BioVoice News April 2017 Issue 11 Volume 1 | Página 38

expert corner Over the past several years, population studies in HIV host genetics have unraveled a series of human gene variants that modulate the response to HIV exposure. Genetic studies have identified genetic variants in some chemokine receptors CCR5, CCR2, CX3CR1, CXCR1 and CXCR6 that are associated with HIV-1 acquisition and progression to AIDS and has provided new insights in HIV-1 host genetics. The Genome- Wide Association Studies (GWAS) performed in populations of European ancestry and African- Americans have shown that HLA class I variants (notably HLA-B-*5701 and HLA-B-*5703, respectively) are the strongest determinants of viral control. HLA class I are fundamental 38 BioVoiceNews | April 2017 in immune recognition process and generating cytotoxic T cell (CTL) response; homozygosity for class I alleles limits diversity in epitope recognition, impairing anti-HIV CTL response that leads to faster progression and higher viremia. In this regard, HIV control is observed to be better in individuals with HLA-B*27, B*51 and B*5801, but insufficient in individuals with HLA-B*5802 and alleles from HLA-B35Px group. Besides being key players in CTL activity, HLA class I molecules also serve as ligands for killer cell immunoglobulin- like receptors (KIRs), expressed on the surface of natural killer (NK) cells. KIRs regulate activating or inhibitory signals of NK cells thereby directly modulate the innate immune response of HIV-1 infection. Certain KIR genes and HLA class I allele combinations, particularly KIR3DL1 and KIR3DS1 along with HLA- Bw4 are associated with better HIV-1 control and delay disease progression. Necessity to improve precision of transcriptome analysis It is intriguing that besides the homozygosity in CCR5-^32 decreasing susceptibility to R5 HIV- 1 infection, other genetic associations (CCR2-V64I, SDF1-3’A, RANTES-403A- 28G or 28C, RANTES- In1.1C, DC-SIGN-7/6 or 7/8, DC-SIGNR-7/5, DC-SIGNR-7/7) are biologically still poorly understood. Surpassing the information obtained from genome wide studies, novel approaches including transcriptome and proteome analysis and siRNA screens have been utilized to understand the modulation of prominent anti-viral defense genes in pathogenic versus non-pathogenic infection and NCBI HIV-1 Human Protein Interaction Database summarizes over 3,000 protein interactions with almost 1,500 human genes. These still need to be validated across the disease spectrum and various human ethnic lineages. Of the 1,000 proteins identified using