Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

HIV-specific mucosal and cellular immunity in HIV-seronegative partners of HIV-seropositive individuals

Abstract

HIV-specific mucosal and cellular immunity was analyzed in heterosexual couples discordant for HIV status in serum and in HIV-unexposed controls. HIV-specific IgA but not IgG was present in urine and vaginal wash samples from HIV-exposed seronegative individuals (ESN), whereas both IgA and IgG were observed in their HIV-seropositive partners; antibodies were not detected in low-risk controls. Envelope protein (Env) peptide-stimulated interleukin-2 (IL-2) production by peripheral blood mononuclear cells (PBMCs) was detected in 9 out of 16 ESNs, 5 out of 16 HIV-infected patients and 1 out of 50 controls. Env peptide-stimulated PBMCs of ESNs produced more IL-2 and less IL-10 compared with those of HIV-infected individuals; no differences were observed in chemokine production or in CCR5 expression. These data demonstrate that a compartmentalized immune response to pathogens is possible in humans and raise the possibility of protective roles for cell-mediated immunity and mucosal IgA in HIV-seronegative individuals exposed to HIV.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Levy, J.A. HIV pathogenesis and long-term survival. AIDS 7, 1401–1418 (1993).

    Article  CAS  Google Scholar 

  2. Rowland-Jones, S.L. & McMichael, A. Immune responses in HIV-exposed seronega tives: Have they repelled the virus? Curr. Opin. Immunol. 7, 448–455 (1995).

    Article  CAS  Google Scholar 

  3. Shearer, G.M. & Clerici, M. Protective immunity against HIV infection: Has nature done the experiment for us? Immunol. Today 17, 21–24 (1996).

    Article  CAS  Google Scholar 

  4. Clerici, M. et al. Cell mediated immune response to human immunodeficiency virus type 1 (HIV-1) in seronegative homosexuals with recent sexual exposure to HIV-1. J. Infect. Dis. 165, 1012–1019 (1992).

    Article  CAS  Google Scholar 

  5. Rowland-Jones, S.L. et al. HIV-specific cytotoxic T cell activity in an HIV exposed but uninfected infant. Lancet 341, 860–861 (1993).

    Article  CAS  Google Scholar 

  6. Clerici, M. et al. Cellular immune factors associated with mother-to-infant transmission of HIV. AIDS 7, 1427–1433 (1993).

    Article  CAS  Google Scholar 

  7. De Maria, A., Cirillo, C. & Moretta, L. Occurrence of HIV-1 specific cytolytic T cell activity in apparently uninfected children born to HIV-1 infected mothers. J. Infect. Dis. 170, 1296–1299 (1994).

    Article  CAS  Google Scholar 

  8. Cheynier, R. et al. Cytotoxic T lymphocyte response in peripheral blood of children born to HIV-infected mothers. Eur. J. Immunol. 22, 2211–2217 (1994).

    Article  Google Scholar 

  9. Clerici, M. et al. HIV-specific T helper activity in HIV seronegative health care workers accidentally exposed to HIV-contaminated blood. JAMA 271, 42–46 (1994).

    Article  CAS  Google Scholar 

  10. Pinto, L. et al. Env-specific cytotoxic T lymphocyte responses in HIV seronegative health care workers occupationally exposed to HIV-contaminated body fluids. J. Clin. Invest. 96, 867–876 (1995).

    Article  CAS  Google Scholar 

  11. Rowland-Jones, S.L. et al. HIV-specific cytotoxic T cells in HIV-exposed but uninfected Gambian women. Nature Med. 1, 59–64 (1995).

    Article  Google Scholar 

  12. Fowke, K.R. et al. Resistance to HIV-1 infection among persistently seronegative prostitutes in Nairobi, Kenya. Lancet 348, 1347–1351 (1996)

    Article  CAS  Google Scholar 

  13. Ranki, A.M. et al. T cell responses to HIV in infected individuals with and without Zidovudine therapy and in HIV exposed sexual partners. AIDS 3, 83–89 (1989).

    Article  Google Scholar 

  14. Langlade-Demoyen, P., Ngo-Giang-Huong, F., Ferchal, F. & Oksenhendler, E. HIV-nef-specific cytotoxic T lymphocytes in noninfected heterosexual contact of HIV infected patients. J. Clin. Invest. 93, 1297–1297 (1994).

    Article  Google Scholar 

  15. Cocchi, F. et al. Identification of RANTES, MlP-la, MIP-1b as the major HIV-suppressive factors produced by CD8 T cells. Science 270, 1811–1815 (1995).

