Discuss how a genetic variant may explain why HIV infection rates are highest in sub-Saharan Africa. What will be an ideal response?


ANSWER: HIV infection is highest in sub-Saharan Africa. A 25-year study of this population involving
DNA samples from thousands of participants led to the discovery that an allele of the DARC
gene (MIM 613665), which encodes a cell surface protein, protects carriers from malaria but
increases susceptibility to HIV infection by 40%. In other words, people who carry the antimalaria
allele of DARC have
a greater chance of contracting HIV if exposed to this virus. In addition to increasing risk of
HIV infection, this allele interferes with the immune system’s ability to fight early stages of
HIV infection. About 60% of African Americans carry this DARC allele and are therefore
more susceptible to HIV infection than the general population. Studies of other populations
have revealed that genes scattered across the human genome influence resistance and
susceptibility to HIV infection and the rate of progression to AIDS.

Biology & Microbiology

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