Escape from highly effective public CD8+ T-cell clonotypes by HIV
Identifieur interne : 004601 ( PascalFrancis/Curation ); précédent : 004600; suivant : 004602Escape from highly effective public CD8+ T-cell clonotypes by HIV
Auteurs : Maria Candela Iglesias [France] ; Jorge R. Almeida [France, États-Unis] ; Solène Fastenackels [France] ; David J. Van Bockel [Australie] ; Masao Hashimoto [Japon] ; Vanessa Venturi [Australie] ; Emma Gostick [Royaume-Uni] ; Alejandra Urrutia [France] ; Linda Wooldridge [Royaume-Uni] ; Mathew Clement [Royaume-Uni] ; Stephanie Gras [Australie] ; Pascal G. Wilmann [Australie] ; Brigitte Autran [France] ; Arnaud Moris [France] ; Jamie Rossjohn [Australie] ; Miles P. Davenport [Australie] ; Masafumi Takiguchi [Japon] ; Christian Brander [Espagne] ; Daniel C. Douek [États-Unis] ; Anthony D. Kelleher [Australie] ; David A. Price [États-Unis, Royaume-Uni] ; Victor Appay [France]Source :
- Blood [ 0006-4971 ] ; 2011.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
Mapping the precise determinants of T-cell efficacy against viruses in humans is a public health priority with crucial implications for vaccine design. To inform this effort, we performed a comprehensive analysis of the effective CD8+ T-cell clonotypes that constitute responses specific for the HIV p24 Gag-derived KK10 epitope (KRWIILGLNK; residues 263-272) restricted by HLA-B*2705, which are known to confer superior control of viral replication in HIV-infected individuals. Particular KK10-specific CD8+ T-cell clonotypes, characterized by TRBV4-3/TRBJ1-3 gene rearrangements, were found to be preferentially selected in vivo and shared between individuals. These "public" clonotypes exhibit high levels of TCR avidity and Ag sensitivity, which impart functional advantages and enable effective suppression of HIV replication. The early L268M mutation at position 6 of the KK10 epitope enables the virus to avoid recognition by these highly effective CD8+ T-cell clonotypes. However, alternative clonotypes with variant reactivity provide flexibility within the overall KK10-specific response. These findings provide refined mechanistic insights into the workings of an effective CD8+ T-cell response against HIV.
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<author><name sortKey="Appay, Victor" sort="Appay, Victor" uniqKey="Appay V" first="Victor" last="Appay">Victor Appay</name>
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<s3>FRA</s3>
<sZ>13 aut.</sZ>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Escape from highly effective public CD8<sup>+</sup>
T-cell clonotypes by HIV</title>
<author><name sortKey="Candela Iglesias, Maria" sort="Candela Iglesias, Maria" uniqKey="Candela Iglesias M" first="Maria" last="Candela Iglesias">Maria Candela Iglesias</name>
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<author><name sortKey="Almeida, Jorge R" sort="Almeida, Jorge R" uniqKey="Almeida J" first="Jorge R." last="Almeida">Jorge R. Almeida</name>
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<author><name sortKey="Fastenackels, Solene" sort="Fastenackels, Solene" uniqKey="Fastenackels S" first="Solène" last="Fastenackels">Solène Fastenackels</name>
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<s2>Paris</s2>
<s3>FRA</s3>
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<author><name sortKey="Van Bockel, David J" sort="Van Bockel, David J" uniqKey="Van Bockel D" first="David J." last="Van Bockel">David J. Van Bockel</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>St Vincent's Centre for Applied Medical Research and the Kirby Institute, University of New South Wales</s1>
<s2>Darlinghurst</s2>
<s3>AUS</s3>
<sZ>4 aut.</sZ>
<sZ>20 aut.</sZ>
</inist:fA14>
<country>Australie</country>
</affiliation>
</author>
<author><name sortKey="Hashimoto, Masao" sort="Hashimoto, Masao" uniqKey="Hashimoto M" first="Masao" last="Hashimoto">Masao Hashimoto</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Division of Viral Immunology, Center for AIDS Research, Kumamoto University</s1>
<s2>Kumamoto</s2>
<s3>JPN</s3>
<sZ>5 aut.</sZ>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>Japon</country>
</affiliation>
</author>