    Article  CAS  Google Scholar 

  16. Paxton, W.A. et al. Relative resistance to HIV-1 infection of CD4 lymphocytes from persons who remain uninfected despite multiple high-risk sexual exposures. Nature Med 2, 412–417 (1995).

    Article  Google Scholar 

  17. Lehner, T. et al. Protective mucosal immunity elicited by targeted iliac lymph node immunization with a subunit SIV envelope and core vaccine in macaques. Nature Med. 2, 767–775 (1995).

    Article  Google Scholar 

  18. Liu, R. et al. Homozygous defect in HIV-1 coreceptor accounts for resistance of some multiply-exposed individuals to HIV-1 infection. Cell 86, 367–377 (1996).

    Article  CAS  Google Scholar 

  19. Henderson, D.K. et al. Risk for occupational transmission of HIV-1 associated with clinical exposure: A prospective evaluation. Ann. Int. Med. 113, 740–746 (1990)

    Article  CAS  Google Scholar 

  20. European Collaborative Study. Children born to women with HIV-1 infection: Natural history and risk of transmission. Lancet 337, 253–260 (1991)

  21. World Health Organization. AIDS 4, Global Data. Weekly Epidemiol. Rec. 70, 5–12 (1995).

  22. Alexander, N. Sexual transmission of human immunodeficiency virus: Virus entry into the male and female genital tract. Fert. Ster. 54, 1–18 (1990).

    Article  CAS  Google Scholar 

  23. Miller, C.J., McGhee, J.R. & Gardner, M.B. Mucosal immunity, HIV transmission and AIDS. Lab. Invest. 68, 129–145 (1992).

    Google Scholar 

  24. Staats, H.F. & McGhee, J.R. Mucosal immunity in HIV infection, in: Immunology of HIV Infection. pag. 387–416. S. Gupta Ed. Plenum Press, N.Y., N.Y.(1996).

    Book  Google Scholar 

  25. Zeitz, M., Schneider, T. & Ullrich, R. Mucosal HIV Infection: A paradigm for dysregulation of the mucosal immune system. in Essentials of Mucosal Immunology. pag. 421–436. Academic Press Inc, N.Y., N.Y. (1996).

    Chapter  Google Scholar 

  26. Lehner, T. et al. Genital and rectal mucosal immunity against transmission of SIV/HIV. in Essentials of Mucosal Immunology. pag. 437–447. Academic Press Inc, N.Y., N.Y.(1996).

    Chapter  Google Scholar 

  27. Urnovitz, H.B. et al. HIV-1 antibody serum negativity with urine positivity. Lancet 342, 1458–1459 (1993).

    Article  CAS  Google Scholar 

  28. Urnovitz, H.B., Murphy, W.H., Gottfried, T.D. & Friedman-Kien, A.E. Urine-Based Diagnostic Technologies. Trends Biotech. 14, 361–364 (1996).

    Article  CAS  Google Scholar 

  29. Belec, L., Tevi-Benissan, C., Gresenguet, G., Meillet, D. & Pillot, J., HIV-1 antibody serum negativity with vaginal secretions positivity. Lancet 343, 1046–1047 (1994).

    Article  CAS  Google Scholar 

  30. Giorgi, J.V. et al. Early effects of HIV on CD4 lymphocytes in vivo. J. Immunol. 138, 3725–3730 (1987).

    CAS  PubMed  Google Scholar 

  31. Clerici, M. et al. Detection of three distinct patterns of T helper cell dysfunction in asymptomatic, human immunodeficiency virus-seropositive patients. Independence of CD4+ cell numbers and clinical staging. J. Clin. Invest. 84, 1892–1899 (1989).

    Article  CAS  Google Scholar 

  32. Clerici, M. & Shearer, G.M. The TH1 /TH2 hypothesis of HIV infection: New insights. Immunol. Today 15, 575–581 (1994).

    Article  CAS  Google Scholar 

  33. Baggiolini, M., Dewald, B. & Moser, B. The biology of chemokines. Adv. Immunol. 55, 97–179 (1994).

    Article  CAS  Google Scholar 

  34. Mc Kenzie, S.W. Serum chemokine levels in patients with non-progressing HIV infection. AIDS 10, 29–33 (1996).

    Article  Google Scholar 

  35. Clerici, M. et al. Chemokines production in HIV-seropositive patients with different patterns of disease progression. AID 10, 1432–1433 (1996).

    Article  CAS  Google Scholar 

  36. Levy, J.A., Mackewicz, C.E. & Barker, E. Controlling HIV pathogenesis: The role of the noncytotoxic anti-HIV response of CD8+ T cells. Immunol. Today 17, 217–224 (1996).

