Keiko Sakai

HLA Class I-Mediated Control of HIV-1 in the Japanese Population, in Which the Protective HLA-B*57 and HLA-B*27 Alleles Are Absent

ABSTRACT We investigated the effect of HLA class I alleles on clinical parameters for HIV-1 disease progression in the Japanese population, where two strongly protective alleles, HLA-B*57 and HLA-B*27, are virtually nonexistent. HLA-B alleles showed a dominant role, primarily through HLA-B*67:01 and the HLA-B*52:01-C*12:02 haplotype. Neither a rare-allele nor a heterozygote advantage was found, suggesting that the effect of HLA alleles in the Japanese population is either different from those observed in Africans and Caucasians or undetectable due to limited power.

Selection of escape mutant by HLA-C-restricted HIV-1 Pol-specific cytotoxic T lymphocytes carrying strong ability to suppress HIV-1 replication

HIV‐1 mutants escaping from HLA‐A‐ or HLA‐B‐restricted CTL have been well studied, but those from HLA‐C‐restricted CTL have not. Therefore we investigated the ability of HLA‐C‐restricted CTL to select HIV‐1 escape mutants. In the present study, we identified two novel HLA‐Cw*1202‐restricted Pol‐specific CTL epitopes (Pol328‐9 and Pol463‐10). CTL specific for these epitopes were detected in 25–40% of chronically HIV‐1‐infected HLA‐Cw*1202+ individuals and had strong abilities to kill HIV‐1‐infected cells and to suppress HIV‐1 replication in vitro, suggesting that these CTL may have the ability to effectively control HIV‐1 in some HLA‐Cw*1202+ individuals. Sequence analysis of these epitopes showed that a V‐to‐A substitution at the 9th position (V9A) of Pol 463‐10 was significantly associated with the HLA‐Cw*1202 allele and that the V9A mutant was slowly selected in the HLA‐Cw*1202+ individuals. Pol 463‐10‐specific CTL failed both to kill the V9A virus‐infected cells and to suppress replication of the V9A mutant. These results indicate that the V9A mutation was selected as an escape mutant by the Pol463‐10‐specific CTL. The present study strongly suggests that some HLA‐C‐restricted CTL have a strong ability to suppress HIV‐1 replication so that they can select HIV escape mutants as in the case of HLA‐A‐restricted or HLA‐B‐restricted CTL.

A strong association of human leukocyte antigen-associated Pol and Gag mutations with clinical parameters in HIV-1 subtype A/E infection.

Objectives:Identification of human leukocyte antigen-associated HIV-1 polymorphisms (HLA-APs) in different global populations furthers our understanding of HIV-1 pathogenesis and may help identify candidate immunogens for HIV vaccines targeted to these populations. Although numerous population-based studies identifying HLA-APs have been conducted in HIV-1 subtype B- and subtype C-infected cohorts, few have focused on subtype A/E. Design:We investigated HLA-APs in a cohort of chronically HIV-1 subtype A/E-infected Vietnamese individuals. Methods:HLA-APs in HIV-1 Gag, Pol, and Nef regions from 388 treatment-naive individuals chronically infected with HIV-1 subtype A/E were analyzed using phylogenetically informed approaches. Results:A total of 303 HLA-APs were identified. HLA-APs occurring at six positions in Gag and six positions in Pol were significantly associated with higher plasma viral load (pVL), whereas HLA-APs occurring at two positions in Gag and 13 positions in Pol were significantly associated with lower CD4+ T-cell counts. Furthermore, the proportion of Pol codons harboring an HLA-AP specific to the hosts HLA correlated positively with HIV-1 pVL (R = 0.22; P < 0.0001) and inversely with CD4+ T-cell counts (R = –0.32; P < 0.0001). Similarly, the proportion of HLA-associated Gag codons harboring host-specific HLA-AP correlated inversely with CD4+ T-cell counts (R = –0.13; P = 0.01). Conclusion:These significant associations between HIV-1 amino acids adapted to Vietnamese HLA alleles and higher pVL and lower CD4+ T-cell counts suggests that accumulation of cytotoxic T cells escape mutations may influence clinical outcomes in HIV-1 subtype A/E-infected Vietnamese individuals.

Accumulation of Pol mutations selected by HLA-B*52: 01-C*12: 02 protective haplotype-restricted cytotoxic T lymphocytes causes low plasma viral load due to low viral fitness of mutant viruses

