bbc 2015
BBC2015_booklet
BBC2015_booklet
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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 />
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