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Session 33 Oral Abstracts
Mother-to-Child Transmission and HIV in Women
Session Day and Time: Wednesday, 10 am - 12:30 pm
Presentation Time: 10:15 am
Room: Ballroom 1-2


123
Identification of a Human Milk Glycoprotein that Binds DC-SIGN and Inhibits HIV-1 Transfer to CD+ T Lymphocytes
Marloes Naarding*1, A Dirac2, D Speijer1, G Pollakis1, and W Paxton1
1Academic Med Ctr, Univ of Amsterdam, The Netherlands and 2Netherlands Cancer Inst, Amsterdam

Background:  DC-SIGN-expressing cells can capture HIV-1 and transfer virus to CD4+ lymphocytes. We have demonstrated that human milk  can inhibit the interaction between DC-SIGN and gp120 and that the inhibitory effect can be alleviated by pre-incubation of human milk with an antibody directed against the saccharide Lewis X (LeX) motif. Polyvalent linked-LeX and BSA-LeX mimicked the inhibition of human milk while LeX trisaccharide did not, suggesting that a glycoprotein(s) in human milk is responsible.

Methods:  The Raji-DC-SIGN-expressing cell line and a DC-SIGN-Fc binding ELISA were utilized to monitor inhibition of viral transfer to CD4+ lymphocytes and DC-SIGN binding, respectively. Western blot analysis was performed using a LeX specific Ab and a DC-SIGN-Fc construct. MALDI technology was used to analyze the protein isolated from SDS-page gels. Human milk was size fractionated, boiled, and trypsin digested.

Results:  When tested in the binding and transfer experiments the human milk compound was found to be heat resistant, trypsin resistant, and of a specific molecular weight, indicating that not all LeX-carrying proteins provide for viral inhibition. From studying human milk samples of different mothers, we showed variable inhibitory activities in both assays. Both LeX Ab and DC-SIGN-Fc stained Western blots showed down-regulation of 1 specific band for weak-binding mothers compared with strong binders. The band of the weak binders and the corresponding band of strong binding mothers was isolated from an SDS-PAGE gel and analyzed using MALDI. Both bands were identified as the same glycoprotein. We are currently in the process of testing this compound to confirm its DC-SIGN binding and inhibitory properties.

Conclusions:  We have identified a specific glycoprotein in human milk that binds to DC-SIGN and can inhibit HIV-1 transfer to CD4+ T lymphocytes. Identification of this molecule may provide for a better understanding of mother-to-child transmission of HIV-1 via breastfeeding and provide a further target for future microbicide development.