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1 June 2006

Volume 193, Number 11
The Journal of Infectious Diseases 2006;193:1504–1511
0022-1899/2006/19311-0005$15.00
DOI: 10.1086/503778
MAJOR ARTICLE

Revisiting the Role of Neutralizing Antibodies in Mother‐to‐Child Transmission of HIV‐1

Francis Barin,1

Gonzague Jourdain,2,3,a

Sylvie Brunet,1

Nicole Ngo‐Giang‐Huong,2,3,a

Supawadee Weerawatgoompa,4,a

Warit Karnchanamayul,4,a

Surabhon Ariyadej,4,a

Rawiwan Hansudewechakul,5,a

Jullapong Achalapong,5,a

Prapap Yuthavisuthi,6,a

Chaiwat Ngampiyaskul,6,a

Sorakij Bhakeecheep,7,a

Chittaphon Hemwutthiphan,7,a

Marc Lallemant,2,a and the

Perinatal HIV Prevention Trial Group

1Université François Rabelais, Equipe Associée 3856, Centre National de Référence du VIH, Tours, and 2Institut de Recherche pour le Développement (IRD 054), Paris, France; 3Harvard School of Public Health, Boston, Massachusetts; 4Provincial Hospital, Rayong, 5Prachanukroh Provincial Hospital, Chiang Rai, 6Prapokklao Provincial Hospital, Chantaburi, and 7Provincial Hospital, Phayao, Thailand

We analyzed the association between mother‐to‐child transmission (MTCT) of human immunodeficiency virus type 1 (HIV‐1) and maternal neutralizing antibodies to heterologous primary isolates of various HIV‐1 clades, to test the hypothesis that protective antibodies are those with broad neutralizing activity. Our study sample included 90 Thai women for whom the timing of HIV‐1 transmission (in utero or intrapartum) was known. The statistical analysis included a conditional logistic‐regression model to control for both plasma viral load and duration of zidovudine prophylaxis. The higher the titer of neutralizing antibodies to a heterologous strain of the same clade, the lower the rate of MTCT of HIV‐1. More specifically, high levels of neutralizing antibodies to the MBA (CRF01_AE) strain were associated with low intrapartum transmission of HIV‐1. This suggested that such heterologous neutralizing antibodies may be involved in the natural prevention of late perinatal HIV transmission. These data are consistent with the hypothesis that the use of some antibodies might help to prevent perinatal HIV transmission, through passive immunoprophylaxis. Moreover, the study of humoral factors associated with MTCT of HIV‐1 may identify correlates of protection that should help in the design of efficient HIV/acquired immunodeficiency syndrome vaccines.

Received 24 October 2005; accepted 30 December 2005; electronically published 21 April 2006.

Reprints or correspondence: Dr. Francis Barin, Laboratoire de Virologie, CHU Bretonneau, 2 boulevard Tonnellé, 37044 Tours cedex, France ().

Cited by

Chonticha Kittinunvorakoon, Mary Kate Morris, Kanchana Neeyapun, Bongkoch Jetsawang, Gertrude C. Buehring, Carl V. Hanson. (2009) Mother to child transmission of HIV-1 in a Thai population: Role of virus characteristics and maternal humoral immune response. Journal of Medical Virology 81:5, 768-778
Online publication date: 1-Jun-2009.
CrossRef
Quentin Sattentau. (2008) Correlates of antibody-mediated protection against HIV infection. Current Opinion in HIV and AIDS 3:3, 368-374
Online publication date: 1-Jun-2008.
CrossRef
Martine Braibant, Henri Agut, Christine Rouzioux, Dominique Costagliola, Brigitte Autran, Francis Barin. (2008) Characteristics of the env Genes of HIV Type 1 Quasispecies in Long-Term Nonprogressors With Broadly Neutralizing Antibodies. JAIDS Journal of Acquired Immune Deficiency Syndromes 47:3, 274-284
Online publication date: 1-Apr-2008.
CrossRef
Dara A. Lehman, Carey Farquhar. (2007) Biological mechanisms of vertical human immunodeficiency virus (HIV-1) transmission. Reviews in Medical Virology 17:6, 381-403
Online publication date: 1-Dec-2007.
CrossRef
  • Presented in part: AIDS Vaccine 04 Meeting, Lausanne, Switzerland, 30 August–1 September 2004 (abstract 44).

    Potential conflicts of interest: none reported.

    Financial support: Ensemble contre le Sida (Sidaction); Agence Nationale de Recherches sur le Sida; Institut de Recherche pour le Développement (IRD); National Institutes of Health (grant 5 R01 HD 33326).

  • These authors are members of the Perinatal HIV Prevention Trial Group (IRD 054, Thailand).

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