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Background With the majority of HIV infections resulting from mucosal transmission of HIV, induction of an effective mucosal immune response would be pivotal in preventing transmission. HIV-specific IgA but not IgG has been detected in genital tract, seminal fluid, urethral swabs, urine and vaginal wash samples of HIV-negative sex workers and HIV-status discordant couples. Although present at low levels, purified mucosal and plasma IgA from HEPS individuals demonstrated cross-clade neutralizing activity and were able to inhibit HIV mucosal transcytosis.

Impact of IgA constant domain on HIV-1 neutralizing function of monoclonal antibody F425-A1g8