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The Journal of Immunology, 2002, 169: 4008-4016.
Copyright © 2002 by The American Association of Immunologists

Mucosal Plasma Cell Repertoire During HIV-1 Infection1

Ronald W. Scamurra*,{dagger}, Douglas B. Nelson*,{ddagger}, Xue Mei Lin*,{dagger}, Darren J. Miller*,{dagger}, Gregg J. Silverman, Tim Kappel*,§, Joseph R. Thurn*,{dagger}, Erin Lorenz*,{dagger}, Anjali Kulkarni-Narla*,{dagger} and Edward N. Janoff2,*,{dagger}

* Mucosal and Vaccine Research Center and Sections of {dagger} Infectious Disease, {ddagger} Gastroenterology, and § Laboratory Medicine and Pathology, Veteran Affairs Medical Center, University of Minnesota School of Medicine, Minneapolis, MN 55417; and Department of Medicine, University of California at San Diego, La Jolla, CA 92093

Impaired development of local Ab responses may predispose HIV-1-infected patients to an increased rate, severity, and duration of mucosal infections. We characterized the repertoire of Ig-producing cells in the intestinal effector compartment (the lamina propria) of HIV-1-infected (n = 29) and seronegative control (n = 27) subjects. The density of Ig-producing cells per area was similar in both groups. However, the proportions of IgA-producing cells were lower in both the duodenum and colon from HIV-1-infected patients compared with those of control subjects (p < 0.05), with compensatory increases in IgG-producing cells in the colon and IgM-producing cells in the duodenum. Similarly, among Abs in the lumen the proportions of IgA were also decreased and the proportions of IgG were increased among HIV-1-infected patients. On a molecular level, VH gene repertoire analyses by RT-PCR revealed comparable proportions of the VH3 family among duodenal IgA transcripts (50–53%) from both groups. VH3 expression was decreased only for IgM among patients with advanced HIV-1 disease (n = 6) compared with that of control subjects (n = 8) (48 ± 8 vs 62 ± 13%; p < 0.01). Moreover, the frequencies of individual IgM and IgA VH3 genes were comparable in each group, including rates of putative HIV-1 gp120-binding VH3 genes (V3-23, V3-30, V3-30/3-30.5). We conclude that, despite a decrement in local IgA producing cells, the density and molecular VH repertoire of mucosal plasma cells are relatively intact among patients with HIV-1 infection. These data suggest that HIV-1-infected patients use functional regulatory mechanisms to provide sufficient VH diversity and effective induction and differentiation of mucosal B cells.




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