“…Furthermore, it is noteworthy that the CDKN1A gene is located on chromosome 6 in relative proximity to MHC class I genes, some of which are significantly associated with the elite controller phenotype (10,30). Although we did not observe any relationship between p21 expression intensity in CD4 + T cells and protective HLA alleles, such as HLA-B57 and HLA-B27, it remains to be determined in larger studies whether MHC class I gene polymorphisms associated with better HIV-1 disease outcomes are linked to specific mutations in the CDKN1A gene (31,32) that may affect its expression. Moreover, the transcription factor Foxo3A, which may be involved in the regulation of CDKN1A gene expression, is uniquely expressed in CD4 + T cells from elite controllers (33), and it will be important to analyze whether it participates in the epigenetic control of high-level p21 expression in such cells.…”