TY - JOUR
T1 - Evaluation of HIV-1 neutralizing and binding antibodies in maternal-infant transmission in Thailand
AU - Wieczorek, Lindsay
AU - Peachman, Kristina
AU - Adams, Daniel J.
AU - Barrows, Brittani
AU - Molnar, Sebastian
AU - Schoen, Jesse
AU - Dawson, Peter
AU - Bryant, Chris
AU - Chenine, Agnès Laurence
AU - Sanders-Buell, Eric
AU - Srithanaviboonchai, Kriengkrai
AU - Pathipvanich, Panita
AU - Michael, Nelson L.
AU - Robb, Merlin L.
AU - Tovanabutra, Sodsai
AU - Rao, Mangala
AU - Polonis, Victoria R.
N1 - Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2020/9
Y1 - 2020/9
N2 - Despite anti-retroviral therapy (ART) interventions for HIV+ pregnant mothers, over 43,000 perinatal infections occur yearly. Understanding risk factors that lead to mother-to-child transmission (MTCT) of HIV are critical. We evaluated maternal and infant plasma binding and neutralizing antibody responses in a drug-naïve, CRF01_AE infected MTCT cohort from Thailand to determine associations with transmission risk. Env V3-specific IgG and neutralizing antibody responses were significantly higher in HIV- infants, as compared to HIV+ infants. In fact, infant plasma neutralizing antibodies significantly associated with non-transmission. Conversely, increased maternal Env V3-specific IgG and neutralizing antibody responses were significantly associated with increased transmission risk, after controlling for maternal viral load. Our results highlight the importance of evaluating both maternal and infant humoral immune responses to better understand mechanisms of protection, as selective placental antibody transport may have a role in MTCT. This study further emphasizes the complex role of Env-specific antibodies in MTCT of CRF01_AE HIV.
AB - Despite anti-retroviral therapy (ART) interventions for HIV+ pregnant mothers, over 43,000 perinatal infections occur yearly. Understanding risk factors that lead to mother-to-child transmission (MTCT) of HIV are critical. We evaluated maternal and infant plasma binding and neutralizing antibody responses in a drug-naïve, CRF01_AE infected MTCT cohort from Thailand to determine associations with transmission risk. Env V3-specific IgG and neutralizing antibody responses were significantly higher in HIV- infants, as compared to HIV+ infants. In fact, infant plasma neutralizing antibodies significantly associated with non-transmission. Conversely, increased maternal Env V3-specific IgG and neutralizing antibody responses were significantly associated with increased transmission risk, after controlling for maternal viral load. Our results highlight the importance of evaluating both maternal and infant humoral immune responses to better understand mechanisms of protection, as selective placental antibody transport may have a role in MTCT. This study further emphasizes the complex role of Env-specific antibodies in MTCT of CRF01_AE HIV.
KW - Binding antibody
KW - CRF01_AE HIV
KW - MTCT
KW - Neutralizing antibody
KW - Thailand
KW - V1V2
KW - V3
KW - Vertical transmission
KW - α4β7
UR - http://www.scopus.com/inward/record.url?scp=85087987952&partnerID=8YFLogxK
U2 - 10.1016/j.virol.2020.05.007
DO - 10.1016/j.virol.2020.05.007
M3 - Article
C2 - 32838936
AN - SCOPUS:85087987952
SN - 0042-6822
VL - 548
SP - 152
EP - 159
JO - Virology
JF - Virology
ER -