Clinical-Epidemiological Characteristics and IFITM-3 (rs12252) Variant Involvement in HIV-1 Mother-to-Children Transmission Susceptibility in a Brazilian Population

Simple Summary Mother-to-children transmission (MTCT) is the main infection route of HIV-1, mainly occurring in pregnancy, delivery, and/or postpartum and it is a multifactorial phenomenon, where genetic variants play an important role. A case-control study was performed in HIV-1 infected mothers and their exposed infected and uninfected children from Pernambuco, Brazil. Our analysis shows that transmitter mothers have a significantly lower age at delivery, late diagnosis, deficiency in ART use (pregnancy and delivery), and detectable viral load in the third trimester of pregnancy compared with non-transmitter mothers. Infected children show late diagnosis, vaginal delivery frequency, and tend to breastfeed, differing significantly from uninfected children. Moreover, the genetic analysis reveals that a variant in the IFITM-3 gene (an important viral restriction factor) is significantly more frequent among infected than uninfected children. Mother-to-children transmission (MTCT) is the main infection route for HIV-1 in children, and may occur during pregnancy, delivery, and/or postpartum. It is a multifactorial phenomenon, where genetic variants play an important role. This study aims at analyzing the influence of clinical epidemiological characteristics and a variant (rs12252) in interferon-induced transmembrane protein 3 (IFITM-3), a gene encoding an important viral restriction factor, on the susceptibility to HIV-1 mother-to-children transmission (MTCT). A case-control study was performed on 209 HIV-1-infected mothers and their exposed infected (87) and uninfected (122) children from Pernambuco, Brazil. Clinical-epidemiological characteristics are significantly associated with MTCT susceptibility. Transmitter mothers have a significantly lower age at delivery, late diagnosis, deficiency in ART use (pregnancy and delivery), and detectable viral load in the third trimester of pregnancy compared with non-transmitter mothers. Infected children show late diagnosis, vaginal delivery frequency, and tend to breastfeed, differing significantly from uninfected children. The IFITM-3 rs12252-C allele and TC/CC genotypes (dominant model) are significantly more frequent among infected than uninfected children, but the statistical significance does not remain when adjusted for clinical factors. No significant differences are observed between transmitter and non-transmitter mothers in relation to the IFITM-3 variant.

Automated summary

This study analyzed a case-control study of 209 HIV-1-infected mothers and their exposed infected and uninfected children from Pernambuco, Brazil. The results showed that transmitter mothers had lower age at delivery, late diagnosis, deficiency in ART use, and detectable viral load in the third trimester of pregnancy compared to non-transmitter mothers. Infected children showed late diagnosis, vaginal delivery frequency, and a tendency to breastfeed. Genetic analysis revealed a variant in the IFITM-3 gene that was more frequent among infected children. Mother-to-children transmission (MTCT) is the main infection route for HIV-1 in children, and genetic variants play an important role.