Cervicovaginal neutralizing antibodies to herpes simplex virus (HSV) in women seropositive for HSV Types 1 and 2

Clin Diagn Lab Immunol. 2003 May;10(3):388-93. doi: 10.1128/cdli.10.3.388-393.2003.

Abstract

Antibodies to herpes simplex virus type 1 (HSV-1) and HSV-2 of the immunoglobulin G (IgG) and IgA isotypes were detected in the cervicovaginal secretions (CVS) of 77 HSV-1- and HSV-2-seropositive but clinically asymptomatic African women by type-specific enhanced chemiluminescence Western blotting (ECL-WB). Of the 77 subjects, 34 were HIV negative, shedding HSV-2 DNA in their genital secretions; 20 were HIV positive, shedding HSV-2 DNA; and 23 were HIV negative, not shedding HSV-2 DNA. HSV-specific IgG was detected in CVS of nearly 70% of the women studied. HSV-specific IgA was found in CVS of 50% of the women studied. The distribution of CVS HSV-specific antibodies to each HSV type was highly heterogeneous, with a slight predominance of detectable IgG to HSV-1 (59%) over IgG to HSV-2 (41%), whereas the frequency of detectable IgA to HSV-1 (39%) was similar to that of IgA to HSV-2 (36%). The presence of detectable HSV-specific antibodies was inversely associated with HSV-2 DNA genital asymptomatic shedding but was not affected by HIV seropositivity. In addition, 13 of 77 (17%) CVS samples showed neutralizing activity against HSV-2, as assessed by an HSV-2 in vitro infectivity reduction assay. Neutralizing activity in CVS was associated with the presence of IgG and/or IgA antibodies to HSV-1 and/or to HSV-2 by ECL-WB. Among women whose CVS showed HSV-2-neutralizing activity, the specific activity of HSV-specific neutralizing antibodies was substantially (fivefold) higher in HSV-2 DNA shedders than in nonshedders. In conclusion, HSV-specific antibodies are frequently detected in CVS of asymptomatic African women seropositive for HSV-1 and HSV-2. A subset of these women had functional neutralizing activity against HSV-2 in their CVS. The origin of these antibodies and their role in HSV-2 disease of the female genital tract remain to be determined.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Antibodies, Viral / analysis*
  • Antibody Specificity
  • Cervix Mucus / immunology*
  • Cervix Mucus / virology
  • Cervix Uteri / immunology
  • Cervix Uteri / metabolism
  • Cervix Uteri / virology
  • DNA, Viral / analysis
  • Female
  • Herpes Simplex / diagnosis
  • Herpes Simplex / immunology*
  • Herpesvirus 1, Human / immunology*
  • Herpesvirus 2, Human / genetics
  • Herpesvirus 2, Human / immunology*
  • Humans
  • Immunoglobulin Isotypes / analysis
  • Middle Aged
  • Neutralization Tests
  • Serologic Tests
  • Vagina / immunology
  • Vagina / metabolism
  • Vagina / virology
  • Virus Shedding / immunology

Substances

  • Antibodies, Viral
  • DNA, Viral
  • Immunoglobulin Isotypes