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BeNeLux Bioinformatics Conference – Antwerp, December 7-8 <strong>2015</strong><br />

Abstract ID: P<br />

Poster<br />

10th Benelux Bioinformatics Conference <strong>bbc</strong> <strong>2015</strong><br />

P13. THE ROLE OF HLA ALLELES UNDERLYING CYTOMEGALOVIRUS<br />

SUSCEPTIBILITY IN ALLOGENEIC TRANSPLANT POPULATIONS<br />

Nicolas De Neuter 1,2* , Benson Ogunjimi 3 , Anke Verlinden 4 , Kris Laukens 1,2 & Pieter Meysman 1,2 .<br />

Advanced Database Research and Modeling (ADReM), University of Antwerp 1 ; Biomedical informatics research center<br />

Antwerpen (biomina) 2 ; Centre for Health Economics Research and Modeling Infectious Diseases (CHERMID), Vaccine<br />

and Infectious Disease Institute, University of Antwerp 3 ; Antwerp University Hospital 4 .<br />

* nicolas.deneuter@uantwerpen.be<br />

In this study, we aim to characterize those HLA alleles that increase or decrease the risk of cytomegalovirus infections<br />

following tissue or organ transplants. This HLA-dependent susceptibility will then be explained using state-of-the-art<br />

HLA peptide affinity methods to identify the underlying molecular reason. This insight can greatly aid prediction of<br />

those transplantation patients that are most at risk from cytomegalovirus infection.<br />

INTRODUCTION<br />

Patients suffering from disorders of the hematopoietic<br />

system or with chemo-, radio-, or immuno- sensitive<br />

malignancies such as leukemia often receive<br />

hematopoietic stem cell transplantation therapy (HSCT).<br />

The transplantation is preceded by a conditioning regimen<br />

that eradicates the recipient’s malignant cell population<br />

through intensive chemotherapy and irradiation,<br />

simultaneously ablating the recipient’s bone marrow. Self<br />

(autologous) or non-self (allogeneic) hematopoietic stem<br />

cells are then reintroduced into the recipient after which<br />

they are allowed to reestablish hematopoietic functions.<br />

HSCT is associated with high morbidity and mortality and<br />

requires careful monitoring of patients during the weeks<br />

following transplantation. Opportunistic cytomegalovirus<br />

(CMV) infections are one of the major causes of this high<br />

morbidity and mortality and can occur in up to 80% of<br />

HSCT patients, depending on the use of prophylactic<br />

treatment or pre-emptive therapy and the serological CMV<br />

status of donor and recipient. CMV disease can manifest<br />

itself as life-threatening pneumonia, gastrointestinal<br />

disease, retinitis, encephalitis or hepatitis.<br />

The relevance of HLA alleles in varicella zoster virus<br />

associated disease has recently been demonstrated by our<br />

group (Meysman et al., <strong>2015</strong>) and similar insights might<br />

be gained in CMV related disease. Several studies have<br />

already shown a correlation between the incidence of<br />

CMV infection and the presence of certain human<br />

leukocyte antigens (HLA) alleles in the transplant<br />

recipient. However, the exact alleles identified in previous<br />

studies are very inconsistent, likely due to small sample<br />

sizes and type I multiple testing errors.<br />

METHODS<br />

Anonymized patient records on the HLA alleles, CMV<br />

infection and serological status of 1284 transplant<br />

recipients were collected from the Antwerp University<br />

Hospital (UZA). This data set was further extended with<br />

publicly available HLA data from transplant patient and<br />

the counts for the HLA alleles of each loci present were<br />

combined. A hypergeometric distribution was used to test<br />

HLA loci (A, B, C, DRB1, DQB1 and DPB1) for<br />

statistical over- or underrepresentation of their respective<br />

alleles. HLA alleles were tested for over- or<br />

underrepresentation in two test populations: recipients<br />

who were seropositive for CMV before transplantation<br />

and recipients who developed a CMV infection posttransplantation.<br />

In the later case, we also examined if<br />

donor seropositivity had an influence on the CMV<br />

infection status. The P value cutoff used is 0.05 and was<br />

adjusted with a Bonferroni correction for multiple testing,<br />

in this case the number of alleles tested per loci.<br />

Putative nonameric peptides were generated in silico from<br />

CMV protein sequences available in online protein<br />

sequence repositories such as the UniProt Knowledgebase.<br />

Three complementary methods were employed to predict<br />

the affinity of each putative nonameric peptide to the<br />

significantly enriched or depleted HLA alleles. The<br />

methods used were: NetCTLpan, the stabilized matrix<br />

method (SMM) and an in-house-developed approach<br />

called CRFMHC. Peptide-binding affinity results of each<br />

predictor were normalized against the affinity of a<br />

restricted panel of human proteins and used to compare<br />

results between predictors. Additionally, each CMV<br />

protein was assessed for depletion of high-affinity<br />

peptides using a hypergeometric distribution.<br />

RESULTS<br />

Preliminary results on a small portion of the UZA data<br />

reveals HLA alleles underlying either CMV seropositivity<br />

or CMV infection with a trend towards significance but do<br />

not reach the Bonferroni corrected threshold. We expect<br />

the additional data to increase the power of the analysis.<br />

REFERENCES<br />

Meysman,P. et al. (<strong>2015</strong>) Varicella-Zoster Virus-Derived Major<br />

Histocompatibility Complex Class I-Restricted Peptide Affinity Is<br />

a Determining Factor in the HLA Risk Profile for the<br />

Development of Postherpetic Neuralgia. J. Virol., 89, 962–969.<br />

57

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