Lewis X component in human milk binds DC-SIGN and inhibits HIV-1 transfer to CD4+ T lymphocytes

J Clin Invest. 2005 Nov;115(11):3256-64. doi: 10.1172/JCI25105. Epub 2005 Oct 20.

Abstract

DC-specific ICAM3-grabbing non-integrin (DC-SIGN), which is expressed on DCs, can interact with a variety of pathogens such as HIV-1, hepatitis C, Ebola, cytomegalovirus, Dengue virus, Mycobacterium, Leishmania, and Candida albicans. We demonstrate that human milk can inhibit the DC-SIGN-mediated transfer of HIV-1 to CD4+ T lymphocytes as well as viral transfer by both immature and mature DCs. The inhibitory factor directly interacted with DC-SIGN and prevented the HIV-1 gp120 envelope protein from binding to the receptor. The human milk proteins lactoferrin, alpha-lactalbumin, lysozyme, beta-casein, and secretory leukocyte protease inhibitor did not bind DC-SIGN or demonstrate inhibition of viral transfer. The inhibitory effect could be fully alleviated with an Ab recognizing the Lewis X (LeX) sugar epitope, commonly found in human milk. LeX in polymeric form or conjugated to protein could mimic the inhibitory activity, whereas free LeX sugar epitopes could not. We reveal that a LeX motif present in human milk can bind to DC-SIGN and thereby prevent the capture and subsequent transfer of HIV-1 to CD4+ T lymphocytes. The presence of such a DC-SIGN-binding molecule in human milk may both influence antigenic presentation and interfere with pathogen transfer in breastfed infants.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • CD4-Positive T-Lymphocytes / immunology
  • CD4-Positive T-Lymphocytes / virology*
  • Cell Adhesion Molecules / metabolism*
  • Cell Adhesion Molecules / physiology
  • Cell Line, Tumor
  • Cells, Cultured
  • Dendritic Cells / immunology
  • Dendritic Cells / virology
  • Female
  • HIV Infections / immunology*
  • HIV Infections / prevention & control*
  • HIV Infections / transmission
  • HIV-1 / immunology*
  • Humans
  • Infectious Disease Transmission, Vertical
  • Lectins, C-Type / metabolism*
  • Lectins, C-Type / physiology
  • Lewis X Antigen / metabolism*
  • Lewis X Antigen / physiology
  • Milk, Human / immunology*
  • Milk, Human / metabolism*
  • Protein Binding / immunology
  • Receptors, Cell Surface / metabolism*
  • Receptors, Cell Surface / physiology
  • Trisaccharides / metabolism*
  • Trisaccharides / physiology

Substances

  • Cell Adhesion Molecules
  • DC-specific ICAM-3 grabbing nonintegrin
  • Lectins, C-Type
  • Lewis X Antigen
  • Receptors, Cell Surface
  • Trisaccharides
  • galactosyl-(1,4)-fucopyranosyl-(1,3)-N-acetylglucosamine