Innate lymphoid cells are reduced in pregnant HIV positive women and are associated with preterm birth
Preterm birth is the leading cause of neonatal and child mortality worldwide. Globally, 1.4 million pregnant women are estimated to be living with HIV/AIDS, the majority of whom live in sub-Saharan Africa. Maternal HIV infection and antiretroviral treatment (ART) have been associated with increased...
| Main Authors: | , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
Nature Research
2020
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| _version_ | 1826276597216313344 |
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| author | Akoto, C Chan, CYS Tshivuila-Matala, COO Ravi, K Zhang, W Vatish, M Norris, SA Hemelaar, J |
| author_facet | Akoto, C Chan, CYS Tshivuila-Matala, COO Ravi, K Zhang, W Vatish, M Norris, SA Hemelaar, J |
| author_sort | Akoto, C |
| collection | OXFORD |
| description | Preterm birth is the leading cause of neonatal and child mortality worldwide. Globally, 1.4 million pregnant women are estimated to be living with HIV/AIDS, the majority of whom live in sub-Saharan Africa. Maternal HIV infection and antiretroviral treatment (ART) have been associated with increased rates of preterm birth, but the underlying mechanisms remain unknown. Acute HIV infection is associated with a rapid depletion of all three subsets of innate lymphoid cells (ILCs), ILC1s, ILC2s and ILC3s, which is not reversed by ART. ILCs have been found at the maternal–fetal interface and we therefore investigated the potential association between maternal HIV infection, peripheral ILC frequencies and preterm birth. In our study of pregnant South African women with accurately dated pregnancies, we show that maternal HIV infection is associated with reduced levels of all three ILC subsets. Preterm birth was also associated with lower levels of all three ILC subsets in early pregnancy. ILC frequencies were lowest in HIV positive women who experienced preterm birth. Moreover, ILC levels were reduced in pregnancies resulting in spontaneous onset of preterm labour and in extreme preterm birth (< 28 weeks gestation). Our findings suggest that reduced ILC frequencies may be a link between maternal HIV infection and preterm birth. In addition, ILC frequencies in early pregnancy may serve as predictive biomarkers for women who are at risk of delivering preterm. |
| first_indexed | 2024-03-06T23:16:21Z |
| format | Journal article |
| id | oxford-uuid:6743f731-7e85-45aa-8285-fe168deb2574 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T23:16:21Z |
| publishDate | 2020 |
| publisher | Nature Research |
| record_format | dspace |
| spelling | oxford-uuid:6743f731-7e85-45aa-8285-fe168deb25742022-03-26T18:37:06ZInnate lymphoid cells are reduced in pregnant HIV positive women and are associated with preterm birthJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:6743f731-7e85-45aa-8285-fe168deb2574EnglishSymplectic ElementsNature Research2020Akoto, CChan, CYSTshivuila-Matala, COORavi, KZhang, WVatish, MNorris, SAHemelaar, JPreterm birth is the leading cause of neonatal and child mortality worldwide. Globally, 1.4 million pregnant women are estimated to be living with HIV/AIDS, the majority of whom live in sub-Saharan Africa. Maternal HIV infection and antiretroviral treatment (ART) have been associated with increased rates of preterm birth, but the underlying mechanisms remain unknown. Acute HIV infection is associated with a rapid depletion of all three subsets of innate lymphoid cells (ILCs), ILC1s, ILC2s and ILC3s, which is not reversed by ART. ILCs have been found at the maternal–fetal interface and we therefore investigated the potential association between maternal HIV infection, peripheral ILC frequencies and preterm birth. In our study of pregnant South African women with accurately dated pregnancies, we show that maternal HIV infection is associated with reduced levels of all three ILC subsets. Preterm birth was also associated with lower levels of all three ILC subsets in early pregnancy. ILC frequencies were lowest in HIV positive women who experienced preterm birth. Moreover, ILC levels were reduced in pregnancies resulting in spontaneous onset of preterm labour and in extreme preterm birth (< 28 weeks gestation). Our findings suggest that reduced ILC frequencies may be a link between maternal HIV infection and preterm birth. In addition, ILC frequencies in early pregnancy may serve as predictive biomarkers for women who are at risk of delivering preterm. |
| spellingShingle | Akoto, C Chan, CYS Tshivuila-Matala, COO Ravi, K Zhang, W Vatish, M Norris, SA Hemelaar, J Innate lymphoid cells are reduced in pregnant HIV positive women and are associated with preterm birth |
| title | Innate lymphoid cells are reduced in pregnant HIV positive women and are associated with preterm birth |
| title_full | Innate lymphoid cells are reduced in pregnant HIV positive women and are associated with preterm birth |
| title_fullStr | Innate lymphoid cells are reduced in pregnant HIV positive women and are associated with preterm birth |
| title_full_unstemmed | Innate lymphoid cells are reduced in pregnant HIV positive women and are associated with preterm birth |
| title_short | Innate lymphoid cells are reduced in pregnant HIV positive women and are associated with preterm birth |
| title_sort | innate lymphoid cells are reduced in pregnant hiv positive women and are associated with preterm birth |
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