Department of Microbiology, University of Alabama at Birmingham, Birmingham, AL, USA; Institute of Immunology and Microbiology, Faculty of Medicine, Charles University, Prague, Czech Republic.
Am J Reprod Immunol. 2014 Jun;71(6):600-7. doi: 10.1111/aji.12203. Epub 2014 Feb 5.
Although sera and all external secretions contain antibodies to human immunodeficiency virus (HIV), their levels, specificity, isotypes, and relevant effector functions display a great degree of variability. Antibodies that bind HIV antigens and neutralize the virus are predominantly associated with the IgG isotype in sera and in all external secretions, even where total levels of IgG are much lower than those of IgA. Rectal fluid that contains high IgA, but low IgG levels, displayed low neutralizing activity independent of antibodies. Therefore, external secretions should be evaluated before and after selective depletion of Ig. At the systemic level, HIV-specific IgA may interfere with the effector functions of IgG, as suggested by recent studies of individuals systemically immunized with an experimental HIV vaccine. Although HIV-specific IgG and IgA antibodies may exhibit their protective activities at mucosal surfaces through interference with viral entry and local neutralization at the systemic level, such antibodies may display discordant effector functions.
虽然血清和所有外分泌液都含有针对人类免疫缺陷病毒 (HIV) 的抗体,但它们的水平、特异性、同种型和相关效应功能显示出很大的可变性。与 HIV 抗原结合并中和病毒的抗体主要与血清和所有外分泌液中的 IgG 同种型相关,即使 IgG 的总水平远低于 IgA。含有高 IgA 但 IgG 水平低的直肠液显示出独立于抗体的低中和活性。因此,在选择性耗尽 Ig 之前和之后,应该对外分泌液进行评估。在系统水平上,如最近对用实验性 HIV 疫苗进行全身免疫的个体进行的研究所示,HIV 特异性 IgA 可能会干扰 IgG 的效应功能。尽管 HIV 特异性 IgG 和 IgA 抗体可以通过干扰病毒进入和局部中和在系统水平上显示其在粘膜表面的保护活性,但这些抗体可能表现出不同的效应功能。