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JC Polyomavirus Infection Is Strongly Controlled by Human Leucocyte Antigen Class II Variants

Authors: Sundqvist, Emilie; Buck, Dorothea; Warnke, Clemens; Albrecht, Eva; Gieger, Christian; Khademi, Mohsen; Lima Bomfim, Izaura; +39 Authors

JC Polyomavirus Infection Is Strongly Controlled by Human Leucocyte Antigen Class II Variants

Abstract

JC polyomavirus (JCV) carriers with a compromised immune system, such as in HIV, or subjects on immune-modulating therapies, such as anti VLA-4 therapy may develop progressive multifocal leukoencephalopathy (PML) which is a lytic infection of oligodendrocytes in the brain. Serum antibodies to JCV mark infection occur only in 50-60% of infected individuals, and high JCV-antibody titers seem to increase the risk of developing PML. We here investigated the role of human leukocyte antigen (HLA), instrumental in immune defense in JCV antibody response. Anti-JCV antibody status, as a surrogate for JCV infection, were compared to HLA class I and II alleles in 1621 Scandinavian persons with MS and 1064 population-based Swedish controls and associations were replicated in 718 German persons with MS. HLA-alleles were determined by SNP imputation, sequence specific (SSP) kits and a reverse PCR sequence-specific oligonucleotide (PCR-SSO) method. An initial GWAS screen displayed a strong HLA class II region signal. The HLA-DRB1*15 haplotype was strongly negatively associated to JCV sero-status in Scandinavian MS cases (OR = 0.42, p = 7×10(-15)) and controls (OR = 0.53, p = 2×10(-5)). In contrast, the DQB1*06:03 haplotype was positively associated with JCV sero-status, in Scandinavian MS cases (OR = 1.63, p = 0.006), and controls (OR = 2.69, p = 1×10(-5)). The German dataset confirmed these findings (OR = 0.54, p = 1×10(-4) and OR = 1.58, p = 0.03 respectively for these haplotypes). HLA class II restricted immune responses, and hence CD4+ T cell immunity is pivotal for JCV infection control. Alleles within the HLA-DR1*15 haplotype are associated with a protective effect on JCV infection. Alleles within the DQB1*06:03 haplotype show an opposite association. These associations between JC virus antibody response and human leucocyte antigens supports the notion that CD4+ T cells are crucial in the immune defence to JCV and lays the ground for risk stratification for PML and development of therapy and prevention.

Countries
United States, Denmark, Italy, Switzerland
Keywords

CD4-Positive T-Lymphocytes, Male, QH301-705.5, Immunology, 2405 Parasitology, 610 Medicine & health, Neurodegenerative, Scandinavian and Nordic Countries, Autoimmune Disease, Microbiology, 1311 Genetics, Clinical Research, Virology, 1312 Molecular Biology, 2.1 Biological and endogenous factors, HLA-DQ beta-Chains, Humans, Aetiology, Biology (General), Alleles, 2403 Immunology, Polyomavirus Infections, CD4-Positive T-Lymphocytes; Female; HLA-DQ beta-Chains; HLA-DRB1 Chains; Humans; Male; Polyomavirus Infections; Scandinavian and Nordic Countries; Alleles; Haplotypes; JC Virus; Parasitology; Microbiology; Immunology; Molecular Biology; Genetics; Virology, Prevention, Inflammatory and immune system, 2404 Microbiology, Neurosciences, RC581-607, JC Virus, 10040 Clinic for Neurology, Brain Disorders, International Multiple Sclerosis Genetics Consortium, Infectious Diseases, Haplotypes, Medical Microbiology, 2406 Virology, HIV/AIDS, Immunization, Female, Immunologic diseases. Allergy, Infection, Biotechnology, Research Article, HLA-DRB1 Chains

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
48
Top 10%
Top 10%
Top 10%
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