[HTML][HTML] Loss of viral fitness and cross-recognition by CD8+ T cells limit HCV escape from a protective HLA-B27–restricted human immune response

E Dazert, C Neumann-Haefelin… - The Journal of …, 2009 - Am Soc Clin Investig
E Dazert, C Neumann-Haefelin, S Bressanelli, K Fitzmaurice, J Kort, J Timm, S McKiernan
The Journal of clinical investigation, 2009Am Soc Clin Investig
There is an association between expression of the MHC class I molecule HLA-B27 and
protection following human infection with either HIV or HCV. In both cases, protection has
been linked to HLA-B27 presentation of a single immunodominant viral peptide epitope to
CD8+ T cells. If HIV mutates the HLA-B27–binding anchor of this epitope to escape the
protective immune response, the result is a less-fit virus that requires additional
compensatory clustered mutations. Here, we sought to determine whether the …
There is an association between expression of the MHC class I molecule HLA-B27 and protection following human infection with either HIV or HCV. In both cases, protection has been linked to HLA-B27 presentation of a single immunodominant viral peptide epitope to CD8+ T cells. If HIV mutates the HLA-B27–binding anchor of this epitope to escape the protective immune response, the result is a less-fit virus that requires additional compensatory clustered mutations. Here, we sought to determine whether the immunodominant HLA-B27–restricted HCV epitope was similarly constrained by analyzing the replication competence and immunogenicity of different escape mutants. Interestingly, in most HLA-B27–positive patients chronically infected with HCV, the escape mutations spared the HLA-B27–binding anchor. Instead, the escape mutations were clustered at other sites within the epitope and had only a modest impact on replication competence. Further analysis revealed that the cluster of mutations is required for efficient escape because a combination of mutations is needed to impair T cell recognition of the epitope. Artificially introduced mutations at the HLA-B27–binding anchors were found to be either completely cross-reactive or to lead to substantial loss of fitness. These results suggest that protection by HLA-B27 in HCV infection can be explained by the requirement to accumulate a cluster of mutations within the immunodominant epitope to escape T cell recognition.
The Journal of Clinical Investigation