immunity status, sex-linked genetic variation impacts upon the rate of progression to AIDS. Elucidating the mechanisms underlying this sex-specific effect will promote the development of antiretroviral therapies with high efficacy in both sexes.

Document Type: Article
Keywords: microvascular endothelial-cellsactive antiretroviral therapy whole-genome association simian immunodeficiency disease progression gender-differences rna levels hiv-1 infection gene-expression sex-differences
Research affiliation: Kiel University
OceanRep > The Future Ocean - Cluster of Excellence
Refereed: Yes
Open Access Journal?: No
DOI etc.: 10.1016/j.ajhg.2009.07.013
ISSN: 0002-9297
Projects: Future Ocean
Date Deposited: 11 Feb 2011 12:14
Last Modified: 23 Sep 2019 20:39
URI: http://oceanrep.geomar.de/id/eprint/9729

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