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Blood, 14 May 2009, Vol. 113, No. 20, pp. 4980-4991.
Prepublished online as a Blood First Edition Paper on January 12, 2009; DOI 10.1182/blood-2008-03-143396.


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Submitted March 14, 2008
Accepted December 11, 2008

The human Pk histo-blood group antigen provides protection against HIV-1 infection

Nicole Lund, Martin L. Olsson, Stephanie Ramkumar, Darinka Sakac, Vered Yahalom, Cyril Levene, Asa Hellberg, Xue-Zhong Ma, Beth Binnington, Daniel Jung, Clifford A. Lingwood, and Donald R. Branch*

Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada
Division of Hematology and Transfusion Medicine, Department of Laboratory Medicine, Lund University & University Hospital Blood Centre, Lund, Sweden
Canadian Blood Services, Toronto, Canada
Magen David Adom National Blood Services, Ramat Gan, Israel
Department of Medicine, University of Toronto, Toronto, Canada
Reseach Institute, Hospital for Sick Children, Toronto, Canada
Hema-Quebec Research & Development, Quebec, Canada
Department of Biochemistry, University of Toronto, Toronto, Canada
Division of Cell and Molecular Biology, Toronto General Research Institute of the University Health Network, Toronto, Canada

* Corresponding author; email: don.branch{at}utoronto.ca.

Several human histo-blood groups are glycosphingolipids (GSLs), including P/P1/Pk. GSLs are implicated in HIV-host-cell-fusion and several bind to HIV-gp120 in vitro. Based on our previous studies on Fabry disease, where Pk accumulates and reduces infection, and a soluble Pk-analogue that inhibits infection, we investigated cell-surface-expressed Pk in HIV infection. HIV-1 infection of peripheral blood-derived mononuclear cells (PBMCs) from otherwise healthy individuals, with blood group P1k, where Pk is over-expressed, or blood group p, that completely lack Pk, were compared to draw-date-matched controls. FACS analysis and/or TLC were used to verify Pk levels. P1k PBMCs were highly resistant to R5 and X4 HIV-1 infection. In contrast, p PBMCs showed 10- to 1000-fold increased susceptibility to HIV-1 infection. Surface and total cell expression of Pk, but not CD4 or chemokine co-receptor expression, correlated with infection. Pk-liposome fused cells, and CD4+-HeLa cells manipulated to express high or low Pk levels confirmed a protective effect of Pk. We conclude that Pk expression strongly influences susceptibility to HIV-1 infection which implicates Pk as a new endogenous cell-surface factor that may provide protection against HIV-1 infection.


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Related Article in Blood Online:

A new role for Pk: finding the 1 in a million
Christopher D. Hillyer
Blood 2009 113: 4826-4827. [Full Text] [PDF]



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C. D. Hillyer
A new role for Pk: finding the 1 in a million
Blood, May 14, 2009; 113(20): 4826 - 4827.
[Full Text] [PDF]



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