Chemokine Receptor Polymorphisms and Human Immunodeficiency Virus Disease Progression

The role of polymorphisms in genes encoding chemokines and their receptors (CCR2B, SDF-1, and the promoter region of CCR5) in human immunodeficiency virus (HIV) disease progression was studied in 132 white HIV type 1 (HlV-l)-infected participants from a United Kingdom cohort study. Genotyping was do...

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Veröffentlicht in:The Journal of infectious diseases 1999-10, Vol.180 (4), p.1096-1105
Hauptverfasser: Easterbrook, Philippa J., Rostron, Tim, Ives, Natalie, Troop, Maxine, Gazzard, Brian G., Rowland-Jones, Sarah L.
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container_title The Journal of infectious diseases
container_volume 180
creator Easterbrook, Philippa J.
Rostron, Tim
Ives, Natalie
Troop, Maxine
Gazzard, Brian G.
Rowland-Jones, Sarah L.
description The role of polymorphisms in genes encoding chemokines and their receptors (CCR2B, SDF-1, and the promoter region of CCR5) in human immunodeficiency virus (HIV) disease progression was studied in 132 white HIV type 1 (HlV-l)-infected participants from a United Kingdom cohort study. Genotyping was done by use of amplification refractory mutation system-polymerase chain reaction with sequence-specific primers, and Cox proportional hazards models were used to examine the impact of polymorphisms on time to a CD4 cell count
doi_str_mv 10.1086/314997
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Genotyping was done by use of amplification refractory mutation system-polymerase chain reaction with sequence-specific primers, and Cox proportional hazards models were used to examine the impact of polymorphisms on time to a CD4 cell count &lt;200 × 106/L and to CDC stage IV disease. The results confirm a significant association of the CCR2B-64I mutant genotype with slower progression to a CD4 count &lt;200 (hazards ratio [HR], 0.39; 95% confidence interval [CI], 0.17–0.91) but not with the SDF-lα 3′ UTR homozygous mutation. The effects of the CCR5 and CCR2 mutations were genetically independent and similar in the magnitude of their protective effect on progression to a CD4 count &lt;200 cells. A novel finding was an association of borderline significance between homozygosity for C at nucleotide position 59353 in the CCR5 promoter region and a slower rate of CD4 cell decline to &lt;200 × 106/L (HR, 0.58; 95% CI, 0.34–0.996).</description><identifier>ISSN: 0022-1899</identifier><identifier>EISSN: 1537-6613</identifier><identifier>DOI: 10.1086/314997</identifier><identifier>PMID: 10479136</identifier><identifier>CODEN: JIDIAQ</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>AIDS ; AIDS/HIV ; Alleles ; Biological and medical sciences ; Bisexuality ; Case-Control Studies ; CCR2b protein ; CCR5 protein ; Confidence Intervals ; Disease Progression ; DNA Primers ; Epidemiology ; Fundamental and applied biological sciences. Psychology ; Genetic mutation ; Genotype ; Genotypes ; HIV ; HIV 1 ; HIV Antibodies - blood ; HIV infections ; HIV Infections - genetics ; HIV Infections - immunology ; HIV Infections - physiopathology ; Homosexuality, Male ; Human immunodeficiency virus 1 ; Human viral diseases ; Humans ; Infections ; Infectious diseases ; Major Articles ; Male ; Medical sciences ; Microbiology ; Nucleotides ; Point Mutation ; Polymerase Chain Reaction ; Polymorphism, Genetic ; Prognosis ; Promoter Regions, Genetic ; Proportional Hazards Models ; Receptors, CCR2 ; Receptors, CCR5 - genetics ; Receptors, Chemokine - genetics ; Receptors, Cytokine - genetics ; SDF-1 protein ; Time Factors ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. 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Genotyping was done by use of amplification refractory mutation system-polymerase chain reaction with sequence-specific primers, and Cox proportional hazards models were used to examine the impact of polymorphisms on time to a CD4 cell count &lt;200 × 106/L and to CDC stage IV disease. The results confirm a significant association of the CCR2B-64I mutant genotype with slower progression to a CD4 count &lt;200 (hazards ratio [HR], 0.39; 95% confidence interval [CI], 0.17–0.91) but not with the SDF-lα 3′ UTR homozygous mutation. The effects of the CCR5 and CCR2 mutations were genetically independent and similar in the magnitude of their protective effect on progression to a CD4 count &lt;200 cells. A novel finding was an association of borderline significance between homozygosity for C at nucleotide position 59353 in the CCR5 promoter region and a slower rate of CD4 cell decline to &lt;200 × 106/L (HR, 0.58; 95% CI, 0.34–0.996).