    Article  CAS  Google Scholar 

  37. Mazzoli, S. et al. Clinical consequences of immune responses to Chlamydia in men. Infect. Dis. Obstet. Cynecol. 4, 136–142 (1996)

    Article  CAS  Google Scholar 

  38. Turner, V. Is a positive western blot proof of HIV infection? BioTechnology 11, 696–670 (1993).

    PubMed  Google Scholar 

  39. Mazanec, M.B., Kaetzel, C.S., Lamm, M.E., Fletcher, D. & Nedrud, J.G. Intercellular neutralization of virus by immunoglobulin A antibodies. Proc. Natl. Acad. Sci. USA 89, 6901–6905 (1992).

    Article  CAS  Google Scholar 

  40. Emilie, D., Maillot, M.C., Nicolas, J.F., Fior, R. & Galanaud, P. Antagonistic effect of IFN gamma on tat-induced transactivation of HIV by long terminal repeat. J. Biol. Chem. 267, 20565–20570 (1992).

    CAS  PubMed  Google Scholar 

  41. Stoiber, H., Pinter, C., Siccardi, A.G., Clivio, A. & Dierich, M.P. Efficient destruction of HIV in human serum by inhibiting the protective action of complement factor Hand decay-accelerating factor (DAF, CD55). J. Exp. Med. 183, 307–310 (1996).

    Article  CAS  Google Scholar 

  42. Hilleman, M. Whether and when an AIDS vaccine? Nature Med. 1, 1126–1129 (1995).

    Article  CAS  Google Scholar 

  43. Miller, J.C. & McGhee, J.R. Progress towards a vaccine to prevent sexual transmission of HIV. Nature Med. 2, 751–1752 (1996).

    Article  CAS  Google Scholar 

  44. Murphey-Cobb, M. et al. A formalin inactivated whole SIV vaccine confers protection in macaques. Science 246, 1293–1297 (1989).

    Article  Google Scholar 

  45. Carlson, J.R. et al. Vaccine protection of Rhesus macaques against SIV infection. AIDS Res. Hum. Retrovir. 6, 1239–1246 (1990).

    Article  CAS  Google Scholar 

  46. Clerici, M. et al. T-cell proliferation to subinfectious doses SIV correlates with lack of infection after challenge of macaques. AIDS 8, 1391–1396 (1994).

    Article  CAS  Google Scholar 

  47. Salvato, M.S. et al. Cellular immune responses in rhesus macaques infected rectally with low dose simian immunodeficiency virus. J. Med. Primatol. 23, 125–130 (1994).

    Article  CAS  Google Scholar 

  48. Lehner, T. et al. Induction of mucosal and systemic immunity to a recombinant simian immunodeficiency viral protein. Science 258, 1365–1369 (1992).

    Article  CAS  Google Scholar 

  49. Bukawa, H. et al. Neutralization of HIV-1 by secretory IgA induced by oral immunization with a new macromolecular multicomponent peptide vaccine candidate. Nature Med, 1, 681–685 (1995).

    Article  CAS  Google Scholar 

  50. Robert-Guroff, M. et al. Spectrum of HIV-1 neutralizing antibodies in a cohort of homosexual men: Results of a 6 year prospective study. AIDS Res. Hum. Retrovir. 4, 343–350 (1988).

    Article  CAS  Google Scholar 

  51. Shafferman, A. et al. Patterns of antibody recognition of selected conserved amino acid sequences from the HIV envelope in sera from different stages of HIV infection. AIDS Res. Hum. Retrovir. 5, 33–39 (1989).

    Article  CAS  Google Scholar 

  52. Ugen, K.E. et al. Vertical transmission of human immunodeficiency virus (HIV) infection. Reactive of maternal sera with glycoprotein 120 and 41 peptides from HIV type 1. J. Clin. Invest. 89, 1923–1930 (1992).

    Article  CAS  Google Scholar 

  53. Cease, K.B. et al. Helper T cell antigenic site identification in the acquired immunodeficiency syndrome virus gp120 envelope protein and induction of immunity in mice to the native protein using a 16 residues synthetic peptide. Proc. Nat. Acad. Sci. USA 84, 4249–4253 (1987).

    Article  CAS  Google Scholar 

  54. Hale, P.M. et al. T cell multideterminant regions in HIV envelope: Toward overcoming the problem of major histocompatibility complex restriction. Int. Immunol. 1, 409–415 (1989).

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mazzoli, S., Trabaironi, D., Caputo, S. et al. HIV-specific mucosal and cellular immunity in HIV-seronegative partners of HIV-seropositive individuals. Nat Med 3, 1250–1257 (1997). https://doi.org/10.1038/nm1197-1250

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nm1197-1250

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing