Epistatic interaction between KIR3DS1 and HLA-B delays the progression to AIDS

Epistatic interaction between KIR3DS1 and HLA-B delays the progression to AIDS

22 July 2002 | Maureen P. Martin, Xiaojiang Gao, Jeong-Hee Lee, George W. Nelson, Roger Detels, James J. Goedert, Susan Buchbinder, Keith Hoots, David Vlahov, John Trowsdale, Michael Wilson, Stephen J. O'Brien, Mary Carrington
The study by Martin et al. (2002) investigates the epistatic interaction between the KIR3DS1 allele and HLA-B Bw4-80Ile alleles in delaying the progression to AIDS in individuals infected with HIV-1. The authors found that the combination of KIR3DS1 and HLA-B Bw4-80Ile is strongly protective against AIDS progression, while the presence of either allele alone does not show significant effects. Specifically, the HLA-B Bw4-80Ile allele alone is associated with delayed progression, but in the absence of KIR3DS1, it does not influence AIDS outcomes. Conversely, the absence of HLA-B Bw4-80Ile alleles leads to more rapid progression in the presence of KIR3DS1. This suggests a synergistic effect between the two loci, with KIR3DS1 binding to HLA-B Bw4-80Ile molecules, activating NK cells and potentially T cells, and leading to the elimination of HIV-1-infected cells. The protective effect of KIR3DS1 + HLA-B Bw4-80Ile is dominant over the susceptibility conferred by KIR3DS1 homozygosity. The study highlights the importance of this genetic interaction in the early innate immune response to HIV-1 infection and its potential implications for therapeutic and vaccine development.The study by Martin et al. (2002) investigates the epistatic interaction between the KIR3DS1 allele and HLA-B Bw4-80Ile alleles in delaying the progression to AIDS in individuals infected with HIV-1. The authors found that the combination of KIR3DS1 and HLA-B Bw4-80Ile is strongly protective against AIDS progression, while the presence of either allele alone does not show significant effects. Specifically, the HLA-B Bw4-80Ile allele alone is associated with delayed progression, but in the absence of KIR3DS1, it does not influence AIDS outcomes. Conversely, the absence of HLA-B Bw4-80Ile alleles leads to more rapid progression in the presence of KIR3DS1. This suggests a synergistic effect between the two loci, with KIR3DS1 binding to HLA-B Bw4-80Ile molecules, activating NK cells and potentially T cells, and leading to the elimination of HIV-1-infected cells. The protective effect of KIR3DS1 + HLA-B Bw4-80Ile is dominant over the susceptibility conferred by KIR3DS1 homozygosity. The study highlights the importance of this genetic interaction in the early innate immune response to HIV-1 infection and its potential implications for therapeutic and vaccine development.
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