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ERAP2 (Endoplasmic Reticulum-Associated Aminopeptidase 2) plays a role in resistance to HIV-1 infection PhD student: Irma Saulle [email protected] Poster: MOPDA0102 University of Milan N C ERAP2 ERAP2 Basic groove ERAP2 trims peptides to optimal size for loading onto MHC I molecules and shapes the antigenic repertoire presented to CD8+ T lymphocytes Introduction ERAP2 gene organization Haplotype A Haplotype B ERAP2-FL ERAP2-AS ERAP2 960 aa 120KDa gtAagga ERAP2 534 aa 60KDa gtGagga Stop codons AIMS To confirm the correlation between ERAP2 haplotypes and susceptibility to HIV-1 infection To understand the mechanism of action of the two haplotypes 2 Results Association study for rs2549782 in HESN Combineda Association study in the Spanish IDU-HESN cohort Phenotype Genotype counts (GG/GT/TT) Genotype counts (recessive model, GG/GT+TT) P (recessive model) OR (95% CI) Het. pvalueb I2 c pmetad ORmetae IDU-HESN 27/46/31 27/77 0.0392 0.50( 0.26 -0.97) 0.42 0 9.6 x10-5 0.41 HC 19/75/36 19/111 homoA subjects are protected from HIV-1 infection Co-segregation analysis of HLA-B*57 with rs2549782 genotypes in HESN and HIV+ Phenotype HESN HIV+ HLA-B*57 status rs2549782 genotype GG (homoA) GT or TT (non-homoA) HLA-B*57+ 6 3 HLA-B*57- 13 46 HLA-B*57+ 5 9 HLA-B*57- 29 144 p value 0.011 0.14 HESN phenotype is associated with the co-presence of the HLA-B*57 allele and the homoA status at ERAP2 3 Results mRNA basal expression for ERAP2-FL, ERAP2-AS and ERAP2-TOT AA AA AA AB AA AB AB AA AB 35 Homo-A (27%) BB AB 64 Hetero-AB (43%) BB BB 40 Homo-B (30%) ERAP2-AS ERAP2-FL BB BB BB ERAP2-TOT P < 0.005 P < 0.005 P < 0.005 120 120 600 P < 0.005 80 400 60 300 60 200 40 20 100 20 0 HomoA HeteroAB HomoB P < 0.005 80 40 0 P < 0.05 100 500 NFOLD NFOLD 100 140 700 NFOLD 140 HomoA HeteroAB HomoB 0 HomoA HeteroAB HomoB Subjects with different ERAP2 genotype express different amounts of ERAP2 4 Results PBMC P < 0.005 CD4+ p24 (pg/ml) log 10 P < 0.005 Subjects with different ERAP2 genotype show a different susceptibility to HIV-1 infection HLA- ABC Mean fluorescence intensity P < 0.005 P < 0.005 P < 0.005 P < 0.005 Uninfected PBMC HIV-infected PBMC The expression of genes involved in antigen processing and presentation, and MHC class I molecules are increased in homoA subjects 5 Conclusion ERAP2 mRNA levels Subjects with different ERAP2 genotypes show different expression of : MHC class I molecules Antigen processing & presentation pathway Different alleles of ERAP2 are able to generate a diverse antigen repertoire capable of activating different and likely more 6 6 protective lymphocyte clones. Chair of Immunology University of Milan Prof. Mario Clerici Prof. Daria Trabattoni Dr. Mara Biasin Dr. Mariacristina De Luca Dr. Francesca La Rosa Dr. Federica Gnudi Dr. Veronica Rainone Dr. Micaela Garziano Dr. Salomè Ibba Dr. Sara Yahyaei Dr. Angela Berzi PhD student: Irma Saulle University of Milan Email: [email protected] Infectious Disease Unit S.M. Annunziata Hospital, Firenze Dr. Sergio Lo Caputo Dr. Francesco Mazzotta Scientific Institute for Recovery and Care E. Medea Dr. Manuela Sironi Dr. Rachele Cagliani Infectious Disease and Microbiology Clinical Unit Valme Hospital, Spain Dr. Juan Macìas Dr. Juan A. Pineda Dr. Antonio Caruz 7