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dc.contributor.authorE. Horton, Rachelen_US
dc.contributor.authorBlake Ball, T.en_US
dc.contributor.authorWachichi, Charlesen_US
dc.contributor.authorJaoko, Walteren_US
dc.contributor.authorJohn Rutherford, W.en_US
dc.contributor.authorMckinnon, Lyleen_US
dc.contributor.authorKaul, Ruperten_US
dc.contributor.authorRebbapragada, Anuen_US
dc.contributor.authorKimani, Joshuaen_US
dc.contributor.authorA. Plummer, Franken_US
dc.description.abstractWe conducted a comprehensive cross-sectional analysis of total and HIV-speci?c cervical antibody levels in HIV- 1-resistant, uninfected, and infected women in order to examine the role of HIV-speci?c antibody responses in the female genital tract and examine the effect on antibody levels of various epidemiologic factors in this population. Cervical lavages were collected from 272 subjects of the Pumwani commercial sex worker cohort. Total and HIV-speci?c genital tract IgA and IgG levels were measured using an ELISA and correlated with behavioral and demographic factors. No signi?cant difference was seen between cervical HIV-speci?c IgA levels in infected, uninfected, and resistant individuals, nor were any correlations between cervical HIV-speci?c IgA and neutralization capacity or viral shedding seen. We did, however, note increased HIV-speci?c IgA in HIV- negative women with four or more clients per day, and decreased HIV-speci?c IgA in both long-term non-progressors and long-term survivors. These results show that there is not a strong cohort-wide correlation between HIV-speci?c cervical IgA levels and resistance to infection by HIV-1 as previously believed, but there is a correlation between exposure to HIV and HIV-speci?c cervical IgA. Our ?ndings do not preclude the possibility that functional differences in the cervical IgA of HEPS women may play a role in resistance, but argue that HIV-speci?c responses may not be a universal protective factor. They also indicate that resistance to HIV is a complex condition related to more factors than exposure. Further studies of correlates of immune protection in these individuals would be bene?cial to the ?eld.en_US
dc.publisherMary Ann Liebert, Inc. Publishersen_US
dc.publisher.placeUnited Statesen_US
dc.relation.ispartofjournalAIDS Research and Human Retrovirusesen_US
dc.subject.fieldofresearchMedical Virologyen_US
dc.subject.fieldofresearchHumoural Immunology and Immunochemistryen_US
dc.titleCervical HIV-Specific IgA in a Population of Commercial Sex Workers Correlates with Repeated Exposure But Not Resistance to HIVen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.rights.copyrightCopyright 2009 Mary Ann Liebert, Inc., publishers. Self-archiving of the author-manuscript version is not yet supported by this publisher. Please refer to the journal link for access to the definitive, published version or contact the authors for more information.en_AU
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