Selection, transmission, and reversion of an antigen-processing cytotoxic T-lymphocyte escape mutation in human immunodeficiency virus type 1 infection

TM Allen, M Altfeld, XG Yu, KM O'Sullivan… - Journal of …, 2004 - Am Soc Microbiol
TM Allen, M Altfeld, XG Yu, KM O'Sullivan, M Lichterfeld, S Le Gall, M John, BR Mothe…
Journal of virology, 2004Am Soc Microbiol
Numerous studies now support that human immunodeficiency virus type 1 (HIV-1) evolution
is influenced by immune selection pressure, with population studies showing an association
between specific HLA alleles and mutations within defined cytotoxic T-lymphocyte epitopes.
Here we combine sequence data and functional studies of CD8 T-cell responses to
demonstrate that allele-specific immune pressures also select for mutations flanking CD8
epitopes that impair antigen processing. In persons expressing HLA-A3, we demonstrate …
Abstract
Numerous studies now support that human immunodeficiency virus type 1 (HIV-1) evolution is influenced by immune selection pressure, with population studies showing an association between specific HLA alleles and mutations within defined cytotoxic T-lymphocyte epitopes. Here we combine sequence data and functional studies of CD8 T-cell responses to demonstrate that allele-specific immune pressures also select for mutations flanking CD8 epitopes that impair antigen processing. In persons expressing HLA-A3, we demonstrate consistent selection for a mutation in a C-terminal flanking residue of the normally immunodominant Gag KK9 epitope that prevents its processing and presentation, resulting in a rapid decline in the CD8 T-cell response. This single amino acid substitution also lies within a second HLA-A3-restricted epitope, with the mutation directly impairing recognition by CD8 T cells. Transmission of the mutation to subjects expressing HLA-A3 was shown to prevent the induction of normally immunodominant acute-phase responses to both epitopes. However, subsequent in vivo reversion of the mutation was coincident with delayed induction of new CD8 T-cell responses to both epitopes. These data demonstrate that mutations within the flanking region of an HIV-1 epitope can impair recognition by an established CD8 T-cell response and that transmission of these mutations alters the acute-phase CD8+ T-cell response. Moreover, reversion of these mutations in the absence of the original immune pressure reveals the potential plasticity of immunologically selected evolutionary changes.
American Society for Microbiology