Chemokine receptor genotype and response to interleukin-2 therapy in HIV-1-infected individuals

Interleukin-2 therapy is an immune-based treatment for HIV-1-infected individuals with declining CD4(+) T cell counts. Intravenous IL-2 produces an elevation of circulating CD4(+) T cells, but with a varying degree of effectiveness in individual patients. IL-2 is also known to increase the expressio...

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Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 106(2003), 1 vom: 01. Jan., Seite 36-40
1. Verfasser: Clegg, Alison (VerfasserIn)
Weitere Verfasser: Williamson, Peter, Biti, Robyn, Cooper, David, Emery, Sean, Carr, Andrew, Stewart, Graeme
Format: Aufsatz
Sprache:English
Veröffentlicht: 2003
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Clinical Trial Journal Article Research Support, Non-U.S. Gov't CCR2 protein, human Interleukin-2 Receptors, CCR2 Receptors, CCR5 Receptors, Chemokine
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245 1 0 |a Chemokine receptor genotype and response to interleukin-2 therapy in HIV-1-infected individuals 
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520 |a Interleukin-2 therapy is an immune-based treatment for HIV-1-infected individuals with declining CD4(+) T cell counts. Intravenous IL-2 produces an elevation of circulating CD4(+) T cells, but with a varying degree of effectiveness in individual patients. IL-2 is also known to increase the expression of chemokine receptors, coreceptors for HIV-1. Allelic variation in chemokine receptor genes can markedly affect the course of HIV disease; consequently, we analyzed CCR5 and CCR2B genotypes among a cohort of HIV-1-infected individuals that received IL-2 therapy. DNA was extracted from treated individuals and genotyping was performed using PCR followed by allele-specific detection or cleavage of the amplified product. Samples from 47 trial participants (25 CIV-IL-2 group; 22 placebo group) were analyzed for CCR5 and CCR2B genotype. We report that CCR5 Delta 32 heterozygous individuals had a greater CD4(+) T cell response to continuous intravenous IL-2 (CIV-IL-2) treatment than those homozygous for the wild-type allele (median = 427 vs 237 cells/mm(3); P = 0.03). This study highlights the importance of interactions between IL-2 and CCR5; at the clinical level, it argues for assessment of chemokine receptor genotype in IL-2 and perhaps other immune-based therapy trials 
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650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
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650 7 |a Interleukin-2  |2 NLM 
650 7 |a Receptors, CCR2  |2 NLM 
650 7 |a Receptors, CCR5  |2 NLM 
650 7 |a Receptors, Chemokine  |2 NLM 
700 1 |a Williamson, Peter  |e verfasserin  |4 aut 
700 1 |a Biti, Robyn  |e verfasserin  |4 aut 
700 1 |a Cooper, David  |e verfasserin  |4 aut 
700 1 |a Emery, Sean  |e verfasserin  |4 aut 
700 1 |a Carr, Andrew  |e verfasserin  |4 aut 
700 1 |a Stewart, Graeme  |e verfasserin  |4 aut 
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