Table 1.
HLA associations with HIV-1 disease
| HLA genotype | Epidemiological effect | Suggested mechanism |
|---|---|---|
| HLA class I homozygosity | Accelerated disease progression | Narrow CTL response(30, 32). Viral escape from common alleles (33, 34). |
| B*57 | Slow disease progression | Broad reactivity across multiple conserved gag epitopes and reduced viral fitness of escape variants (44, 55, 56, 191). |
| B*27 | Slow disease progression | Presents a conserved immunodominant gag epitope that requires a complex pattern of mutation for escape (46, 64–66). |
| B*35-Px | Accelerated disease progression | Peptide binding specificity (71). Interaction with ILT4 resulting in dendritic cell dysfunction (78). |
| Bw4 | Slow disease progression | More effective HIV-1-specific responses (84). |
| B*51 | Slow disease progression | Strong CTL response to Gag and Pol epitopes (192) |
| B*58:01 | Slow disease progression | Strong CTL response to Gag epitope (35) |
| B*58:02 | Accelerated disease progression | Ineffective CTL response to Env epitope (90) |
| B*13 | Slow disease progression | Targeting of a conserved nef epitope (86). Broad Gag-specific CD8+ response (87). |
| B*81:01 | Slow disease progression | Lower replication capacity of escape variants (89). |
| DR13 supertype & DRB1*13- DQB1*06 haplotype | Slow disease progression | Selection of a highly conserved Th1 gag epitope (102) |
| DRB1*01 | Protection against infection | Unknown (98, 99) |
| DRB1*15:03 | Increased susceptibility to infection | Unknown (98, 99) |
| DRB1*13:03 | Reduced viral load levels | Unknown (101) |