ROLE OF CHEMOKINE RECEPTOR IN AIDS
Despite repeated exposure to the AIDS virus, some individuals do not exhibit AIDS. Alkhtib et al, 1996, Dean et al, 1996, Deng et al, 1996, Dragic et al, 1996, Feng et al, 1996, Liu et al, 1996, Sampson et al, 1996 have identified a molecular basis for this resistance. Deng et al, (1996) and Dragic et al (1996) identified the C-C chemokine receptor, CMKBR5, as a co-receptor for the human immunodeficiency virus-1 (HIV-1). It seems that both the CMKBR5 and fusin (Feng et al, 1996) contribute to the fusion of HIV-1 with the CD4(+) in the plasma membrane of cells. Based on its similarlity to murine C-C chemokine, the human C-C chemokine receptor gene was isolated from a human genomic DNA library (Sampson et al, 1996). The human gene, which they designated ChemR13, encodes a 352-amino acid protein with a prdicted molecular mass of 40,600 kDa and a potential N-linked glycosylation site. This chemokine receptor serves as a secondary receptor fon the CD4 positive cells for certain strains of HIV-1. Dragic et al, 1996 showed that the beta-chemokines MIP-1alpha, MIP-1beta and RANTES inhibit infection of CD4+ T cells by primary, non-syncytium-inducing (NSI) HIV-1 strains at the virus entry stage, and also block env-mediated cell-cell membrane fusion. Dean et al, 1996 by examination of 1955 patients showed, that among these, the 612 individuals who were exposed to the HIV-1 and remained HIV-1 antibody negative, harbored a deletion of the chemokine receptor 5. This deletion was found at a significantly higher rate in groups of individuals who survived the infection for more than 10 years. Therefore, it was concluded that the deletion in the chemokine receptor may delay the progression of AIDS in patients with HIV infection.
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