Longitudinal Comparison of Chemokines in Breastmilk Early Postpartum Among HIV-1-Infected and Uninfected Kenyan Women
Identifieur interne : 001A36 ( Pmc/Curation ); précédent : 001A35; suivant : 001A37Longitudinal Comparison of Chemokines in Breastmilk Early Postpartum Among HIV-1-Infected and Uninfected Kenyan Women
Auteurs : Rose Bosire [Kenya] ; Brandon L. Guthrie [États-Unis] ; Barbara Lohman-Payne [États-Unis] ; Jennifer Mabuka [Kenya] ; Maxwell Majiwa [Kenya] ; Grace Wariua [Kenya] ; Dorothy Mbori-Ngacha [Kenya] ; Barbra Richardson [États-Unis] ; Grace John-Stewart [États-Unis] ; Carey Farquhar [États-Unis]Source :
- Breastfeeding Medicine [ 1556-8253 ] ; 2007.
Abstract
Breastmilk chemokines have been associated with increased HIV-1 RNA levels in breastmilk and altered risk of mother-to-child HIV-1 transmission. To characterize CC and CXC chemokines in breastmilk postpartum, we collected breastmilk specimens at regular intervals for 6 months after delivery from women with and without HIV-1 infection and used commercial ELISA kits to measure breastmilk concentrations of MIP-1α, MIP-1β, RANTES, and SDF-1α. Among 54 HIV-1-infected and 26 uninfected women, mean chemokine levels were compared cross-sectionally and longitudinally at days 5 and 10, and months 1 and 3 postpartum. For both HIV-1-infected and uninfected women, breastmilk chemokine levels were highest at day 5 for MIP-1α, MIP-1β, and SDF-1α, and subsequently decreased. RANTES levels remained constant over the follow-up period among HIV-1-uninfected women, and increased moderately among HIV-1-infected women. For MIP-1β and RANTES, breastmilk levels were significantly higher among HIV-1-infected women compared to uninfected women early postpartum. In addition, HIV-1-infected women transmitting HIV-1 to their infant had consistently higher breastmilk RANTES levels than those who did not transmit, with the greatest difference observed at 1 month (2.68 vs. 2.21 log10 pg/mL, respectively;
Url:
DOI: 10.1089/bfm.2007.0009
PubMed: 17903098
PubMed Central: 3381953
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<series><title level="j">Breastfeeding Medicine</title>
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<front><div type="abstract" xml:lang="en"><p id="P1">Breastmilk chemokines have been associated with increased HIV-1 RNA levels in breastmilk and altered risk of mother-to-child HIV-1 transmission. To characterize CC and CXC chemokines in breastmilk postpartum, we collected breastmilk specimens at regular intervals for 6 months after delivery from women with and without HIV-1 infection and used commercial ELISA kits to measure breastmilk concentrations of MIP-1α, MIP-1β, RANTES, and SDF-1α. Among 54 HIV-1-infected and 26 uninfected women, mean chemokine levels were compared cross-sectionally and longitudinally at days 5 and 10, and months 1 and 3 postpartum. For both HIV-1-infected and uninfected women, breastmilk chemokine levels were highest at day 5 for MIP-1α, MIP-1β, and SDF-1α, and subsequently decreased. RANTES levels remained constant over the follow-up period among HIV-1-uninfected women, and increased moderately among HIV-1-infected women. For MIP-1β and RANTES, breastmilk levels were significantly higher among HIV-1-infected women compared to uninfected women early postpartum. In addition, HIV-1-infected women transmitting HIV-1 to their infant had consistently higher breastmilk RANTES levels than those who did not transmit, with the greatest difference observed at 1 month (2.68 vs. 2.21 log<sub>10</sub>
pg/mL, respectively; <italic>p</italic>
= 0.007). In summary, all four chemokines were most elevated within the first month postpartum, a period of high transmission risk via breastmilk. MIP-1β and RANTES levels in breastmilk were higher among HIV-1-infected women than among uninfected women, and breastmilk RANTES was positively associated with vertical transmission in this study, consistent with results from our earlier cohort.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101260777</journal-id>
<journal-id journal-id-type="pubmed-jr-id">33499</journal-id>
<journal-id journal-id-type="nlm-ta">Breastfeed Med</journal-id>
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<journal-title-group><journal-title>Breastfeeding Medicine</journal-title>
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<issn pub-type="epub">1556-8342</issn>
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<article-id pub-id-type="doi">10.1089/bfm.2007.0009</article-id>
