2001
DOI: 10.1073/pnas.181325198
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The coreceptor mutation CCR5Δ32 influences the dynamics of HIV epidemics and is selected for by HIV

Abstract: We explore the impact of a host genetic factor on heterosexual HIV epidemics by using a deterministic mathematical model. A protective allele unequally distributed across populations is exemplified in our models by the 32-bp deletion in the host-cell chemokine receptor CCR5, CCR5⌬32. Individuals homozygous for CCR5⌬32 are protected against HIV infection whereas those heterozygous for CCR5⌬32 have lower pre-AIDS viral loads and delayed progression to AIDS. CCR5⌬32 may limit HIV spread by decreasing the probabil… Show more

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Cited by 41 publications
(31 citation statements)
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“…STD models based on frequency-dependent transmission-the classical analytic formulation-are published often and prominently, typically nested in models addressing larger topics such as drug resistance or competition between strains (e.g. Thrall & Antonovics 1997;Blower et al 1998Blower et al , 2000Bowden & Garnett 2000;Sullivan et al 2001;Boots & Knell 2002). In their review of STD modelling, Anderson & Garnett (2000) point out that simpler models are complementary to complex simulations and help to extract general principles and reach robust conclusions, which aid in policy development (though see Garnett et al (1999) for a discussion of potential shortcomings).…”
Section: Introductionmentioning
confidence: 99%
“…STD models based on frequency-dependent transmission-the classical analytic formulation-are published often and prominently, typically nested in models addressing larger topics such as drug resistance or competition between strains (e.g. Thrall & Antonovics 1997;Blower et al 1998Blower et al , 2000Bowden & Garnett 2000;Sullivan et al 2001;Boots & Knell 2002). In their review of STD modelling, Anderson & Garnett (2000) point out that simpler models are complementary to complex simulations and help to extract general principles and reach robust conclusions, which aid in policy development (though see Garnett et al (1999) for a discussion of potential shortcomings).…”
Section: Introductionmentioning
confidence: 99%
“…Despite intense research, only a relatively small number of regions and genes have been directly implicated as targets of selection in the human genome (Kitano and Saitou 1999;Rana et al 1999;Huttley et al 2000;Hollox et al 2001;Hull et al 2001;Hurst and Pal 2001;Koda et al 2001;Sullivan et al 2001;Tishkoff et al 2001;Baum et al 2002;Fullerton et al 2002;Gilad et al 2002;Hamblin et al 2002). A more comprehensive and genomic understanding of how and where natural selection has shaped patterns of genetic variation may provide important insights into the mechanisms of evolutionary change (Otto 2000), guide selection of loci for inclusion in population genetic studies (Vitalis et al 2001), facilitate the annotation of functionally significant genomic regions (Nielsen 2001), and help elucidate genotype-phenotype correlations in complex diseases (Przeworski et al 2000;Nielsen 2001).…”
mentioning
confidence: 99%
“…Depletion (or neutralization) of the cytokine IL-17 was shown to be a necessary factor in development of acquired immunity to Streptococcus pneumoniae (Lu et al, 2008). Humans with the mutation CCR5D32 are missing the chemokine receptor CCR5 and are protected from HIV-1 infection (Sullivan et al, 2001). As a final example, patients with latent TB who are treated with anti-tumour necrosis factor (TNF) drugs for their rheumatoid arthritis suffer reactive TB, suggesting that TNF plays a major role in containing infection (Wallis et al, 2004).…”
Section: Example 4: Modelling Approaches To Complement Genetic Deletimentioning
confidence: 99%