Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Apr 13;91(9):e02422-16.
doi: 10.1128/JVI.02422-16. Print 2017 May 1.

Maternal Binding and Neutralizing IgG Responses Targeting the C-Terminal Region of the V3 Loop Are Predictive of Reduced Peripartum HIV-1 Transmission Risk

Affiliations

Maternal Binding and Neutralizing IgG Responses Targeting the C-Terminal Region of the V3 Loop Are Predictive of Reduced Peripartum HIV-1 Transmission Risk

David R Martinez et al. J Virol. .

Abstract

The development of an effective maternal HIV-1 vaccine that could synergize with antiretroviral therapy (ART) to eliminate pediatric HIV-1 infection will require the characterization of maternal immune responses capable of blocking transmission of autologous HIV to the infant. We previously determined that maternal plasma antibody binding to linear epitopes within the variable loop 3 (V3) region of HIV envelope (Env) and neutralizing responses against easy-to-neutralize tier 1 viruses were associated with reduced risk of peripartum HIV infection in the historic U.S. Woman and Infant Transmission Study (WITS) cohort. Here, we defined the fine specificity and function of the potentially protective maternal V3-specific IgG antibodies associated with reduced peripartum HIV transmission risk in this cohort. The V3-specific IgG binding that predicted low risk of mother-to-child-transmission (MTCT) was dependent on the C-terminal flank of the V3 crown and particularly on amino acid position 317, a residue that has also been associated with breakthrough transmission in the RV144 vaccine trial. Remarkably, the fine specificity of potentially protective maternal plasma V3-specific tier 1 virus-neutralizing responses was dependent on the same region in the V3 loop. Our findings suggest that MTCT risk is associated with neutralizing maternal IgG that targets amino acid residues in the C-terminal region of the V3 loop crown, suggesting the importance of the region in immunogen design for maternal vaccines to prevent MTCT.IMPORTANCE Efforts to curb HIV-1 transmission in pediatric populations by antiretroviral therapy (ART) have been highly successful in both developed and developing countries. However, more than 150,000 infants continue to be infected each year, likely due to a combination of late maternal HIV diagnosis, lack of ART access or adherence, and drug-resistant viral strains. Defining the fine specificity of maternal humoral responses that partially protect against MTCT of HIV is required to inform the development of a maternal HIV vaccine that will enhance these responses during pregnancy. In this study, we identified amino acid residues targeted by potentially protective maternal V3-specific IgG binding and neutralizing responses, localizing the potentially protective response in the C-terminal region of the V3 loop crown. Our findings have important implications for the design of maternal vaccination strategies that could synergize with ART during pregnancy to achieve the elimination of pediatric HIV infections.

Keywords: HIV; V3; antibodies; mother-to-child transmission.

