Ikumi, Nadia M, Pillay, Komala, Tilburgs, Tamara, Malaba, Thokozile R, Dzanibe, Sonwabile, Enninga, Elizabeth Ann L, Chakraborty, Rana, Lamorde, Mohammed, Myer, Landon, Khoo, Saye ORCID: 0000-0002-2769-0967 et al (show 2 more authors)
(2021)
T-Cell Homeostatic Imbalance in Placentas From Women With Human Immunodeficiency Virus in the Absence of Vertical Transmission.
JOURNAL OF INFECTIOUS DISEASES, 224 (12 Sup).
S670-S682.
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Abstract
<h4>Background</h4>Implementation of universal antiretroviral therapy (ART) has significantly lowered vertical transmission rates but has also increased numbers of human immunodeficiency virus (HIV)-exposed uninfected children, who remain vulnerable to morbid effects. In the current study, we investigated whether T-cell alterations in the placenta contribute to altered immune status in HIV-exposed uninfected.<h4>Methods</h4>We analyzed T cells from term placenta decidua and villous tissue and paired cord blood from pregnant women living with HIV (PWH) who initiated ART late in pregnancy (n = 21) with pregnant women not living with HIV (PWNH) (n = 9).<h4>Results</h4>Placentas from PWH showed inverted CD4/CD8 ratios and higher proportions of tissue resident CD8+ T cells in villous tissue relative to control placentas. CD8+ T cells in the fetal capillaries, which were of fetal origin, were positively correlated with maternal plasma viremia before ART initiation, implying that imbalanced T cells persisted throughout pregnancy. In addition, the expanded memory differentiation of CD8+ T cells was confined to the fetal placental compartment and cord blood but was not observed in the maternal decidua.<h4>Conclusions</h4>T-cell homeostatic imbalance in the blood circulation of PWH is reflected in the placenta. The placenta may be a causal link between HIV-induced maternal immune changes during gestation and altered immunity in newborn infants in the absence of vertical transmission.
Item Type: | Article |
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Uncontrolled Keywords: | CD4, CD8, HEU, HIV, HIV-exposed, placenta, placenta pathology, T cells, villous tissue |
Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Systems, Molecular and Integrative Biology |
Depositing User: | Symplectic Admin |
Date Deposited: | 21 Dec 2022 09:17 |
Last Modified: | 21 Dec 2022 09:17 |
DOI: | 10.1093/infdis/jiab192 |
Related URLs: | |
URI: | https://livrepository.liverpool.ac.uk/id/eprint/3166746 |