Limited secretory-IgA response in cervicovaginal secretions from HIV-1 infected, but not high risk seronegative women: lack of correlation to genital viral shedding

New Microbiol. 2000 Jan;23(1):85-92.

Abstract

The presence and antigen specificity of IgG and secretory-IgA (s-IgA) to HIV-1 were evaluated in cervicovaginal lavages (CVL) from 26 infected and 10 high-risk seronegative women. All the seropositive women had detectable IgG recognizing several viral antigens, while a smaller percentage of women demonstrated s-IgA to the virus. In addition, s-IgA were of limited specificity and provided weak reactivities on Immunoblot bands; an almost constant absence of s-IgA to gp120 was also observed. Neither the presence nor the specificity of either IgG or s-IgA to the virus in CVL prevented the shedding of HIV-1 in this body fluid; in fact, viral RNA was detected in all the women studied and the amounts of viral shedding was unrelated to the genital antibody response. On the other hand, none of the high-risk seronegative women had detectable antibodies to HIV-1 in CVL of either the IgG or s-IgA isotype. Our results a) confirm an impairment of mucosal antibody response during HIV-1 infection and suggest that mucosal immunity is not able to prevent viral shedding in the female genital tract and thus cannot modulate the infectivity of genital secretions; aa) do not provide evidence for a mucosal "memory/protective" antibody response in the genital tract of high-risk seronegative women.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cervix Uteri / immunology
  • Cervix Uteri / virology*
  • Female
  • HIV Antibodies / analysis*
  • HIV Antibodies / immunology
  • HIV Infections / immunology*
  • HIV Infections / virology
  • HIV Seronegativity
  • HIV-1 / immunology*
  • HIV-1 / physiology
  • Humans
  • Immunity, Mucosal
  • Immunoglobulin A, Secretory / analysis*
  • Immunoglobulin A, Secretory / immunology
  • Immunoglobulin G / immunology
  • Immunoglobulin G / metabolism
  • RNA, Viral / analysis
  • Risk Factors
  • Vagina / immunology
  • Vagina / virology*
  • Viral Load
  • Virus Shedding

Substances

  • HIV Antibodies
  • Immunoglobulin A, Secretory
  • Immunoglobulin G
  • RNA, Viral