Human Genetic Variation and HIV/AIDS in Papua New Guinea: Time to Connect the Dots

Curr HIV/AIDS Rep. 2018 Dec;15(6):431-440. doi: 10.1007/s11904-018-0417-9.

Abstract

Purpose of review: Human genetic polymorphisms known to influence HIV acquisition and disease progression occur in Papua New Guinea (PNG). However, no genetic association study has been reported so far. In this article, we review research findings, with a view to stimulate genotype-to-phenotype research.

Recent findings: PNG, a country in Oceania, has a high prevalence of HIV and many sexually transmitted infections. While limited data is available from this country regarding the distribution of human genetic polymorphisms known to influence clinical outcomes of HIV/AIDS, genetic association studies are lacking. Our studies, in the past decade, have revealed that polymorphisms in chemokine receptor-ligand (CCR2-CCR5, CXCL12), innate immune (Toll-like receptor, β-defensin), and antiretroviral drug-metabolism enzyme (CYP2B6, UGT2B7) genes are prevalent in PNG. Although our results need to be validated in further studies, it is urgent to pursue large-scale, comprehensive genetic association studies that include these as well as additional genetic polymorphisms.

Keywords: CCR5; CYP2B6; HIV/AIDS. Human genetic variation; Papua New Guinea.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Genetic Predisposition to Disease*
  • Genetic Variation*
  • HIV
  • HIV Infections / epidemiology*
  • HIV Infections / genetics*
  • Humans
  • Papua New Guinea / epidemiology