RT Journal Article T1 CD46 Genetic Variability and HIV-1 Infection Susceptibility A1 Serrano-Risquez, Carmen A1 Omar, Mohamed A1 Amparo Gomez-Vidal, Maria A1 Miguel Real, Luis A1 Antonio Pineda, Juan A1 Rivero, Antonio A1 Rivero-Juarez, Antonio A1 Forthal, Donald A1 Marquez, Francisco J. A1 Lo Caputo, Sergio A1 Clerici, Mario A1 Biasin, Mara A1 Caruz, Antonio K1 HIV-1 K1 HIV exposed seronegative K1 HESN K1 CD46 K1 complement K1 Recombinant glycoprotein-120 vaccine K1 Complement regulatory proteins K1 Natural-resistance K1 Dendritic cells K1 Nitric-oxide K1 Receptor K1 Expression K1 Polymorphisms K1 Individuals K1 Association AB CD46 is the main receptor for complement protein C3 and plays an important role in adaptive immune responses. CD46 genetic variants are associated with susceptibility to several infectious and autoimmune diseases. Additionally, CD46 function can be subverted by HIV-1 to evade attack by complement, a strategy shared by viruses of other families. We sought to determine the association between CD46 gene variants and HIV-1 acquired through intravenous drug use (IDU) and sexual routes (n = 823). Study subjects were of European ancestry and were HIV-1 infected (n = 438) or exposed but seronegative (n = 387). Genotyping of the rs2796265 SNP located in the CD46 gene region was done by allele-specific real-time PCR. A meta-analysis merging IDU and sexual cohorts indicates that the minor genotype (CC) was associated with increased resistance to HIV-1 infection OR = 0.2, 95% CI (0.07-0.61), p = 0.004. The HIV-1-protective genotype is correlated with reduced CD46 expression and alterations in the ratio of CD46 mRNA splicing isoforms. PB Mdpi YR 2021 FD 2021-11-01 LK https://hdl.handle.net/10668/25700 UL https://hdl.handle.net/10668/25700 LA en DS RISalud RD Apr 11, 2025