Abstract:
Understanding the mechanisms that confer protection against progressive infection with
HIV-1 may be useful in the development of appropriate interventions. The impact of
CX3CR1 gene polymorphisms on human immunodeficiency virus type 1 (HIV-1)
pathogenesis is controversial, with conflicting reports of their role in disease progression
in HIV-1 infected individuals. This study was carried out to characterize gene
polymorphisms of the CX3CR1 co-receptor gene among HIV infected adults and infants
in Nairobi Province. The CX3CR1 gene T280M and V249I mutations were identified by
PCR–RFLP analysis after amplification of a 588 base pair sequence of CX3CR1 gene. In
determining the presence of T280M and V249I haplotypes it was found that overall,
infants had higher percentages of the wild type alleles at (42% and 45%) respectively
compared to adults (37% and 36%) respectively (p>0.05). In the case of heterozygous
mutants, adults had higher percentages (11% and 12%) respectively than among infants
(7% and 4%) respectively (p>0.05). Adults had also higher percentages of homozygous
mutants of (2%) compared to infants (1%) this was not statistically significant (p>0.05)
and that the differences in mutations of CX3CR1 gene allele in I249 and M280 was
p=0.075 and p=0.215 respectively which was not statistically significant (p>0.05). This
study showed that CX3CR1 gene polymorphisms do exist in Nairobi Province though the
numbers of mutations are at very low levels to warrant any meaningful impact in the
population in terms of HIV-1 disease progression. It is probable that alternative
mechanisms are operating in conferring resistance to HIV-I infection. Further in vitro
cellular studies need to be carried out to determine the exact role of CX3CR1 gene
mutations in HIV/AIDS pathogenesis and that the results be used to form a baseline study
for future cohort studies to be done in Kenya.
