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Science 27 September 1996: Vol. 273. no. 5283, pp. 1856 - 1862 DOI: 10.1126/science.273.5283.1856
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Reports
Genetic Restriction of HIV-1 Infection and Progression to AIDS by
a Deletion Allele of the CKR5 Structural Gene
Michael Dean,
*
Mary Carrington,
*
Cheryl Winkler,
Gavin A. Huttley,
Michael W. Smith,
Rando Allikmets,
James J. Goedert,
Susan P. Buchbinder,
Eric Vittinghoff,
Edward Gomperts,
Sharyne Donfield,
David Vlahov,
Richard Kaslow,
Alfred Saah,
Charles Rinaldo,
Roger Detels,
Hemophilia Growth and Development
Study,
Multicenter AIDS Cohort Study,
Multicenter Hemophilia Cohort
Study,
San Francisco City Cohort,
ALIVE Study,
Stephen J. O'Brien
The chemokine receptor 5 (CKR5) protein serves as a secondary
receptor on CD4+ T lymphocytes for certain strains of human
immunodeficiency virus-type 1 (HIV-1). The CKR5 structural
gene was mapped to human chromosome 3p21, and a 32-base pair deletion
allele (CKR5 32) was identified that is present at a
frequency of 0.10 in the Caucasian population of the United States.
An examination of 1955 patients included among six well-characterized
acquired immunodeficiency syndrome (AIDS) cohort studies revealed that
17 deletion homozygotes occurred exclusively among 612 exposed HIV-1
antibody-negative individuals (2.8 percent) and not at all in 1343 HIV-1-infected individuals. The frequency of CKR5 deletion
heterozygotes was significantly elevated in groups of individuals that
had survived HIV-1 infection for more than 10 years, and, in some risk
groups, twice as frequent as their occurrence in rapid progressors to
AIDS. Survival analysis clearly shows that disease progression is
slower in CKR5 deletion heterozygotes than in individuals
homozygous for the normal CKR5 gene. The
CKR5 32 deletion may act as a recessive restriction gene
against HIV-1 infection and may exert a dominant phenotype of delaying
progression to AIDS among infected individuals.
M. Dean, G. A. Huttley, R. Allikmets, S. J. O'Brien, Laboratory
of Genomic Diversity, National Cancer Institute (NCI), Frederick, MD
21702-1201, USA.
M. Carrington, C. Winkler, M. W. Smith, Intramural Research Support
Program, Science Applications International Corporation Frederick, NCI,
Frederick, MD 21702-1201, USA.
J. J. Goedert, Viral Epidemiology Branch, NCI-Executive
Plaza North, 6130 Executive Boulevard, Bethesda, MD 20892, USA.
S. P. Buchbinder and E. Vittinghoff, San Francisco City Clinic,
Department of Public Health, 24 Van Ness Avenue, San Francisco, CA
94102-8033, USA.
E. Gomperts, Childrens Hospital Los Angeles, 4650 Sunset Boulevard, Los
Angeles, CA 90027, USA.
S. Donfield, New England Research Institute, Incorporated, 9 Galen
Street, Watertown, MA 02172, USA.
D. Vlahov, Department of Epidemiology, The Johns Hopkins School of
Hygiene and Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA.
R. Kaslow, Department of Epidemiology, University of Alabama at
Birmingham, 720 South 20th Street, Birmingham, AL 35294-0008, USA.
A. Saah, The Johns Hopkins School of Hygiene and Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA.
C. Rinaldo, University of Pittsburgh School of Public Health, 4200 5th
Avenue, Pittsburgh, PA 15213, USA.
R. Detels, University of California, Los Angeles, Schools of Public
Health and Medicine, 10833 Le Conte Avenue, Los Angeles, CA
90025-1772, USA.
*
These authors contributed equally to this study.
To whom correspondence should be addressed.
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- Effectiveness of Highly Active Antiretroviral Therapy among Injection Drug Users with Late-Stage Human Immunodeficiency Virus Infection.
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Arterioscler Thromb Vasc Biol
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- Potent Anti-R5 Human Immunodeficiency Virus Type 1 Effects of a CCR5 Antagonist, AK602/ONO4128/GW873140, in a Novel Human Peripheral Blood Mononuclear Cell Nonobese Diabetic-SCID, Interleukin-2 Receptor {gamma}-Chain-Knocked-Out AIDS Mouse Model.
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- A subset of human immunodeficiency virus type 1 long-term non-progressors is characterized by the unique presence of ancestral sequences in the viral population.
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PNAS
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- APOBEC3G Genetic Variants and Their Influence on the Progression to AIDS.
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- Prevention of Vaginal SHIV Transmission in Rhesus Macaques Through Inhibition of CCR5.
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Science
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- PSC-RANTES Blocks R5 Human Immunodeficiency Virus Infection of Langerhans Cells Isolated from Individuals with a Variety of CCR5 Diplotypes.
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- Induction of Autoantibodies to CCR5 in Macaques and Subsequent Effects upon Challenge with an R5-Tropic Simian/Human Immunodeficiency Virus.
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- The Differential Sensitivity of Human and Rhesus Macaque CCR5 to Small-Molecule Inhibitors of Human Immunodeficiency Virus Type 1 Entry Is Explained by a Single Amino Acid Difference and Suggests a Mechanism of Action for These Inhibitors.
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PNAS
101, 5640-5645
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