2004
DOI: 10.1038/nm992
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HIV evolution: CTL escape mutation and reversion after transmission

Abstract: Within-patient HIV evolution reflects the strong selection pressure driving viral escape from cytotoxic T-lymphocyte (CTL) recognition. Whether this intrapatient accumulation of escape mutations translates into HIV evolution at the population level has not been evaluated. We studied over 300 patients drawn from the B- and C-clade epidemics, focusing on human leukocyte antigen (HLA) alleles HLA-B57 and HLA-B5801, which are associated with long-term HIV control and are therefore likely to exert strong selection … Show more

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Cited by 764 publications
(950 citation statements)
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“…Protective HLA alleles, such as HLA-B*57, -B*58, and -B*27, select Gag mutations affecting viral replication in Caucasians and Africans (36)(37)(38)(39)(40)(41) that may also provide some clinical benefit if they are transmitted to hosts lacking these alleles (42,43). HLA-B*57, -B*58, and -B*27 are not present at appreciable frequencies in Japan (23).…”
Section: Discussionmentioning
confidence: 99%
“…Protective HLA alleles, such as HLA-B*57, -B*58, and -B*27, select Gag mutations affecting viral replication in Caucasians and Africans (36)(37)(38)(39)(40)(41) that may also provide some clinical benefit if they are transmitted to hosts lacking these alleles (42,43). HLA-B*57, -B*58, and -B*27 are not present at appreciable frequencies in Japan (23).…”
Section: Discussionmentioning
confidence: 99%
“…Although subdominant epitopes elicit fewer responding T cells, they are ostensibly protective in particular cohorts of patients with active infection (5,6,9,21,76). The most direct evidence that subdominant responses are important for HIV-1 control comes from a recent report in macaques that spontaneously controlled pathogenic SIV.…”
Section: Discussionmentioning
confidence: 99%
“…MHC-defined Indian rhesus macaques provide an excellent resource for elucidating the influence of particular MHC alleles in SIV disease progression. Both the human allele HLA-B*57 and the rhesus allele Mamu-B*17 are overrepresented among long-term nonprogressors (21,31), and both alleles present immunologically relevant HIV-or SIV-derived peptides to CD8 ϩ T cells (15,16,22,23). However, not all HLA-B*57-positive infected individuals or Mamu-B*17-positive infected rhesuses suppress viral replication (21,31).…”
mentioning
confidence: 99%