rs333

mixedMag 9.0

This is a frameshift variant variant in the CCR5 gene.

Key Literature Trait Associations

HIV-1 Infection Resistance

The CCR5-Δ32 deletion produces a truncated, non-functional CCR5 coreceptor that cannot support HIV-1 cell entry. Homozygous carriers (D/D) are nearly completely resistant to R5-tropic HIV-1 infection; in a study of 1,955 individuals across six AIDS cohorts, all 17 Δ32 homozygotes were found exclusively among the 612 exposed but HIV-seronegative subjects, with none among 1,343 HIV-infected individuals. The allele frequency is approximately 10% in European populations and is absent in African and East Asian populations.

Allele D
OR 0.25
p
N 11,069
Meta-analysis
multi-ancestry (predominantly European)
Allele D
OR 1.02
p
N 12,000
Meta-analysis
multi-ancestry

West Nile Virus Susceptibility

CCR5 is required for leukocyte trafficking to the brain during West Nile virus (WNV) infection. In two independent cohorts, CCR5-Δ32 homozygotes were markedly overrepresented among symptomatic WNV patients: OR = 4.4 (95% CI 1.6–11.8, P = 0.0013) in Arizona and OR = 9.1 (95% CI 3.4–24.8, P < 0.0001) in Colorado, compared with 1.0% homozygote frequency in healthy controls.

Glass WG et al. CCR5 deficiency increases risk of symptomatic West Nile virus infection. The Journal of Experimental Medicine 203(1):35-40 (2006)
Allele D
OR 4.40
p 1.3e-3
Candidate gene study
Allele D
OR
p 2.0e-3
N 34,766,863
Preliminary work
European American

HIV-1 Disease Progression

Heterozygous carriers of CCR5-Δ32 (D/I) who become HIV-infected show significantly delayed progression to AIDS and death. An international meta-analysis of 19 cohorts found that heterozygosity conferred a 26% reduction in risk of progression to AIDS (RH = 0.74, P = 0.01) and a 36% reduction in risk of death (RH = 0.64, P < 0.05) among seroconverters. Heterozygotes also had lower HIV-1 viral load set points, with a mean reduction of 0.18 log₁₀ copies/mL.

Allele I
OR
p
N 1,850
Preliminary work
European and African
Allele I
OR
p
N 1,317
Meta-analysis
multi-ancestry (children)

Research that mentions this SNP (4)

CCR5Δ32 (rs333) polymorphism is associated with the susceptibility to systemic lupus erythematosus in female Brazilian patients
AssociationN=301Thiago Hissnauer Leal Baltus et al.(2016)· Rheumatology International

CCR5 ∆32 (rs333) polymorphism is associated with increased susceptibility to systemic lupus erythematosus in female Brazilian patients. Heterozygous (CCR5/CCR5∆32) and homozygous (CCR5∆32/CCR5∆32) carriers showed significantly higher frequencies compared to healthy controls (11.8% vs 3.8% in controls, OR 3.604, 95% CI 1.321-9.836, p=0.0081). The association was stronger in Caucasian patients (OR 3.933, 95% CI 1.109-13.95, p=0.0286).

Traits studied:Systemic lupus erythematosus
Genome‐wide association study of neurocognitive impairment and dementia in HIV‐infected adults
AssociationN=1,287Andrew J. Levine et al.(2012)· American Journal of Medical Genetics Part B: Neuropsychiatric Genetics

First genome-wide association study (GWAS) of HIV-associated neurocognitive disorders (HAND) in 1287 HIV-infected adults from the Multicenter AIDS Cohort Study. The study examined neurocognitive decline in processing speed and executive functioning over time, as well as prevalence of HIV-associated dementia and neurocognitive impairment across ~2.5 million SNPs. No genome-wide significant associations were identified with any neurocognitive phenotype examined. Previously reported candidate gene associations with HAND (including rs1130371 in MIP1α, rs1800629 in TNFα, rs1801157 in SDF-1, and rs2839619 in PREP1) were not validated in this study.

Traits studied:Executive functioning declineHIV-associated dementia (HAD)HIV-associated neurocognitive disorder (HAND)Neurocognitive impairment (NCI)Processing speed decline
Limited use of interleukin 28B in the setting of response-guided treatment with detailed on-treatment virological monitoring
ReviewAlessandra Mangia et al.(2011)· Hepatology

This is a special issue of the Italian medical journal BeAdfiles (September 2012) dedicated to genetic conditioning in HIV and hepatitis virus infections. It reviews the major genetic polymorphisms that influence disease progression, treatment response, and drug toxicity in HIV and chronic hepatitis B and C infections, with particular emphasis on IL28B polymorphisms (rs809917 and others) predicting HCV treatment response to interferon-alpha and ribavirin therapy, and ITPA gene variants protecting against ribavirin-induced anemia. The issue also covers pharmacogenetic markers (CYP2B6, ABCB1, HLA-B*5701) and their clinical applications in antiretroviral therapy.

Traits studied:AIDS progressionAntiretroviral therapy toxicityChronic hepatitis C sustained virological responseCreutzfeldt-Jakob diseaseDyslipidemiaEfavirenz side effectsHIV infection and progressionHepatitis B virus infectionHepatitis C genotype 1 response to interferonHepatitis C virus infectionHyperbilirubinemiaLeprosyLipodystrophyNeisseria meningitidis infectionNorovirus diarrheaPlasmodium falciparum malariaPlasmodium vivax malariaRenal impairmentRibavirin-induced anemiaTreatment response to interferon and ribavirinTuberculosis
Role of Toll-like Receptor 4 in Acute Myocardial Infarction and Longevity
ReviewBalistreri CR et al.(2004)· JAMA

A review article examining the genetic basis of COVID-19 susceptibility and protection from a longevity model perspective. The authors propose that genetic variants in the renin-angiotensin system (ACE, ACE2, AT1R, ANGIOTENSINOGEN), innate immunity genes (TLR4, CCR5, Connexin37), inflammatory cytokines (IL-6, IL-10, TNF-α, IFN-γ), and coagulation factors (PAI-1, Factor V) may influence COVID-19 outcomes, with long-lived individuals (nonagenarians/centenarians) serving as a model for identifying protective genetic profiles.

Traits studied:Age-related diseasesCOVID-19 susceptibility and severityEssential hypertensionInflammatory responseLongevitySARS-CoV-2 infection outcomes

Gene information from NCBI Gene. Variant classifications from ClinVar.

Community Wiki

No community notes yet for this variant. Sign in to start one.

Comments

Sign in to join the discussion.

Loading comments…