CCR5 Promoter Polymorphism -2459G > A: Forgotten or Ignored?

Cells

Center for Global Health and Diseases, Case Western Reserve University School of Medicine, Cleveland, OH, USA.

Published: June 2019

C-C chemokine receptor 5 () polymorphisms, particularly a 32-base pair deletion (∆32) in the open reading frame and -2459G > A in the promoter, are well known for their associations with HIV-1 infection and/or disease progression in a variety of studies. In this era of an HIV cure, where all the emphasis is on ∆32, it seems that -2459G > A has been forgotten or ignored. There is significant importance in the incorporation of the -2459G > A genotype information into studies evaluating new immunologic and chemotherapeutic strategies, and those designing and implementing better treatment strategies with current antiretroviral therapy, doing so would enable a better understanding of the response to the intervention, due to a mechanistic or constitutive explanation. Until we find a strategy, whether a stem-cell transplantation or editing approach or something else, that delivers a cure to the millions, we should make use of every piece of information that may help curtail HIV/AIDS as a threat to public health.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6678430PMC
http://dx.doi.org/10.3390/cells8070651DOI Listing

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C-C chemokine receptor 5 () polymorphisms, particularly a 32-base pair deletion (∆32) in the open reading frame and -2459G > A in the promoter, are well known for their associations with HIV-1 infection and/or disease progression in a variety of studies. In this era of an HIV cure, where all the emphasis is on ∆32, it seems that -2459G > A has been forgotten or ignored. There is significant importance in the incorporation of the -2459G > A genotype information into studies evaluating new immunologic and chemotherapeutic strategies, and those designing and implementing better treatment strategies with current antiretroviral therapy, doing so would enable a better understanding of the response to the intervention, due to a mechanistic or constitutive explanation.

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