Abstract
Children may be the optimal target for HIV vaccine development as they generate substantially more frequent and more potent broadly HIV neutralizing antibodies (bnAbs) than adults. Development of a biomarker that correlates with neutralization breadth in this group could function as a powerful tool to facilitate the development of an HIV vaccine. Previously, we observed that this preferential ability in HIV-infected children over adults to generate bnAbs is associated with an enrichment of circulating follicular helper T-cells (TFH) with an effector phenotype, and the presence of IL-21 secreting HIV-specific TFH within lymphoid tissue germinal centers (GC). In adults, bnAbs development has been linked with high plasma levels of CXCL13, a chemoattractant for CXCR5-expressing TFH cells to the lymph node GC. We sought to test this relationship in HIV-infected children, but found no association between neutralization breadth and plasma levels of CXCL13, or with the Th2 cytokines IL-4 and IL-13, or the TFH associated factor Activin A. However, we did find an unexpected association between plasma IL-5 levels and bnAb development in these children. Importantly, although CXCL13 correlated with total circulating TFH cells, it was not associated with effector TFH. Additionally, raised CXCL13 expression was associated with a lower CD4 percentage, higher viral load and a loss of immune function, implying it is associated with progressive disease rather than HIV-specific GC activity in these subjects. Taken together, our data suggests that IL-5 should be evaluated further as a candidate plasma biomarker for HIV neutralization breadth and for monitoring vaccine responses in the pediatric age group.
| Original language | English |
|---|---|
| Article number | 1497 |
| Journal | Frontiers in Immunology |
| Volume | 10 |
| Issue number | JUL |
| DOIs | |
| State | Published - 2019 |
Bibliographical note
Publisher Copyright:Copyright © 2019 Roider, Porterfield, Ogongo, Muenchhoff, Adland, Groll, Morris, Moore, Ndung'u, Kløverpris, Goulder and Leslie. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Funding
AL is funded through the Wellcome Trust (grant 210662/Z/18/Z) and HHMI. PG is funded through the Wellcome Trust (grant 104748MA). HK is funded through the Wellcome Trust (grant 202485/Z/16/Z). PM is supported by the South African Research Chairs Initiative of the Department of Science and Technology and National Research Foundation of South Africa (Grant 98341). This work was partially funded through the Sub-Saharan African Network for TB/HIV Research Excellence (SANTHE), a DELTAS Africa Initiative (grant DEL-15-006). The DELTAS Africa Initiative is an independent funding scheme of the African Academy of Sciences (AAS)’s Alliance for Accelerating Excellence in Science in Africa (AESA) and supported by the New Partnership for Africa’s Development Planning and Coordinating Agency (NEPAD Agency) with funding from the Wellcome Trust (grant 07752/Z/15/Z) and the UK government. The views expressed in this publication are those of the author(s) and not necessarily those of AAS, NEPAD Agency, Wellcome Trust or the UK government. AL is funded through the Wellcome Trust (grant 210662/Z/18/Z) and HHMI. PG is funded through the Wellcome Trust (grant 104748MA). HK is funded through the Wellcome Trust (grant 202485/Z/16/Z). PM is supported by the South African Research Chairs Initiative of the Department of Science and Technology and National Research Foundation of South Africa (Grant 98341). This work was partially funded through the Sub-Saharan African Network for TB/HIV Research Excellence (SANTHE), a DELTAS Africa Initiative (grant DEL-15-006). The DELTAS Africa Initiative is an independent funding scheme of the African Academy of Sciences (AAS)'s Alliance for Accelerating Excellence in Science in Africa (AESA) and supported by the New Partnership for Africa's Development Planning and Coordinating Agency (NEPAD Agency) with funding from the Wellcome Trust (grant 07752/Z/15/Z) and the UK government. The views expressed in this publication are those of the author(s) and not necessarily those of AAS, NEPAD Agency, Wellcome Trust or the UK government.
| Funders | Funder number |
|---|---|
| African Academy of Sciences | |
| Department of Science and Technology, Republic of South Africa | |
| Department of Science and Technology, Ministry of Science and Technology, India | |
| Delaware IDeA Network of Biomedical Research Excellence | |
| Government of the United Kingdom | |
| Wellcome Trust | 210662/Z/18/Z, 202485 |
| Howard Hughes Medical Institute | 104748MA, 202485/Z/16/Z |
| National Research Foundation South African Research Chair | 98341, DEL-15-006 |
| New Partnership for Africa's Development | 07752/Z/15/Z |
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- Activin A
- Broadly neutralizing antibodies (bnAbs)
- CXCL13
- HIV neutralization breadth
- IL-5
- Pediatric HIV
- Plasma markers
- T-follicular helper cells (Tfh)
ASJC Scopus subject areas
- Immunology and Allergy
- Immunology
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