Abstract

Millions are exposed to the human immunodeficiency virus type 1 (HIV-1) every year, but not all acquire the virus, suggesting a potential role for host genetics in the moderation of HIV-1 acquisition. Here, we analyzed summary statistics from the largest genome-wide association study of HIV-1 acquisition to-date, consisting of 6,334 infected patients and 7,247 population controls, to advance our understanding of the genetic mechanisms implicated in this trait. We found that HIV-1 acquisition is polygenic and heritable, with SNP heritability estimates explaining 28–42% of the variance in this trait at a population level. Genetic correlations alongside UK Biobank data revealed associations with smoking, prospective memory and socioeconomic traits. Gene-level enrichment analysis identified EF-hand calcium binding domain 14 as a novel susceptibility gene for HIV–1 acquisition. We also observed that susceptibility variants for HIV-1 acquisition were significantly enriched for genes expressed in T-cells, but also in striatal and hippocampal neurons. Finally, we tested how polygenic risk scores for HIV-1 acquisition influence blood levels of 35 inflammatory markers in 406 HIV-1-negative individuals. We found that higher genetic risk for HIV-1 acquisition was associated with lower levels of C-C motif chemokine ligand 17. Our findings corroborate a complex model for HIV-1 acquisition, whereby susceptibility is partly heritable and moderated by specific behavioral, cellular and immunological parameters.

Highlights

  • Analysis with SumHer-GC showed a higher estimate of single nucleotide polymorphism (SNP) h2 (0.42 ± 0.08), consistent with Linkage Disequilibrium Adjusted Kinships (LDAK) being able to capture a larger proportion of SNPs contributing to SNP h2, relative to Linkage Disequilibrium Score Regression (LDSC)

  • To better understand which behavioral parameters might be important in moderating human immunodeficiency virus type 1 (HIV-1) acquisition, we performed genetic correlation analyses leveraging on genome-wide association studies (GWAS) data from 516 heritable traits assessed in the UK Biobank via LD Hub, which contains genetic association results from up to 488,377 individuals

  • The genetic aspects of HIV-1 acquisition have been understudied, in part because no robust genome-wide significant variants were found in early studies[10,11,12,13,14,15,16], which led to the premature assumption that acquisition was not substantially moderated by common genetic variants

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Summary

Objectives

We aimed to investigate the cellular basis for the biological and behavioral parameters implicated in HIV-1 acquisition, and investigated the cell types enriched for variants associated with this trait. We aimed to assess how HIV-1 acquisition risk might be moderated by an individual’s immune profile prior to infection, and so we tested how polygenic risk for HIV-1 acquisition correlated with the expression of 35 inflammatory markers

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