<article-id pub-id-type="manuscript">NIHMS359146</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Longitudinal Comparison of Chemokines in Breastmilk Early Postpartum Among HIV-1-Infected and Uninfected Kenyan Women</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Bosire</surname>
<given-names>Rose</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Guthrie</surname>
<given-names>Brandon L.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lohman-Payne</surname>
<given-names>Barbara</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mabuka</surname>
<given-names>Jennifer</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Majiwa</surname>
<given-names>Maxwell</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Wariua</surname>
<given-names>Grace</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mbori-Ngacha</surname>
<given-names>Dorothy</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Richardson</surname>
<given-names>Barbra</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
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<contrib contrib-type="author"><name><surname>John-Stewart</surname>
<given-names>Grace</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Farquhar</surname>
<given-names>Carey</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Center for Public Health Research, Kenya Medical Research Institute, Nairobi, Kenya</aff>
<aff id="A2"><label>2</label>
Department of Epidemiology, University of Washington, Seattle, Washington</aff>
<aff id="A3"><label>3</label>
Department of Medicine, University of Washington, Seattle, Washington</aff>
<aff id="A4"><label>4</label>
Department of Biostatistics, University of Washington, Seattle, Washington</aff>
<aff id="A5"><label>5</label>
Department of Paediatrics, University of Nairobi, Nairobi, Kenya</aff>
<author-notes><corresp id="cor1">Address reprint requests to: Carey Farquhar, M.D., MPH, University of Washington, 325 Ninth Avenue, Box 359909, Seattle, WA 98104-2499, <email>cfarq@u.washington.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>8</day>
<month>6</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub"><month>9</month>
<year>2007</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>25</day>
<month>6</month>
<year>2012</year>
</pub-date>
<volume>2</volume>
<issue>3</issue>
<fpage>129</fpage>
<lpage>138</lpage>
<permissions><copyright-statement>© Mary Ann Liebert, Inc.</copyright-statement>
</permissions>
<abstract><p id="P1">Breastmilk chemokines have been associated with increased HIV-1 RNA levels in breastmilk and altered risk of mother-to-child HIV-1 transmission. To characterize CC and CXC chemokines in breastmilk postpartum, we collected breastmilk specimens at regular intervals for 6 months after delivery from women with and without HIV-1 infection and used commercial ELISA kits to measure breastmilk concentrations of MIP-1α, MIP-1β, RANTES, and SDF-1α. Among 54 HIV-1-infected and 26 uninfected women, mean chemokine levels were compared cross-sectionally and longitudinally at days 5 and 10, and months 1 and 3 postpartum. For both HIV-1-infected and uninfected women, breastmilk chemokine levels were highest at day 5 for MIP-1α, MIP-1β, and SDF-1α, and subsequently decreased. RANTES levels remained constant over the follow-up period among HIV-1-uninfected women, and increased moderately among HIV-1-infected women. For MIP-1β and RANTES, breastmilk levels were significantly higher among HIV-1-infected women compared to uninfected women early postpartum. In addition, HIV-1-infected women transmitting HIV-1 to their infant had consistently higher breastmilk RANTES levels than those who did not transmit, with the greatest difference observed at 1 month (2.68 vs. 2.21 log<sub>10</sub>
pg/mL, respectively; <italic>p</italic>
= 0.007). In summary, all four chemokines were most elevated within the first month postpartum, a period of high transmission risk via breastmilk. MIP-1β and RANTES levels in breastmilk were higher among HIV-1-infected women than among uninfected women, and breastmilk RANTES was positively associated with vertical transmission in this study, consistent with results from our earlier cohort.</p>
</abstract>
<funding-group><award-group><funding-source country="United States">National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID</funding-source>
<award-id>P30 AI027757-13 || AI</award-id>
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</funding-group>
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</front>
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