ABSTRACT HLA-B*52:01-C*12:02, which is the most abundant haplotype in Japan, has a protective effect on disease progression in HIV-1-infected Japanese individuals, whereas HLA-B*57 and -B*27 protective alleles are very rare in Japan. A previous study on HLA-associated polymorphisms demonstrated that the number of HLA-B*52:01-associated mutations at four Pol positions was inversely correlated with plasma viral load (pVL) in HLA-B*52:01-negative individuals, suggesting that the transmission of HIV-1 with these mutations could modulate the pVL in the population. However, it remains unknown whether these mutations were selected by HLA-B*52:01-restricted CTLs and also reduced viral fitness. In this study, we identified two HLA-B*52:01-restricted and one HLA-C*12:02-restricted novel cytotoxic T-lymphocyte (CTL) epitopes in Pol. Analysis using CTLs specific for these three epitopes demonstrated that these CTLs failed to recognize mutant epitopes or more weakly recognized cells infected with mutant viruses than wild-type virus, supporting the idea that these mutations were selected by the HLA-B*52:01- or HLA-C*12:02-restricted T cells. We further showed that these mutations reduced viral fitness, although the effect of each mutation was weak. The present study demonstrated that the accumulation of these Pol mutations selected by HLA-B*52:01- or HLA-C*12:02-restricted CTLs impaired viral replication capacity and thus reduced the pVL. The fitness cost imposed by the mutations partially accounted for the effect of the HLA-B*52:01-C*12:02 haplotype on clinical outcome, together with the effect of HLA-B*52:01-restricted CTLs on viral replication, which had been previously demonstrated. IMPORTANCE Numerous population-based studies identified HLA-associated HIV-1 mutations to predict HIV-1 escape mutations from cytotoxic T lymphocytes (CTLs). However, the majority of these HLA-associated mutations have not been identified as CTL escape mutations. Our previous population-based study showed that five HLA-B*52:01-associated mutations at four Pol positions were inversely correlated with the plasma viral load in HLA-B*52:01-negative Japanese individuals. In the present study, we demonstrated that these mutations were indeed selected by CTLs specific for novel B*52:01- and C*12:02-restricted epitopes and that the accumulation of these mutations reduced the viral fitness in vitro. This study elucidated the mechanism by which the accumulation of these CTL escape mutations contributed to the protective effect of the HLA-B*52:01-HLA-C*12:02 haplotype on disease progression in HIV-1-infected Japanese individuals.

Lack of a significant impact of Gag-Protease-mediated HIV-1 replication capacity on clinical parameters in treatment-naive Japanese individuals

BackgroundHLA class I-associated escape mutations in HIV-1 Gag can reduce viral replication, suggesting that associated fitness costs could impact HIV-1 disease progression. Previous studies in North American and African cohorts have reported reduced Gag-Protease mediated viral replication capacity (Gag-Pro RC) in individuals expressing protective HLA class I alleles including HLA-B*57:01, B*27:05, and B*81:01. These studies also reported significant positive associations between Gag-Pro RCs and plasma viral load (pVL). However, these HLA alleles are virtually absent in Japan, and the importance of Gag as an immune target is not clearly defined in this population.ResultsWe generated chimeric NL4-3 viruses carrying patient-derived Gag-Protease from 306 treatment-naive Japanese individuals chronically infected with HIV-1 subtype B. We analyzed associations between Gag-Pro RC and clinical markers of HIV-1 infection and host HLA expression. We observed no significant correlation between Gag-Pro RC and pVL in Japan in the overall cohort. However, upon exclusion of individuals expressing Japanese protective alleles HLA-B*52:01 and B*67:01, Gag-Pro RC correlated positively with pVL and negatively with CD4 T-cell count. Our results thus contrast with studies from other global cohorts reporting significantly lower Gag-Pro RC among persons expressing protective HLA alleles, and positive relationships between Gag-Pro RC and pVL in the overall study populations. We also identified five amino acids in Gag-Protease significantly associated with Gag-Pro RC, whose effects on RC were confirmed by site-directed mutagenesis. However, of the four mutations that decreased Gag-Pro RC, none were associated with reductions in pVL in Japan though two were associated with lower pVL in North America.ConclusionsThese data indicate that Gag fitness does not affect clinical outcomes in subjects with protective HLA class I alleles as well as the whole Japanese population. Moreover, the impact of Gag fitness costs on HIV-1 clinical parameters in chronic infection is likely low in Japan compared to other global populations.

Toward an effective AIDS vaccine development.

For the past 30 years, the world has been waiting for an effective vaccine against human immunodeficiency virus type 1 (HIV-1), and tremendous efforts have been invested worldwide to reach this long-awaited goal [1]. However, the HIV-1 genetic diversity poses a demanding challenge for the design of such a vaccine. Here, we present the latest research reported at the AIDS Vaccine 2013 meeting, which took place this past October in Barcelona, Spain (Fig. 1).

P16-22. In impact of nadir CD4 counts on skewed distributions of functional subsets in peripheral CD4+ T cells in patients chronically infected with HIV-1

Background Infection with human immunodeficiency virus type 1 (HIV-1) induces dysfunction of CD4+ T cells, and CD4+ Tcell responses do not fully develop in many infected individuals. Previous studies suggested correlations between disease outcome and CD4+ T-cell dysfunction caused by chronic immune activation and abnormal maturation. To understand the mechanism of virally induced T-cell dysfunction, we examined phenotypic changes occurred in the peripheral CD4+ T cells of patients chronically infected with HIV-1.