CCR5–delta32: a very beneficial mutation
by Andrew Lamb
Cysteine-cysteine chemokine receptor 5 (CCR5) is found in the cell membranes of
many types of mammalian cells, including nerve cells and white blood cells.1,2
The role of CCR5 is to allow entry of chemokines into the cell3—chemokines are involved in signaling the body’s
inflammation response to injuries.4
The gene that codes for CCR5 is situated on human chromosome 3. Various mutations
of the CCR5 gene are known that result in damage to the expressed receptor. One
of the mutant forms of the gene is CCR5–delta32, which results from
deletion of a particular sequence of 32 base-pairs. This mutant form of the gene
results in a receptor so damaged that it no longer functions. But surprisingly,
this does not appear to be harmful:
Photo wikipedia.org
Yersinia pestis seen at 2000x magnification. This bacterium, carried and spread by fleas, is generally thought to have been the cause of millions of deaths.
‘It’s highly unusual,’ says Dr. Stephen J. O’Brien
of the National Institutes of Health in Washington D.C. ‘Most genes, if you
knock them out, cause serious diseases like cystic fibrosis or sickle cell anemia
or diabetes. But CCR5-delta32 is rather innocuous to its carriers. The reason seems
to be that the normal function of CCR5 is redundant in our genes; that several other
genes can perform the same function.’4
Moreover, this mutation can be advantageous to those individuals who carry it. The
virus HIV normally enters a cell via its CCR5 receptors, especially in the initial
stage of a person becoming infected.5
But in people with receptors crippled by the CCR5–delta32 mutation,
entry of HIV by this means is blocked, providing immunity to AIDS for homozygous
carriers and greatly slowing progress of the disease in heterozygous carriers.6–8
Up to 20%8 of ethnic western Europeans carry this mutation, which is
rare or absent in other ethnic groups.9–11 This suggests that
the CCR5-delta32 mutation was strongly selected for sometime during European
history. Some researchers have proposed that the plague epidemics that repeatedly
swept Europe during the Middle Ages were responsible.12 However, recent experiments in mice suggest that
Yersinia pestis, the cause of plague, can infect mammalian cells by other
means13–15
and so some scientists have proposed that smallpox, which is caused by the variola
virus, was the selection agent that historically caused CCR5-delta32 carriers
to proliferate in Europe.15
There has also been research suggesting that CCR5-delta32 hampers development
of cerebral malaria from Plasmodium infection,16 and that it may slow progression of Multiple Sclerosis.17,18
With the advantage of providing full or partial immunity to certain diseases, and
with no apparent disadvantages, CCR5–delta32 can be considered a
prime example of a beneficial mutation—a mutation that decreases the information
content of the genome and degrades the functionality of the organism, yet provides
a tangible benefit.19
However, it clashes irreconcilably with the evolutionary view that the accumulation
of mutations over time brings about upward evolution (increasing functional complexity).
To date over 10,000 specific disease-causing mutations of the human genome have
been identified.20 In
contrast, only a handful of beneficial mutations have been discovered, none of which
involve an increase in genetic information as required by evolution. All this is
highly consistent with the biblical account of a very good creation21 followed by the Fall,22 and a subsequent six millennia23 of cumulative physical degeneration.24 However, it clashes irreconcilably
with the evolutionary view that the accumulation of mutations over time brings about
upward evolution (increasing functional complexity).
In God’s original creation, before the Fall and the Curse, the CCR5 receptor
would not have constituted an entryway for pathogens. It may be that infectious
agents like HIV only became pathogenic after degeneration from their original ‘very
good’ created state. Or it may be that humans did not live in the same environment
as such pathogens and so were just not exposed to them. Perhaps both these scenarios
apply (see The origin of bubonic plague on p. 7). We look forward to God’s
promised Restoration, when there will be no more mutation, disease or suffering.25
Addendum August 2007
‘A new generation of sophisticated therapies designed to HIV-proof the immune
system promises to enter the clinic soon. For example, [Carl] June, working with
Sangamo Bio-Sciences in Richmond, California, later this year plans to start trials
in 12 HIV-infected people of a gene therapy designed to endow immune cells with
a genetic mutation that protects them from HIV.
To infect immune cells, HIV must first bind to chemokine receptors. Researchers
discovered in 1996 that people who had a naturally occurring mutation in their genes
for one of these, CCR5, were strongly protected from developing AIDS—or even
becoming infected in the first place—and suffered no ill effects from lacking
the receptor.
Sangamo specializes in developing enzymes called zinc finger nucleases that can
bind to genes, clip their DNA, and repair mutations (Science, 23 December
2005, p. 1894). But for the HIV gene therapy, they’ve created a nuclease to
specifically disrupt the CCR5 gene in the same manner as the natural mutation. In
the new trial, researchers will put the gene for this zinc finger nuclease into
an adenovirus vector, transduce harvested CD4+ T cells of HIV-infected
people, and infuse those cells back. June says this is the first gene-therapy experiment
that aims to create a phenotype that’s known to confer disease resistance.’26
Related articles
Related resources
References
- McKusick, V.A., Online Mendelian Inheritance in Man, OMIM
(TM), Johns Hopkins University, Baltimore, Maryland, MIM Number: 601373,
www.ncbi.nlm.nih.gov/entrez/dispomim.cgi?id=601373, 11 January 2006. Return to
Text.
