학술논문

Altered immunological reactivity in HIV-1-exposed uninfected neonates
Document Type
Article
Source
Clinical Immunology. Jun2008, Vol. 127 Issue 3, p340-347. 8p.
Subject
*ANTIRETROVIRAL agents
*HIV-positive women
*NEWBORN infants
*CYTOKINES
Language
ISSN
1521-6616
Abstract
Abstract: This work aimed to evaluate immune events in HIV-1-exposed uninfected neonates born from mothers who control (G1) or not (G2) the plasma viral load, using unexposed neonates as controls. Cord blood from each neonate was collected, plasma and mononuclear cells were separated and the lymphoproliferation and cytokine pattern were evaluated. The results demonstrated that the in vitro lymphoproliferation induced by polyclonal activators was higher in the G2 neonates. Nevertheless, no cell culture responded to poll synthetic HIV-1 envelope peptides. The cytokine dosage in the plasma and supernatants of polyclonally-activated cultures demonstrated that, while IL-4 and IL-10 were the dominant cytokines produced in G1 and control groups, IFN-γ and TNF-α were significantly higher in G2 neonates. Systemic levels of IL-10 observed among the G1 neonates were higher in those born from anti-retroviral treated mothers. In summary, our results indicate an altered immune responsiveness in neonates exposed in utero to HIV and support the role of maternal anti-retroviral treatment to attenuate it. [Copyright &y& Elsevier]