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Killer cell immunoglobulin-like receptor 3DL1 variation modifies HLA-B*57 protection against HIV-1

Martin, Maureen P.
Naranbhai, Vivek
Shea, Patrick R.
Qi, Ying
Ramsuran, Veron
Vince, Nicolas
Gao, Xiaojiang
Thomas, Rasmi
Brumme, Zabrina L.
Carlson, Jonathan M.
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Abstract
HLA-B*57 control of HIV involves enhanced CD8+ T cell responses against infected cells, but extensive heterogeneity exists in the level of HIV control among B*57+ individuals. Using whole-genome sequencing of untreated B*57+ HIV-1–infected controllers and noncontrollers, we identified a single variant (rs643347A/G) encoding an isoleucine-to-valine substitution at position 47 (I47V) of the inhibitory killer cell immunoglobulin-like receptor KIR3DL1 as the only significant modifier of B*57 protection. The association was replicated in an independent cohort and across multiple outcomes. The modifying effect of I47V was confined to B*57:01 and was not observed for the closely related B*57:03. Positions 2, 47, and 54 tracked one another nearly perfectly, and 2 KIR3DL1 allotypes differing only at these 3 positions showed significant differences in binding B*57:01 tetramers, whereas the protective allotype showed lower binding. Thus, variation in an immune NK cell receptor that binds B*57:01 modifies its protection. These data highlight the exquisite specificity of KIR-HLA interactions in human health and disease.
Keywords
Date
2018
Type
Journal article
Journal
Journal of Clinical Investigation
Book
Volume
128
Issue
5
Page Range
1903-1912
Article Number
ACU Department
Marketing and Communications
Research Office
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Open Access Status
License
All rights reserved
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Controlled
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