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Toll Like Receptor 2 promoter -196 to -174 deletion affects CD4 levels along HIV infection progression.
The Journal of Infectious Diseases ( IF 5.0 ) Pub Date : 2020-06-09 , DOI: 10.1093/infdis/jiaa327
Marina Laplana 1, 2 , Maria Jose Bravo 3 , Marta Fernández-Fuertes 4 , Celia Ruiz-Garcia 5 , Emilio Alarcón-Martin 3 , Juan de Dios Colmenero 6 , Antonio Caruz 5 , Joan Fibla 1 , Luis Miguel Real 3, 4 , Jose Luis Royo 3
Affiliation  

Abstract
Toll-like receptor 2 (TLR2) plays a key role in innate immune response recognizing molecular patterns expressed by pathogens. rs111200466 is a TLR2 promoter insertion/deletion polymorphism with contradictory data about its role in human immunodeficiency virus type 1 (HIV-1) infection. We analyzed rs111200466 in HIV-1 disease progression and showed a correlation with a faster progression to the CD4+ < 200 cells/μL outcome for deletion allele carriers (Cox regression analysis: hazard ratio, 2.4 [95% confidence interval, 1.4–4]; P = .001). When naive patients with CD4+ < 200 cells/μL started antiretroviral treatment, rs111200466-deletion carriers showed a trend toward a slower, recovery rate (time required to reach CD4+ > 350 cells/μL; Cox P = .36). Our data suggest rs111200466 as a prognosis factor for HIV-1 disease progression.


中文翻译:

Toll样受体2启动子-196至-174缺失会影响HIV感染过程中CD4的水平。

摘要
Toll样受体2(TLR2)在识别病原体表达的分子模式的先天免疫应答中起关键作用。rs111200466是TLR2启动子插入/缺失多态性,其在人类1型免疫缺陷病毒(HIV-1)感染中的作用相关数据相互矛盾。我们分析了rs111200466在HIV-1疾病中的进展,并显示与缺失等位基因携带者的CD4 + <200细胞/μL结果更快进展相关(Cox回归分析:危险比,2.4 [95%置信区间,1.4–4] ;P  = 0.001)。当幼稚的CD4 + <200细胞/μL的患者开始接受抗逆转录病毒治疗时,rs111200466-缺失载体显示出恢复速度较慢的趋势(达到CD4 +所需的时间)> 350细胞/μL; Cox P  = 0.36)。我们的数据表明rs111200466是HIV-1疾病进展的预后因素。
更新日期:2020-11-13
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