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Dysregulated humoral immunity to nontyphoidal Salmonella in HIV-infected African adults.

Authors:
Calman A MacLennan James J Gilchrist Melita A Gordon Adam F Cunningham Mark Cobbold Margaret Goodall Robert A Kingsley Joep J G van Oosterhout Chisomo L Msefula Wilson L Mandala Denisse L Leyton Jennifer L Marshall Esther N Gondwe Saeeda Bobat Constantino López-Macías Rainer Doffinger Ian R Henderson Eduard E Zijlstra Gordon Dougan Mark T Drayson Ian C M MacLennan Malcolm E Molyneux

Science 2010 Apr;328(5977):508-12

Medical Research Council Centre for Immune Regulation and Clinical Immunology Service, Institute of Biomedical Research, School of Immunity and Infection, University of Birmingham, Birmingham, UK.

Nontyphoidal Salmonellae are a major cause of life-threatening bacteremia among HIV-infected individuals. Although cell-mediated immunity controls intracellular infection, antibodies protect against Salmonella bacteremia. We report that high-titer antibodies specific for Salmonella lipopolysaccharide (LPS) are associated with a lack of Salmonella-killing in HIV-infected African adults. Killing was restored by genetically shortening LPS from the target Salmonella or removing LPS-specific antibodies from serum. Complement-mediated killing of Salmonella by healthy serum is shown to be induced specifically by antibodies against outer membrane proteins. This killing is lost when excess antibody against Salmonella LPS is added. Thus, our study indicates that impaired immunity against nontyphoidal Salmonella bacteremia in HIV infection results from excess inhibitory antibodies against Salmonella LPS, whereas serum killing of Salmonella is induced by antibodies against outer membrane proteins.

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Source
http://dx.doi.org/10.1126/science.1180346DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3772309PMC
April 2010

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