Document Detail


Effect of host genetics on the development of cytomegalovirus retinitis in patients with AIDS.
MedLine Citation:
PMID:  20617924     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Cytomegalovirus (CMV) retinitis is a common opportunistic infection among patients with AIDS and still causes visual morbidity despite the wide spread usage of highly active antiretroviral therapy (HAART). The ubiquitous CMV pathogen contains a human interleukin-10 (IL-10) homolog in its genome and utilizes it to evade host immune reactions through an IL-10 receptor mediated immune-suppression pathway.
METHODS: Effects of IL-10R1, IL-10 and previously described AIDS restriction gene variants are investigated on the development of CMV retinitis in the Longitudinal Study of the Ocular Complications of AIDS (LSOCA) cohort (N = 1284).
RESULTS: In European Americans (n = 750), a haplotype carrying an amino acid changing variation in the cytoplasmic domain (S420L) of IL-10R1 can be protective (OR, 0.14; 95% CI, 0.02-0.94; P = .04) against, whereas another haplotype carrying an amino acid changing variation in the extracellular domain (I224V) of IL-10R1 can be more susceptible (OR, 6.21; 95% CI, 1.22- 31.54; P = .03) to CMV retinitis. In African Americans (n = 534), potential effects of IL-10 variants are observed.
CONCLUSION: Host genetics may have a role in the occurrence of CMV retinitis in patients infected with HIV.
Authors:
Efe Sezgin; Douglas A Jabs; Sher L Hendrickson; Mark Van Natta; Alexander Zdanov; Richard Alan Lewis; Michael W Smith; Jennifer L Troyer; Stephen J O'Brien;
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  The Journal of infectious diseases     Volume:  202     ISSN:  1537-6613     ISO Abbreviation:  J. Infect. Dis.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-31     Completed Date:  2010-09-16     Revised Date:  2012-03-08    
Medline Journal Info:
Nlm Unique ID:  0413675     Medline TA:  J Infect Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  606-13     Citation Subset:  AIM; IM    
Affiliation:
Laboratory of Genomic Diversity, SAIC-Frederick, National Cancer Institute, Frederick, Maryland 21702-1201, USA. sezginef@mail.nih.gov
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MeSH Terms
Descriptor/Qualifier:
AIDS-Related Opportunistic Infections / epidemiology,  genetics*,  immunology*
Acquired Immunodeficiency Syndrome / complications*
Adult
African Americans
Cytomegalovirus Retinitis / epidemiology,  genetics*
European Continental Ancestry Group
Female
Gene Frequency
Genetic Predisposition to Disease*
Humans
Immunity, Innate*
Interleukin-10 / genetics
Interleukin-10 Receptor alpha Subunit / genetics
Longitudinal Studies
Male
Middle Aged
Polymorphism, Genetic
United States
Grant Support
ID/Acronym/Agency:
HHSN261200800001E//PHS HHS; U10-EY-08052/EY/NEI NIH HHS; U10-EY-08057/EY/NEI NIH HHS; U10-EY-08067/EY/NEI NIH HHS; Z99 CA999999/CA/NCI NIH HHS
Chemical
Reg. No./Substance:
0/Interleukin-10 Receptor alpha Subunit; 130068-27-8/Interleukin-10
Comments/Corrections

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