P. Moja et al., Neutralization of human immunodeficiency virus type 1 (HIV-1) mediated by parotid IgA of HIV-1-infected patients, J INFEC DIS, 181(5), 2000, pp. 1607-1613
Infection with human immunodeficiency virus type 1 (HIV-1) has been shown t
o elicit a serum antibody response with neutralizing activity against T cel
l line-adapted HIV strains and primary HIV-1 isolates. Mucosal surfaces are
the primary route of HIV-1 infection. Evidence is presented here for the p
resence of HIV-neutralizing antibodies in secretions. Infection of mucosal
cells with HIV stimulates systemic and mucosal immune responses and results
in the generation of neutralizing antibodies. Serum IgG and IgA neutralize
HIV-1(MN) infection of susceptible T cell lines; serum IgG inhibits more e
ffectively. Mucosal IgA purified from parotid saliva of HIV-1-seropositive
individuals could neutralize both a T cell line-adapted strain and a primar
y isolate, The neutralizing activity of IgA was not directed against the an
ti-third-variable-loop or the anti-ELDKWA epitope. Thus, the specificity of
mucosal IgA for HIV-1 neutralization epitopes remains to be determined and
may provide insight into development of a mucosal vaccine.