Antiretroviral treatment induces a shift to type-2 cytokine responses in HIV-1 infected pregnant women

Eur Cytokine Netw. 2000 Dec;11(4):647-53.

Abstract

We report on a cross-sectional study on proliferation and cytokine production (IFN-gamma, IL-12, IL-5 and TNF-alpha) by peripheral blood mononuclear cells (PBMC), activated or not with phytohemagglutinin (PHA) in HIV-1-infected pregnant women, untreated or treated with zidovudine. We compared the results with healthy women, either pregnant or not, and with HIV-1-infected, non-pregnant women. The most significant results indicate that basal IL-5 production in HIV-1-infected pregnant women was higher than in the rest of the groups, being even higher in the zidovudine-treated than in the untreated group. IL-5 and TNF-alpha production by PHA-activated PBMC was also higher in HIV-1 pregnant women than in controls and infected non-pregnant women. IFN-gamma production was much higher in healthy women than in the other groups. Finally, the IFN-gamma/IL-5 (Th1-type/Th2-type-cytokine) ratio was lower in HIV-infected than in uninfected groups. Zidovudine treatment reduced basal IL-12 and increased PHA-stimulated IL-5 production. Our results indicate that both HIV-1 infection and pregnancy favored a Th2-type response by T cells. Interestingly, zidovudine-treated pregnant women had a significantly higher Th2-type response than untreated ones.

Publication types

  • Clinical Trial
  • Comparative Study
  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-HIV Agents / pharmacology*
  • Cross-Sectional Studies
  • Cytokines / biosynthesis*
  • Female
  • HIV Infections / immunology*
  • HIV-1 / immunology
  • Humans
  • Leukocytes, Mononuclear / drug effects
  • Leukocytes, Mononuclear / immunology
  • Lymphocyte Activation
  • Phytohemagglutinins / pharmacology
  • Pregnancy
  • Pregnancy Complications, Infectious / immunology*
  • T-Lymphocyte Subsets / classification
  • Th2 Cells / immunology*
  • Zidovudine / pharmacology*

Substances

  • Anti-HIV Agents
  • Cytokines
  • Phytohemagglutinins
  • Zidovudine