<author><name sortKey="Venturi, Vanessa" sort="Venturi, Vanessa" uniqKey="Venturi V" first="Vanessa" last="Venturi">Vanessa Venturi</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Computational Biology Group, Centre for Vascular Research, University of New South Wales</s1>
<s2>Kensington</s2>
<s3>AUS</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>Australie</country>
</affiliation>
</author>
<author><name sortKey="Gostick, Emma" sort="Gostick, Emma" uniqKey="Gostick E" first="Emma" last="Gostick">Emma Gostick</name>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Infection, Immunity and Biochemistry, Cardiff University School of Medicine</s1>
<s2>Cardiff</s2>
<s3>GBR</s3>
<sZ>7 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
</affiliation>
</author>
<author><name sortKey="Urrutia, Alejandra" sort="Urrutia, Alejandra" uniqKey="Urrutia A" first="Alejandra" last="Urrutia">Alejandra Urrutia</name>
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<s2>Paris</s2>
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<s3>GBR</s3>
<sZ>7 aut.</sZ>
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<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Infection, Immunity and Biochemistry, Cardiff University School of Medicine</s1>
<s2>Cardiff</s2>
<s3>GBR</s3>
<sZ>7 aut.</sZ>
<sZ>9 aut.</sZ>
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<author><name sortKey="Gras, Stephanie" sort="Gras, Stephanie" uniqKey="Gras S" first="Stephanie" last="Gras">Stephanie Gras</name>
<affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Biochemistry and Molecular Biology, School of Biomedical Sciences, Monash University</s1>
<s2>Victoria</s2>
<s3>AUS</s3>
<sZ>11 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Australie</country>
</affiliation>
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<author><name sortKey="Wilmann, Pascal G" sort="Wilmann, Pascal G" uniqKey="Wilmann P" first="Pascal G." last="Wilmann">Pascal G. Wilmann</name>
<affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Biochemistry and Molecular Biology, School of Biomedical Sciences, Monash University</s1>
<s2>Victoria</s2>
<s3>AUS</s3>
<sZ>11 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>15 aut.</sZ>
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<country>Australie</country>
</affiliation>
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<author><name sortKey="Autran, Brigitte" sort="Autran, Brigitte" uniqKey="Autran B" first="Brigitte" last="Autran">Brigitte Autran</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Inserm UMR S 945, Infections and Immunity, Avenir Group, Université Pierre et Marie Curie-Paris 6, Hôpital Pitié-Salpêtrière</s1>
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<s3>FRA</s3>
<sZ>1 aut.</sZ>
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<sZ>8 aut.</sZ>
<sZ>13 aut.</sZ>
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<sZ>22 aut.</sZ>
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<affiliation wicri:level="1"><inist:fA14 i1="08"><s1>AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Laboratoire d'Immunologie Cellulaire et Tssulaire</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>13 aut.</sZ>
<sZ>22 aut.</sZ>
</inist:fA14>
<country>France</country>
</affiliation>
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<author><name sortKey="Moris, Arnaud" sort="Moris, Arnaud" uniqKey="Moris A" first="Arnaud" last="Moris">Arnaud Moris</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Inserm UMR S 945, Infections and Immunity, Avenir Group, Université Pierre et Marie Curie-Paris 6, Hôpital Pitié-Salpêtrière</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>22 aut.</sZ>
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<country>France</country>
</affiliation>
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<author><name sortKey="Rossjohn, Jamie" sort="Rossjohn, Jamie" uniqKey="Rossjohn J" first="Jamie" last="Rossjohn">Jamie Rossjohn</name>
<affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Biochemistry and Molecular Biology, School of Biomedical Sciences, Monash University</s1>
<s2>Victoria</s2>
<s3>AUS</s3>
<sZ>11 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Australie</country>
</affiliation>
</author>
