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Fc receptor engagement of HIV-1 Env-specific antibodies in mothers and infants predicts reduced vertical transmission

  • Brittani M. Barrows
  • , Shelly J. Krebs
  • , Ningbo Jian
  • , Michelle Zemil
  • , Bonnie M. Slike
  • , Vincent Dussupt
  • , Ursula Tran
  • , Letzibeth Mendez-Rivera
  • , David Chang
  • , Anne Marie O’Sullivan
  • , Brendan Mann
  • , Eric Sanders-Buell
  • , Zhanna Shubin
  • , Matt Creegan
  • , Dominic Paquin-Proulx
  • , Philip Ehrenberg
  • , Agnes Laurence-Chenine
  • , Kriengkrai Srithanaviboonchai
  • , Rasmi Thomas
  • , Michael A. Eller
  • Guido Ferrari, Merlin Robb, Venigalla Rao, Sodsai Tovanabutra, Victoria R. Polonis, Lindsay Wieczorek*
*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Introduction: Infants acquire maternal antibodies by Fc receptor transcytosis across the placenta during pregnancy. Fc receptors are expressed on immune cells and are important for activation of effector cell functions. Methods: In this study, we evaluated Fc receptor engagement and ADCC activity of plasma binding antibodies from human immunodeficiency virus-1 (HIV) -infected mothers and to identify factors that may contribute to protection from HIV vertical transmission. Results: HIV-specific binding and Fc receptor engagement of plasma antibodies varied between mothers by transmission status and infants by infection status. Non-transmitting (NT) mothers and HIV-uninfected infants had antibodies with higher neonatal Fc receptor (FcRn) and FcγR engagement, as compared to transmitting (T) mothers and HIV+ infants, respectively. A significant inverse correlation between plasma antibody FcRn and FcγR engagement was observed for T mothers, but not NT mothers. Conversely, a significant direct correlation was observed between plasma antibody FcRn and FcγR engagement for HIV- infants, but not for HIV+ infants. Consequently, we observed significantly higher plasma antibody ADCC potency and breadth in HIV- infants, as compared to HIV+ infants. However, no differences in overall ADCC potency and breadth were observed between mothers. FcRn-engagement of HIV-specific antibodies in both mothers and infants predicted a lack of vertical transmission of HIV. Discussion: This study indicates that HIV-uninfected infants acquire HIV-specific antibodies with greater Fc receptor engagement and thus, greater ADCC capacity.

Original languageEnglish
Article number1051501
JournalFrontiers in Immunology
Volume13
DOIs
StatePublished - 12 Dec 2022

Keywords

  • antibody dependent cellular cytotoxicity
  • CRF01_AE HIV
  • neonatal Fc receptor
  • passive immunity
  • pregnancy
  • protective immunity
  • Thailand
  • vertical transmission

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