- Rottman, et al., Cellular localization of the chemokine
receptor CCR5: correlation to cellular targets of HIV-1 infection, The American
Journal of Pathology 151(5):1341–1351, 1997.
Return to Text.
- CCR5 occurs in conjunction with CD4 (cluster designation 4)
receptors. Together they comprise a ‘portal’. For a biological factor
to enter the cell via this portal, it must be able to chemically bind to both these
coreceptors—See diagram and explanation on page 7 of: Klatt, E.C., Pathology
of Aids Version 18, medlib.med.utah.edu/WebPath/AIDS2007.PDF, 1
November 2007. Return to Text.
-
Secrets of the Dead: Mystery of the Black Death, 9 February 2006. Return to Text.
- Kawamura, et al., R5 HIV productively infects Langerhans
cells, and infection levels are regulated by compound CCR5 polymorphisms, Proceedings of the National Academy of Sciences of the USA 100(14):8401–8406, 2003.
Return to Text.
- Generally homozygous individuals are completely immune, but
there may be exceptions. Return to Text.
- Zagury, et al., C-C chemokines, pivotal in protection
against HIV type 1 infection, Proceedings of the National Academy of Sciences of the USA 95(7):3857–3861,
1998. Return to Text.
- Liu, et al., Homozygous defect in HIV-1 coreceptor
accounts for resistance of some multiply-exposed individuals to HIV-1 infection,
Cell 86(3):367–377, 9 August 1996.
Return to Text.
- Zimmerman, et al., Inherited resistance to HIV-1
conferred by an inactivating mutation in CC chemokine receptor 5: studies in populations
with contrasting clinical phenotypes, defined racial background, and quantified
risk, Molecular Medicine 3(1):23–36, 1997.
Return to Text.
- Stephens, et al., Dating the origin of the CCR5-del32
AIDS-resistance allele by the coalescence of haplotypes, American Journal of Human
Genetics 62(6):1507–1515, June 1998.
Return to Text.
- Majumder and Dey, Absence of the HIV-1 protective del-ccr5
allele in most ethnic populations of India, European Journal of Human Genetics
9(10):794–796, October 2001. Return to Text.
- Duncan, et al., Reappraisal of the historical selective
pressures for the CCR5-delta32 mutation, Journal of Medical Genetics
42(3):205–208, March 2005. Return to Text.
- Elvin, et al., Ambiguous role of CCR5 in Y. pestis infection, Nature 430(6998):417, 22 July 2004.
Return to Text.
- Mecsas, et al., CCR5 mutation and plague protection,
Nature 427(6998): 606, 22 July 2004. Return
to Text.
- Galvani, A. P.and Slatkin, M., Evaluating plague and smallpox
as historical selective pressures for the CCR5-delta-32 HIV-resistance allele, Proceedings
of the National Academy of Sciences of the USA 100(25):15276–15279,
9 December 2003. Return to Text.
- Belnoue, et al., CCR5 deficiency decreases susceptibility
to experimental cerebral malaria, Blood 101(11):4253–4259,
2003. Return to Text.
- Barcellos, et al., CC-chemokine receptor 5 polymorphism
and age of onset in familial multiple sclerosis, Immunogenetics 51(4–5):281–288,
2000. Return to Text.
- Kantor, et al., A mutated CCR5 gene may have favorable
prognostic implications in MS, Neurology 61(2):238–240,
2003. Return to Text.
- For another example of a highly beneficial mutation, see:
Wieland, C., Beetle bloopers: Even a defect can be an advantage
sometimes, Creation 19(3):30, 1997; <www.creationontheweb.com./beetle>.
For more on mutations, see: <www.creationontheweb.com/mutations>.
Return to Text.
- Online Mendelian Inheritance in Man, OMIM (TM), Johns Hopkins
University, Baltimore, Maryland, OMIM Statistics for 18 January 2006; www.ncbi.nlm.nih.gov/Omim/mimstats.html.
Return to Text.
- Genesis 1:31. Return to Text.
- Genesis 3. Return to Text.
- Sarfati, J.,
Biblical chronogenealogies, Journal of Creation 17(3):14–18,
2003; <www.creationontheweb.au/chronogenealogies>. Return
to Text.
- Psalm 102:25–26; Hebrews 1:10–12; Romans 8:22. Return to Text.
- Revelation 21:4; 22:3. Return to Text.
- Cohen, J.,
Building an HIV-proof immune system, Science 317(5838):612–614,
3 August 2007; page 613. Return to Text.
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