Longosz Andrew F, Morrison Charles S, Chen Pai-Lien, Brand Hilmarie H, Arts Eric, Nankya Immaculate, Salata Robert A, Quinn Thomas C, Eshleman Susan H, Laeyendecker Oliver
1 Laboratory of Immunoregulation, Division of Intramural Research, National Institute of Allergy and Infectious Diseases , NIH, Baltimore, Maryland.
AIDS Res Hum Retroviruses. 2015 Apr;31(4):421-7. doi: 10.1089/AID.2014.0081. Epub 2014 Nov 19.
We compared the serologic response to HIV infection in Ugandan women with HIV subtype A (N=82) and D (N=32) infection using a limiting antigen avidity assay (LAg-Avidity assay); 2,614 samples were analyzed. Study participants were followed a median of 6.6 years after HIV seroconversion. Samples were classified as assay positive if they had a LAg-Avidity assay result <1.5 normalized optical density units (OD-n). Women with subtype D infection were more likely to have delayed antibody maturation. During the first 2 years after seroconversion, the mean time that women had an assay-positive result (mean duration of recent infection, MDRI) was longer for women with subtype D infection than women with subtype A infection (267.9 days, 95% CI: 231.2-308.2 vs. 167.3 days, 95% CI: 151.8-185.9 days, p<0.01). The MDRI was also longer for women with subtype D infection after excluding low viral load samples and samples from women on antiretroviral therapy (ART). Women infected for >2 years were also more likely to be misclassified as recently infected in they had subtype D infection. Women with subtype D infection were also more likely to have antibody waning compared to women with subtype A infection. These findings may be related to the higher pathogenicity of subtype D HIV infection and are relevant to use of the LAg-Avidity assay for cross-sectional HIV incidence estimation in populations where subtype D infection is prevalent.
我们使用限量抗原亲和力测定法(LAg-亲和力测定法)比较了乌干达感染HIV-1 A亚型(N = 82)和D亚型(N = 32)的女性对HIV感染的血清学反应;共分析了2614份样本。研究参与者在HIV血清转化后中位随访6.6年。如果样本的LAg-亲和力测定结果<1.5标准化光密度单位(OD-n),则分类为检测阳性。感染D亚型的女性抗体成熟延迟的可能性更大。在血清转化后的头2年,感染D亚型的女性检测呈阳性结果的平均时间(近期感染的平均持续时间,MDRI)比感染A亚型的女性更长(267.9天,95%CI:231.2 - 308.2天 vs. 167.3天,95%CI:151.8 - 185.9天,p<0.01)。排除低病毒载量样本和接受抗逆转录病毒治疗(ART)女性的样本后,感染D亚型的女性的MDRI也更长。感染超过2年的感染D亚型的女性也更有可能被误分类为近期感染。与感染A亚型的女性相比,感染D亚型的女性抗体减弱的可能性也更大。这些发现可能与D亚型HIV感染的更高致病性有关,并且与在D亚型感染流行的人群中使用LAg-亲和力测定法进行横断面HIV发病率估计相关。