Vertically transmitted HIV disease constitutes a significant problem i
n pediatrics, In order to characterize some of the possible host facto
rs involved in HIV replication in fetuses and newborns, we surveyed th
e HIV-1 LTR binding factors present in nuclear extracts from cord bloo
d mononuclear cells. A series of electrophoretic mobility shift assays
(EMSAs) showed that protein extracts from cord blood interacted with
several regions of the HIV LTR, The most prominent binding activities
involved the NF-kB sites, but other regions of the LTR also showed fac
tor binding with the cord blood extracts, Some of these cord blood ext
ract binding activities displayed qualitative differences when compare
d to adult peripheral blood mononuclear cell extracts in EMSA and UV c
ross-linking studies, Transient transfection experiments indicated tha
t the NF-kB and Spl sequences were important for wild type levels of e
xpression in cord blood cells, but that additional sequences 5' to the
NF-kB sites also contributed activity. Thus, factors that interact wi
th many of the well-known HIV LTR regulatory sites are present in cord
blood cells. However, certain qualitative differences distinguished c
ord blood and adult peripheral blood binding activities and these may
contribute to pathogenesis of HIV infection in neonates.