Evaluation of HIV-1 neutralizing and binding antibodies in maternal-infant transmission in Thailand

Lindsay Wieczorek, Kristina Peachman, Daniel J. Adams, Brittani Barrows, Sebastian Molnar, Jesse Schoen, Peter Dawson, Chris Bryant, Agnès Laurence Chenine, Eric Sanders-Buell, Kriengkrai Srithanaviboonchai, Panita Pathipvanich, Nelson L. Michael, Merlin L. Robb, Sodsai Tovanabutra, Mangala Rao*, Victoria R. Polonis

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)152-159
Number of pages8
JournalVirology
Volume548
DOIs
StatePublished - Sep 2020
Externally publishedYes

Keywords

  • Binding antibody
  • CRF01_AE HIV
  • MTCT
  • Neutralizing antibody
  • Thailand
  • V1V2
  • V3
  • Vertical transmission
  • α4β7

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