Biological Markers Associated with Prolonged Survival in African Children Maternally Infected by the Human Immunodeficiency Virus Type 1

Autor: Claude Desgranges, Andrea Kleinschmidt, Françoise Bex, Arlette Simonon, Frances Gotch, Arsène Burny, Philippe Lepage, Volker Erfle, Christiaan Van Goethem, Kristina Broliden, Anatholie Bazubagira, Philippe Van de Perre, D.G. Hitimana
Rok vydání: 1992
Předmět:
Zdroj: AIDS Research and Human Retroviruses. 8:435-442
ISSN: 1931-8405
0889-2229
DOI: 10.1089/aid.1992.8.435
Popis: Sixteen children over the age of 5 years (Group 1) have been identified out of 537 children infected by human immunodeficiency virus and born to HIV-infected mothers, in Kigali, Rwanda. They were followed up for 2 years and compared with 16 younger AIDS patients (Group 2) and with 16 age- and gender-matched HIV-1 seronegative children (Group 3). Fourteen Group 1 subjects had anti-HIV-1 IgM which persisted during the entire study period, in 11 cases directed to HIV-1 envelope proteins. In vitro, immortalization of B lymphocytes by the Epstein-Barr virus confirmed a high production of IgM to envelope proteins. All these patients had anti-p 17 IgG which was not observed in 7 patients from Group 2. All 16 children mounted significant titers of neutralizing antibodies to HTLV-IIIB, and, in 8 patients tested, against two other HIV-1 strains, RII and MN. HIV-1-specific major histocompatibility complex (MHC)-restricted cytotoxic T cells were demonstrated in 3 of 5 of the subgroup who were tested. Prolonged survival over 5 years in children with maternally acquired HIV-1 infection is associated with a high titer of neutralizing antibodies, a persistent production of IGM to HIV-1 envelope proteins and of IgG to p 17.
Databáze: OpenAIRE