4.7 Review

HIV-1 and human genetic variation

Journal

NATURE REVIEWS GENETICS
Volume 22, Issue 10, Pages 645-657

Publisher

NATURE PORTFOLIO
DOI: 10.1038/s41576-021-00378-0

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Research has shown how HIV infection affects human immunity and how human genetic variation impacts our response to HIV. Studies have also found that HIV integrates into the human genome and explored new therapeutic approaches for HIV infection.
Over the past four decades, research on the natural history of HIV infection has described how HIV wreaks havoc on human immunity and causes AIDS. HIV host genomic research, which aims to understand how human genetic variation affects our response to HIV infection, has progressed from early candidate gene studies to recent multi-omic efforts, benefiting from spectacular advances in sequencing technology and data science. In addition to invading cells and co-opting the host machinery for replication, HIV also stably integrates into our own genome. The study of the complex interactions between the human and retroviral genomes has improved our understanding of pathogenic mechanisms and suggested novel preventive and therapeutic approaches against HIV infection. McLaren and Fellay review our current understanding of the effects of human genetic variation on HIV infection and disease progression and how this knowledge is contributing to preventative and therapeutic approaches.

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