Fiore J R, Laddago V, Lepera A, La Grasta L, Di Stefano M, Saracino A, Lopalco P, Pastore G, Angarano G
Clinic of Infectious Diseases, University of Bari, Italy.
New Microbiol. 2000 Jan;23(1):85-92.
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.
在26名感染HIV-1的女性和10名高危血清阴性女性的宫颈阴道灌洗液(CVL)中评估了IgG和分泌型IgA(s-IgA)对HIV-1的存在情况及抗原特异性。所有血清阳性女性均可检测到识别多种病毒抗原的IgG,而表现出针对该病毒的s-IgA的女性比例较小。此外,s-IgA的特异性有限,在免疫印迹条带上的反应较弱;还观察到几乎始终不存在针对gp120的s-IgA。CVL中IgG或s-IgA对该病毒的存在与否及特异性均不能阻止HIV-1在这种体液中的排出;事实上,在所有研究的女性中均检测到病毒RNA,且病毒排出量与生殖器抗体反应无关。另一方面,在高危血清阴性女性的CVL中,无论是IgG还是s-IgA同种型,均未检测到针对HIV-1的抗体。我们的结果:a)证实了HIV-1感染期间黏膜抗体反应受损,并表明黏膜免疫无法阻止病毒在女性生殖道中的排出,因此无法调节生殖器分泌物的传染性;aa)没有为高危血清阴性女性生殖道中的黏膜“记忆/保护性”抗体反应提供证据。