Vertical Transmission of Human Immunodeficiency Virus is Correlated with the Absence of High-Affinity/Avidity Maternal Antibodies to the gp120 Principal Neutralizing Domain

Many, but not all, infants born to mothers infected with the human immunodeficiency virus (HIV) are infected in utero. We have now shown that mothers who have high-affinity/avidity antibodies directed toward the principal neutralizing domain (PND) of gp120 are less likely to transmit HIV to their ch...

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Veröffentlicht in:Proceedings of the National Academy of Sciences - PNAS 1990-05, Vol.87 (9), p.3445-3449
Hauptverfasser: Devash, Yair, Calvelli, Theresa A., Wood, David G., Reagan, Kevin J., Rubinstein, Arye
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container_issue 9
container_start_page 3445
container_title Proceedings of the National Academy of Sciences - PNAS
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creator Devash, Yair
Calvelli, Theresa A.
Wood, David G.
Reagan, Kevin J.
Rubinstein, Arye
description Many, but not all, infants born to mothers infected with the human immunodeficiency virus (HIV) are infected in utero. We have now shown that mothers who have high-affinity/avidity antibodies directed toward the principal neutralizing domain (PND) of gp120 are less likely to transmit HIV to their children. An ELISA that preferentially measures the level of the biologically functioning, high-affinity/avidity antibodies against PND is described. In a retrospective study of 15 maternal/neonatal serum samples, the assay correctly identified the 4 uninfected and the 11 HIV-infected infants. Other clinical and laboratory parameters such as p24 antigen, phytohemagglutinin mitogenic index, and absolute surface antigen T4+cell counts did not accurately predict HIV fetal transmission. In addition to introducing a promising diagnostic tool, this study provides the in vivo evidence that protective antibodies may prevent infection by HIV.
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source MEDLINE; Jstor Complete Legacy; PubMed Central; Alma/SFX Local Collection; Free Full-Text Journals in Chemistry
subjects AIDS/HIV
Amino Acid Sequence
Amino acids
Antibodies
Antigens
Children
Coatings
Enzyme linked immunosorbent assay
Female
HIV
HIV Antibodies - analysis
HIV Antibodies - immunology
HIV Envelope Protein gp120 - immunology
HIV Infections - immunology
HIV Infections - transmission
human immunodeficiency virus
Humans
Infants
Lymphocyte Activation
Male
Molecular Sequence Data
Mothers
Neutralization Tests
Newborns
Oligopeptides - chemical synthesis
Oligopeptides - immunology
Pregnancy
Pregnancy Complications, Infectious - immunology
Reference Values
title Vertical Transmission of Human Immunodeficiency Virus is Correlated with the Absence of High-Affinity/Avidity Maternal Antibodies to the gp120 Principal Neutralizing Domain
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