Skip to main content

Mother-to-Child Transmission of HIV-1: Role of Receptor Usage and Target Cells

  • Living reference work entry
  • First Online:
Encyclopedia of AIDS

Definition

Mother-to-child transmission (MTCT) of HIV-1 occurs during pregnancy, delivery, and breastfeeding, although to different proportion. The latest reports still count approximately 330,000 new infections in babies although a significant decrease was observed since introduction of efficient preventive measures. Viral genotype and phenotype gave little evidence of a specific pattern associated with MTCT of HIV-1 and thus are not useful absolute predictive markers of transmission. HIV-1 infection of children is initiated in most cases by an R5 virus, but viruses with other phenotypes can be isolated when the mother carries those. A sophisticated balance between inhibitory and facilitating factors as well as of competent target cells in the placenta, the breast milk, and at gastrointestinal level may redirect the transmission event.

Mother-to-Child Transmission of HIV-1: Epidemiological Notes

Mother-to-child transmission (MTCT) of HIV-1 can occur in utero, during delivery, and...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  • Arias RA, Munoz LD, Munoz-Fernandez MA. Transmission of HIV-1 infection between trophoblast placental cells and T-cells take place via an LFA-1-mediated cell to cell contact. Virology. 2003;307:266–77.

    Article  PubMed  CAS  Google Scholar 

  • Boily-Larouche G, Milev MP, Zijenah LS, Labbe AC, Zannou DM, Humphrey JH, Ward BJ, Poudrier J, Mouland AJ, Cohen EA, Roger M. Naturally-occurring genetic variants in human DC-SIGN increase HIV-1 capture, cell-transfer and risk of mother-to-child transmission. PLoS One. 2012;7:e40706.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Bunders MJ, van der Loos CM, Klarenbeek PL, van Hamme JL, Boer K, Wilde JC, de Vries N, van Lier RA, Kootstra N, Pals ST, Kuijpers TW. Memory CD4(+)CCR5(+) T cells are abundantly present in the gut of newborn infants to facilitate mother-to-child transmission of HIV-1. Blood. 2012;120:4383–90.

    Article  PubMed  CAS  Google Scholar 

  • Cavarelli M, Karlsson I, Zanchetta M, Antonsson L, Plebani A, Giaquinto C, Fenyo EM, De Rossi A, Scarlatti G. HIV-1 with multiple CCR5/CXCR4 chimeric receptor use is predictive of immunological failure in infected children. PLoS One. 2008;3:e3292.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cavarelli M, Karlsson I, Ripamonti C, Plebani A, Fenyo EM, Scarlatti G. Flexible use of CCR5 in the absence of CXCR4 use explains the immune deficiency in HIV-1 infected children. AIDS. 2010;24:2527–33.

    Article  PubMed  Google Scholar 

  • Cavarelli M, Foglieni C, Rescigno M, Scarlatti G. R5 HIV-1 envelope attracts dendritic cells to cross the human intestinal epithelium and sample luminal virions via engagement of the CCR5. EMBO Mol Med. 2013;5:776–94.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Joubert BR, Franceschini N, Mwapasa V, North KE, Meshnick SR. Regulation of CCR5 expression in human placenta: insights from a study of mother-to-child transmission of HIV in Malawi. PLoS One. 2010;5:e9212.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lyimo MA, Mosi MN, Housman ML, Zain-Ul-Abideen M, Lee FV, Howell AL, Connor RI. Breast milk from Tanzanian women has divergent effects on cell-free and cell-associated HIV-1 infection in vitro. PLoS One. 2012;7:e43815.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Mariani SA, Brigida I, Kajaste-Rudnitski A, Ghezzi S, Rocchi A, Plebani A, Vicenzi E, Aiuti A, Poli G. HIV-1 envelope-dependent restriction of CXCR4-using viruses in child but not adult untransformed CD4+ T-lymphocyte lines. Blood. 2012;119:2013–23.

    Article  PubMed  CAS  Google Scholar 

  • Marlin R, Nugeyre MT, de Truchis C, Berkane N, Gervaise A, Barre-Sinoussi F, Menu E. Antigen-presenting cells represent targets for R5 HIV-1 infection in the first trimester pregnancy uterine mucosa. PLoS One. 2009;4:e5971.

    Article  PubMed  PubMed Central  Google Scholar 

  • Marlin R, Nugeyre MT, Duriez M, Cannou C, Le Breton A, Berkane N, Barre-Sinoussi F, Menu E. Decidual soluble factors participate in the control of HIV-1 infection at the maternofetal interface. Retrovirology. 2011;8:58.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Pollakis G, Stax MJ, Paxton WA. Innate immune factors associated with HIV-1 transmission. Curr Opin HIV AIDS. 2011;6:341–7.

    Article  PubMed  Google Scholar 

  • Rousseau CM, Nduati RW, Richardson BA, John-Stewart GC, Mbori-Ngacha DA, Kreiss JK, Overbaugh J. Association of levels of HIV-1-infected breast milk cells and risk of mother-to-child transmission. J Infect Dis. 2004;190:1880–8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Shen R, Smythies LE, Clements RH, Novak L, Smith PD. Dendritic cells transmit HIV-1 through human small intestinal mucosa. J Leukoc Biol. 2010;87:663–70.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Stax MJ, Naarding MA, Tanck MW, Lindquist S, Hernell O, Lyle R, Brandtzaeg P, Eggesbo M, Pollakis G, Paxton WA. Binding of human milk to pathogen receptor DC-SIGN varies with bile salt-stimulated lipase (BSSL) gene polymorphism. PLoS One. 2011;6:e17316.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Tugizov SM, Herrera R, Veluppillai P, Greenspan D, Soros V, Greene WC, Levy JA, Palefsky JM. HIV is inactivated after transepithelial migration via adult oral epithelial cells but not fetal epithelial cells. Virology. 2011;409:211–22.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Tugizov SM, Herrera R, Veluppillai P, Greenspan D, Soros V, Greene WC, Levy JA, Palefsky JM. Differential transmission of HIV traversing fetal oral/intestinal epithelia and adult oral epithelia. J Virol. 2012;86:2556–70.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Tuttle DL, Coberley CR, Xie X, Kou ZC, Sleasman JW, Goodenow MM. Effects of human immunodeficiency virus type 1 infection on CCR5 and CXCR4 coreceptor expression on CD4 T lymphocyte subsets in infants and adolescents. AIDS Res Hum Retroviruses. 2004;20:305–13.

    Article  PubMed  CAS  Google Scholar 

  • Valea D, Tuaillon E, Al Tabaa Y, Rouet F, Rubbo PA, Meda N, Foulongne V, Bollore K, Nagot N, Van de Perre P, Vendrell JP. CD4+ T cells spontaneously producing human immunodeficiency virus type I in breast milk from women with or without antiretroviral drugs. Retrovirology. 2011;8:34.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Van de Perre P, Rubbo PA, Viljoen J, Nagot N, Tylleskar T, Lepage P, Vendrell JP, Tuaillon E. HIV-1 reservoirs in breast milk and challenges to elimination of breast-feeding transmission of HIV-1. Sci Transl Med. 2012;4:143.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mariangela Cavarelli .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this entry

Cite this entry

Cavarelli, M., Scarlatti, G. (2014). Mother-to-Child Transmission of HIV-1: Role of Receptor Usage and Target Cells. In: Hope, T., Stevenson, M., Richman, D. (eds) Encyclopedia of AIDS. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9610-6_150-1

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-9610-6_150-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, New York, NY

  • Online ISBN: 978-1-4614-9610-6

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics