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    A polymorphism in the regulatory region of the CC-chemokine receptor 5 gene influences perinatal transmission of human immunodeficiency virus type 1 to African-American infants

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    Authors
    Kostrikis, Leondios G.
    Neumann, Avidan U.
    Thomson, Bruce
    Korber, Bette T.
    McHardy, Paul
    Karanicolas, Rose
    Deutsch, Lisa
    Huang, Yaoxing
    Lew, Judy F.
    McIntosh, Kenneth
    Pollack, Henry
    Borkowsky, William
    Speigel, Hans M.
    Palumbo, Paul
    Oleske, James
    Bardeguez, Arlene
    Luzuriaga, Katherine
    Sullivan, John L.
    Wolinsky, Steven M.
    Koup, Richard A.
    Ho, David D.
    Moore, John P.
    Show allShow less
    UMass Chan Affiliations
    Department of Pediatrics
    Document Type
    Journal Article
    Publication Date
    1999-12-01
    Keywords
    5' Untranslated Regions
    Adult
    *African Americans
    Alleles
    Anti-HIV Agents
    Cohort Studies
    European Continental Ancestry Group
    Female
    Gene Frequency
    Genotype
    HIV Infections
    *HIV-1
    Hispanic Americans
    Humans
    Infant
    *Infectious Disease Transmission, Vertical
    Linkage Disequilibrium
    Perinatal Care
    *Polymorphism, Genetic
    Receptors, CCR2
    Receptors, CCR5
    *Receptors, Chemokine
    Receptors, Cytokine
    Regulatory Sequences, Nucleic Acid
    Zidovudine
    Immunology and Infectious Disease
    Pediatrics
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    Link to Full Text
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC113080/pdf/jv010264.pdf
    Abstract
    There are natural mutations in the coding and noncoding regions of the human immunodeficiency virus type 1 (HIV-1) CC-chemokine coreceptor 5 (CCR5) and in the related CCR2 protein (the CCR2-64I mutation). Individuals homozygous for the CCR5-Delta32 allele, which prevents CCR5 expression, strongly resist HIV-1 infection. Several genetic polymorphisms have been identified within the CCR5 5' regulatory region, some of which influence the rate of disease progression in adult AIDS study cohorts. We genotyped 1,442 infants (1,235 uninfected and 207 HIV-1 infected) for five CCR5 and CCR2 polymorphisms: CCR5-59353-T/C, CCR5-59356-C/T CCR5-59402-A/G, CCR5-Delta32, and CCR2-64I. The clinical significance of each genotype was assessed by measuring whether it influenced the rate of perinatal HIV-1 transmission among 667 AZT-untreated mother-infant pairs (554 uninfected and 113 HIV-1 infected). We found that the mutant CCR5-59356-T allele is relatively common in African-Americans (20.6% allele frequency among 552 infants) and rare in Caucasians and Hispanics (3.4 and 5.6% of 174 and 458 infants, respectively; P < 0.001). There were 38 infants homozygous for CCR5-59356-T, of whom 35 were African-Americans. Among the African-American infants in the AZT-untreated group, there was a highly significant increase in HIV-1 transmission to infants with two mutant CCR5-59356-T alleles (47.6% of 21), compared to those with no or one mutant allele (13.4 to 14.1% of 187 and 71, respectively; P < 0.001). The increased relative risk was 5.9 (95% confidence interval, 2.3 to 15.3; P < 0.001). The frequency of the CCR5-59356-T mutation varies between population groups in the United States, a low frequency occurring in Caucasians and a higher frequency occurring in African-Americans. Homozygosity for CCR5-59356-T is strongly associated with an increased rate of perinatal HIV-1 transmission.
    Source
    J Virol. 1999 Dec;73(12):10264-71. Link to article on publisher's website
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/43457
    PubMed ID
    10559343
    Related Resources
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