PubMed Disclaimer

Figures

FIG 1
FIG 1
Breadth of plasma V3-specific IgG responses of HIV-1-infected mothers from the WITS cohort. Maternal plasma linear V3-specific IgG responses were tested against a multiclade consensus linear V3 peptide panel. (A) HIV Env gp120 with the V3 loop in green (29). (B) Differences in amino acid residues across the multiclade consensus V3 peptides compared to the V3.B consensus peptide (red); the V3 loop crown is shaded in yellow. (C) Clade-specific maternal V3-specific IgG responses (n = 248) measured by BAMA. The horizontal lines indicate the medians, and the boxes depict 25 to 75% MFI against each peptide. The error bars depict ranges. The V3-specific MAb CH22 was used as a positive control (mean MFIs at 5 μg/ml, 27,808, 28,309, 25,991, 23,476, 26,317, 2,301, and 826 for V3.B, V3.M, V3.C, V3.A, V3.CRF2, V3.D, and V3.CRF1, respectively). Normal human serum was used as a negative control (mean MFI at 1:500 dilution, 100). (D) Odds ratio plot of maternal clade-specific V3-specific IgG binding responses and MTCT risk. Raw (p) and false-discovery rate (FDR p) P values are reported.
FIG 2
FIG 2
Maternal plasma V3-specific IgG responses to linear V3.B wild-type and V3.B K305Q I307T H308T and V3.B/D F317L A319T D322R mutant peptides and their association with MTCT risk. (A) Maternal plasma linear V3-specific IgG binding responses to V3.B wild-type peptide in nontransmitting (NT; blue) and transmitting (T; red) women. (B) Maternal plasma V3-specific IgG responses against triple-mutant V3.B K305Q I307T H308T peptide in NT and T mothers. (C) Maternal plasma V3-specific IgG responses against V3.B/D F317L A319T D322R in NT and T mothers. The horizontal lines represent the median MFIs, and the boxes depict 25 to 75% MFI against each peptide. The error bars depict ranges. The V3-specific MAb CH22 was used as a positive control (mean MFIs at 5 μg/ml, 25,711, 8,713, and 25,240 for V3.B, the V3.B K305Q I307T H308T mutant, and the V3.B/D F317L A319T D322R mutant, respectively). Normal human serum was used as a negative control (mean MFI at 1:500 dilution, 100). (D) Odds ratio plot depicting maternal linear V3-specific IgG binding responses against each V3 peptide and association with MTCT risk. Raw (p) and FDR-corrected (FDR p) P values are shown.
FIG 3
FIG 3
Maternal plasma linear V3-specific IgG binding responses and MTCT risk against peptides with single amino acid residue substitutions. (A) Magnitudes of maternal plasma linear V3-specific IgG binding responses to V3.B wild type, V3.B F317A A319K D322R, V3.B D322R, V3.B A319K, and V3.B F317A. The V3-specific MAb CH22 was used as a positive control (mean MFIs at 5 μg/ml, 13,817, 25,241, 26,639, and 3,710 for V3.B F317A A319K D322A, V3.B D322A, V3.B A319K, and V3.B F317A, respectively) in NT (blue) and T (red) women. Normal human serum was used as a negative control (mean MFI at 1:500 dilution, 100). (B) Odds ratio plot of V3.B wild-type, V3.B triple-mutant, and V3.B single-mutant peptides. As the analysis was designed as a secondary, immune correlate analysis, significant raw P values are indicated by asterisks (P < 0.05). (C) Predicted structural locations of amino acid targets of maternal IgG responses associated with reduced MTCT risk. The HIV Env V3 loop with amino acid residue positions F317, A319, and D322, which are targeted by maternal plasma binding and neutralizing IgG responses associated with reduced MTCT risk, is shown in red. The V3 structure was generated using PyMOL.
FIG 4
FIG 4
Maternal V3-specific IgG subclass response frequencies in nontransmitting and transmitting mothers.
FIG 5
FIG 5
Maternal plasma linear V3-specific neutralizing responses and MTCT risk. (A) Maternal neutralizing responses to HIV-1 SF162 in nontransmitting and transmitting women in the presence of no peptide, a scrambled peptide, and a V3.B wild-type linear peptide, with P values from a Mann-Whitney test. (B) Maternal plasma linear V3-specific neutralizing responses against HIV-2 V3.B wild type and a HIV-2 V3.B A319T D322N mutant. The V3-specific MAb CH22 was used as a positive control, and normal human serum was used as a negative control. (C) Odds ratio plot of maternal tier 1 virus-neutralizing responses to HIV-1 SF162 in the presence of no peptide and scrambled and V3.B wild-type peptide and MTCT risk. (D) Odds ratio plot of maternal V3-specific neutralizing responses against HIV-2 V3.B wild-type and HIV-2 V3.B A319T D322N chimeric viruses and MTCT risk. As the analysis was designed as a secondary, immune correlate analysis, significant raw P values are indicated by asterisks (P < 0.05).
FIG 6
FIG 6
Altered CCR5 and CXRC4 coreceptor inhibitor sensitivity of HIV-1 in the presence of maternal V3-specific antibodies. (A) Maternal V3-specific IgG antibodies isolated from a nontransmitting and a transmitting mother tested at subneutralizing concentrations (5 μg/ml) against an autologous circulating virus (5426.31) in the presence of serially diluted maraviroc. (B) Maternal V3-specific IgG antibodies from a nontransmitting and a transmitting mother tested at subneutralizing concentrations against MN.3 in the presence of serially diluted AMD-3100. The error bars indicate the standard deviation.

Similar articles

Cited by

References

    1. UNAIDS. 2015. Progress Report on the Global Plan: towards the elimination of new HIV infections among children and keeping their mothers alive. UNAIDS, Geneva, Switzerland.
    1. Townsend CL, Cortina-Borja M, Peckham CS, de Ruiter A, Lyall H, Tookey PA. 2008. Low rates of mother-to-child transmission of HIV following effective pregnancy interventions in the United Kingdom and Ireland, 2000–2006. AIDS 22:973–981. doi:10.1097/QAD.0b013e3282f9b67a. - DOI - PubMed
    1. Dorenbaum A, Cunningham CK, Gelber RD, Culnane M, Mofenson L, Britto P, Rekacewicz C, Newell ML, Delfraissy JF, Cunningham-Schrader B, Mirochnick M, Sullivan JL. 2002. Two-dose intrapartum/newborn nevirapine and standard antiretroviral therapy to reduce perinatal HIV transmission: a randomized trial. JAMA 288:189–198. doi:10.1001/jama.288.2.189. - DOI - PubMed
    1. Connor EM, Sperling RS, Gelber R, Kiselev P, Scott G, O'Sullivan MJ, VanDyke R, Bey M, Shearer W, Jacobson RL, Jimenez E, O'Neill E, Bazin B, Delfraissy J-F, Culnane M, Coombs R, Elkins M, Moye J, Stratton P, Balsley J, f Pediatric AIDS Clinical Trials Group Protocol 076 Study Group. 1994. Reduction of maternal-infant transmission of human immunodeficiency virus type 1 with zidovudine treatment. Pediatric AIDS Clinical Trials Group Protocol 076 Study Group. N Engl J Med 331:1173–1180. - PubMed
    1. Suthar AB, Hoos D, Beqiri A, Lorenz-Dehne K, McClure C, Duncombe C. 2013. Integrating antiretroviral therapy into antenatal care and maternal and child health settings: a systematic review and meta-analysis. Bull World Health Organ 91:46–56. doi:10.2471/BLT.12.107003. - DOI - PMC - PubMed

Publication types

MeSH terms

LinkOut - more resources