APOBEC3B deletion and risk of HIV-1 acquisition.

An, Ping; Johnson, Randall; Phair, John; Kirk, Gregory D; Yu, Xiao-Fang; Donfield, Sharyne; Buchbinder, Susan; Goedert, James J et al. · J Infect Dis · 2009

retrospective_cohort · Level III

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Abstract

The human APOBEC3 family of cytidine deaminases provides intrinsic immunity to retroviral infection. A naturally occurring 29.5-kb deletion removes the entire APOBEC3B gene. We examined the impact of the APOBEC3B gene deletion in >4000 individuals from 5 human immunodeficiency virus type 1 (HIV-1) natural history cohorts. The hemizygous genotype had no effect on either acquisition of HIV-1 infection or progression to AIDS. However, the homozygous deletion was significantly associated with unfavorable outcomes for HIV-1 acquisition (odds ratio, 7.37; P= .024), progression to AIDS (relative hazard, 4.01; P=. 03), and viral set point (P= .04). These findings suggest that the loss of APOBEC3B may increase host susceptibility to HIV-1 acquisition and progression to AIDS and warrant further study.

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