Characterization of the immune response toward HIV is important for understanding the basic mechanisms of the disease and
may give essential information for development of an anti-HIV vaccine. Paradoxically, although HIV infection is associated
with a strong antibody response to structural and nonstructural HIV proteins, this immune response does not seem to halt disease
progression. Both quantitative and qualitative B-cell abnormalities are associated with disease progression. The immunological
abnormalities in HIV-1 infection include abnormal cytokine production and expansion of HIV-1-specific B-cell precursors that
may reach 40%. There is also evidence that gpl20 exerts a B-cell superantigen-like activity on human B-cells through binding
to gene products of the third heavy-chain variable region family (VH3). This property of gpl20 may induce abnormal mechanisms
of selection of the antibody repertoire. It may also account for the apparent paucity of anti-gpl20 antibodies expressing
VH3 genes and for the polyclonal activation seen in the early stages of HIV infection. This expansion would reflect specific
stimulation of VH3 B-cells, but not all B-cells. It would then be followed by a significant deletion of this B-cell subset.
Finally, autoimmune phenomena have been described in HIV infection, and several hypotheses have been put forward to account
for such associations. On the basis of the superantigen concept discussed above, one may suggest that gpl20 may trigger B-cell
subsets bearing receptors with specificities for self-components. This would explain the multiplicity of autoantibody specificities
seen in this disease.
Index entries B-cell superantigens - human antibodies to HIV - humoral immunity - immunoglobulin variable genes