Table 1. Timing of systemic and mucosal gp41-specific IgA antibodies.
|
gp41 |
Gag |
RT |
Nef |
gp120 |
P31 |
|||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Fiebig stage | No./totala | % | No./total | % | No./total | % | No./total | % | No./total | % | No./total | % |
| (a) Plasma IgA | ||||||||||||
| I/II | 6/23 | 26.1 | 2/23 | 8.7 | NT | — | NT | — | NT | — | NT | — |
| III | 7/14 | 50.0 | 3/14 | 21.4 | NT | — | NT | — | NT | — | NT | — |
| IV | 15/17 | 88.2 | 10/17 | 58.8 | 3/7 | 42.9 | 3/7 | 42.9 | 2/8 | 25.0 | 0/7 | 0.0 |
| V/VI | 39/40 | 97.5 | 35/40 | 87.5 | 13/15 | 86.7 | 8/14 | 57.1 | 11/29 | 37.9 | 2/14 | 14.3 |
| (b) Mucosal IgA | ||||||||||||
| I/II | 0/1 | 0 | 0/1 | 0 | NT | — | NT | — | NT | — | NT | — |
| III | 0/2 | 0 | 0/2 | 0 | NT | — | NT | — | NT | — | NT | — |
| IV | 7/21 | 33.3 | 4/8 | 50.0 | 0/7 | 0 | 0/7 | 0 | 1/7 | 14.3 | 0/7 | 0 |
| V/VI | 18/23 | 78.3 | 17/23 | 73.9 | 5/14 | 35.7 | 1/14 | 7.1 | 4/14 | 28.6 | 1/14 | 7.1 |
|
(c) | ||
|---|---|---|
| Antigen | No. of subjectsb | Median time to antibody response (range (days))c |
| gp41 | 14 | 13.5 (9–18) |
| p55 | 6 | 25.5 (14–40) |
Abbreviations: Ig, immunoglobulin; NT, not tested.
(a) Frequency of HIV-1-specific plasma IgA responses per Fiebig25 stage in up to 30 CHAVI and 25 plasma donor patients is shown. Frequency was calculated by the number of plasma samples positive per each Fiebig stage over the total number plasma samples measured in that stage. (b) Frequency of HIV-specific mucosal IgA responses were measured in mucosal samples per Fiebig stage from up to 23 acute HIV-1 infection (AHI) patients. (c) Systemic HIV-1 gp41-specific IgA appears before anti-Gag IgA antibodies. HIV-specific IgA responses were measured in 25 HIV+ seroconversion plasma donor panels by standard enzyme-linked immunosorbent assay and aligned to T0 (the time at which viral load is first detectable), as previously described.
Number of subjects having an antigen-specific IgA positive sample in the designated Fiebig stage divided by the total number of subjects in that designated Fiebig stage.
Number of plasma donor subjects with positive IgA response.
Median time from T0 (the first day the viral load reaches 100 copies/ml).