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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.
Submitted March 14, 2008
Department of Laboratory Medicine and Pathobiology, University of Toronto, 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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