</description><subject>AIDS</subject><subject>AIDS/HIV</subject><subject>Alleles</subject><subject>Biological and medical sciences</subject><subject>Bisexuality</subject><subject>Case-Control Studies</subject><subject>CCR2b protein</subject><subject>CCR5 protein</subject><subject>Confidence Intervals</subject><subject>Disease Progression</subject><subject>DNA Primers</subject><subject>Epidemiology</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Genetic mutation</subject><subject>Genotype</subject><subject>Genotypes</subject><subject>HIV</subject><subject>HIV 1</subject><subject>HIV Antibodies - blood</subject><subject>HIV infections</subject><subject>HIV Infections - genetics</subject><subject>HIV Infections - immunology</subject><subject>HIV Infections - physiopathology</subject><subject>Homosexuality, Male</subject><subject>Human immunodeficiency virus 1</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Major Articles</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microbiology</subject><subject>Nucleotides</subject><subject>Point Mutation</subject><subject>Polymerase Chain Reaction</subject><subject>Polymorphism, Genetic</subject><subject>Prognosis</subject><subject>Promoter Regions, Genetic</subject><subject>Proportional Hazards Models</subject><subject>Receptors, CCR2</subject><subject>Receptors, CCR5 - genetics</subject><subject>Receptors, Chemokine - genetics</subject><subject>Receptors, Cytokine - genetics</subject><subject>SDF-1 protein</subject><subject>Time Factors</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. 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Psychology</topic><topic>Genetic mutation</topic><topic>Genotype</topic><topic>Genotypes</topic><topic>HIV</topic><topic>HIV 1</topic><topic>HIV Antibodies - blood</topic><topic>HIV infections</topic><topic>HIV Infections - genetics</topic><topic>HIV Infections - immunology</topic><topic>HIV Infections - physiopathology</topic><topic>Homosexuality, Male</topic><topic>Human immunodeficiency virus 1</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Major Articles</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microbiology</topic><topic>Nucleotides</topic><topic>Point Mutation</topic><topic>Polymerase Chain Reaction</topic><topic>Polymorphism, Genetic</topic><topic>Prognosis</topic><topic>Promoter Regions, Genetic</topic><topic>Proportional Hazards Models</topic><topic>Receptors, CCR2</topic><topic>Receptors, CCR5 - genetics</topic><topic>Receptors, Chemokine - genetics</topic><topic>Receptors, Cytokine - genetics</topic><topic>SDF-1 protein</topic><topic>Time Factors</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><topic>Virology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Easterbrook, Philippa J.</creatorcontrib><creatorcontrib>Rostron, Tim</creatorcontrib><creatorcontrib>Ives, Natalie</creatorcontrib><creatorcontrib>Troop, Maxine</creatorcontrib><creatorcontrib>Gazzard, Brian G.</creatorcontrib><creatorcontrib>Rowland-Jones, Sarah L.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Easterbrook, Philippa J.</au><au>Rostron, Tim</au><au>Ives, Natalie</au><au>Troop, Maxine</au><au>Gazzard, Brian G.</au><au>Rowland-Jones, Sarah L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chemokine Receptor Polymorphisms and Human Immunodeficiency Virus Disease Progression</atitle><jtitle>The Journal of infectious diseases</jtitle><addtitle>The Journal of Infectious Diseases</addtitle><date>1999-10-01</date><risdate>1999</risdate><volume>180</volume><issue>4</issue><spage>1096</spage><epage>1105</epage><pages>1096-1105</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><coden>JIDIAQ</coden><abstract>The role of polymorphisms in genes encoding chemokines and their receptors (CCR2B, SDF-1, and the promoter region of CCR5) in human immunodeficiency virus (HIV) disease progression was studied in 132 white HIV type 1 (HlV-l)-infected participants from a United Kingdom cohort study. Genotyping was done by use of amplification refractory mutation system-polymerase chain reaction with sequence-specific primers, and Cox proportional hazards models were used to examine the impact of polymorphisms on time to a CD4 cell count &lt;200 × 106/L and to CDC stage IV disease. The results confirm a significant association of the CCR2B-64I mutant genotype with slower progression to a CD4 count &lt;200 (hazards ratio [HR], 0.39; 95% confidence interval [CI], 0.17–0.91) but not with the SDF-lα 3′ UTR homozygous mutation. The effects of the CCR5 and CCR2 mutations were genetically independent and similar in the magnitude of their protective effect on progression to a CD4 count &lt;200 cells. A novel finding was an association of borderline significance between homozygosity for C at nucleotide position 59353 in the CCR5 promoter region and a slower rate of CD4 cell decline to &lt;200 × 106/L (HR, 0.58; 95% CI, 0.34–0.996).</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>10479136</pmid><doi>10.1086/314997</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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source Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE
subjects AIDS
AIDS/HIV
Alleles
Biological and medical sciences
Bisexuality
Case-Control Studies
CCR2b protein
CCR5 protein
Confidence Intervals
Disease Progression
DNA Primers
Epidemiology
Fundamental and applied biological sciences. Psychology
Genetic mutation
Genotype
Genotypes
HIV
HIV 1
HIV Antibodies - blood
HIV infections
HIV Infections - genetics
HIV Infections - immunology
HIV Infections - physiopathology
Homosexuality, Male
Human immunodeficiency virus 1
Human viral diseases
Humans
Infections
Infectious diseases
Major Articles
Male
Medical sciences
Microbiology
Nucleotides
Point Mutation
Polymerase Chain Reaction
Polymorphism, Genetic
Prognosis
Promoter Regions, Genetic
Proportional Hazards Models
Receptors, CCR2
Receptors, CCR5 - genetics
Receptors, Chemokine - genetics
Receptors, Cytokine - genetics
SDF-1 protein
Time Factors
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Virology
title Chemokine Receptor Polymorphisms and Human Immunodeficiency Virus Disease Progression
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