<author><name sortKey="Davenport, Miles P" sort="Davenport, Miles P" uniqKey="Davenport M" first="Miles P." last="Davenport">Miles P. Davenport</name>
<affiliation wicri:level="1"><inist:fA14 i1="09"><s1>Complex Systems in Biology Group, Centre for Vascular Research, University of New South Wales</s1>
<s2>Kensington</s2>
<s3>AUS</s3>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>Australie</country>
</affiliation>
</author>
<author><name sortKey="Takiguchi, Masafumi" sort="Takiguchi, Masafumi" uniqKey="Takiguchi M" first="Masafumi" last="Takiguchi">Masafumi Takiguchi</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Division of Viral Immunology, Center for AIDS Research, Kumamoto University</s1>
<s2>Kumamoto</s2>
<s3>JPN</s3>
<sZ>5 aut.</sZ>
<sZ>17 aut.</sZ>
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<country>Japon</country>
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<author><name sortKey="Brander, Christian" sort="Brander, Christian" uniqKey="Brander C" first="Christian" last="Brander">Christian Brander</name>
<affiliation wicri:level="1"><inist:fA14 i1="10"><s1>AIDS Research Institute IrsiCaixa-HIVACAT, Hospital Universitari Germans Trias i Pujol Ctra del Canyet</s1>
<s2>Barcelona</s2>
<s3>ESP</s3>
<sZ>18 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="11"><s1>Institució Catalana de Recerca i Estudis Avançats (ICREA)</s1>
<s2>Barcelona</s2>
<s3>ESP</s3>
<sZ>18 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
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<author><name sortKey="Douek, Daniel C" sort="Douek, Daniel C" uniqKey="Douek D" first="Daniel C." last="Douek">Daniel C. Douek</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Human Immunology Section, Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health</s1>
<s2>Bethesda, MD</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>19 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Kelleher, Anthony D" sort="Kelleher, Anthony D" uniqKey="Kelleher A" first="Anthony D." last="Kelleher">Anthony D. Kelleher</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>St Vincent's Centre for Applied Medical Research and the Kirby Institute, University of New South Wales</s1>
<s2>Darlinghurst</s2>
<s3>AUS</s3>
<sZ>4 aut.</sZ>
<sZ>20 aut.</sZ>
</inist:fA14>
<country>Australie</country>
</affiliation>
</author>
<author><name sortKey="Price, David A" sort="Price, David A" uniqKey="Price D" first="David A." last="Price">David A. Price</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Human Immunology Section, Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health</s1>
<s2>Bethesda, MD</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>19 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Infection, Immunity and Biochemistry, Cardiff University School of Medicine</s1>
<s2>Cardiff</s2>
<s3>GBR</s3>
<sZ>7 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
</affiliation>
</author>
<author><name sortKey="Appay, Victor" sort="Appay, Victor" uniqKey="Appay V" first="Victor" last="Appay">Victor Appay</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Inserm UMR S 945, Infections and Immunity, Avenir Group, Université Pierre et Marie Curie-Paris 6, Hôpital Pitié-Salpêtrière</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>22 aut.</sZ>
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<country>France</country>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="08"><s1>AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Laboratoire d'Immunologie Cellulaire et Tssulaire</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>13 aut.</sZ>
<sZ>22 aut.</sZ>
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<country>France</country>
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<series><title level="j" type="main">Blood</title>
<title level="j" type="abbreviated">Blood</title>
<idno type="ISSN">0006-4971</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
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<seriesStmt><title level="j" type="main">Blood</title>
<title level="j" type="abbreviated">Blood</title>
<idno type="ISSN">0006-4971</idno>
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</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term>
<term>CD8 T lymphocyte</term>
<term>Efficiency</term>
<term>Hematology</term>
<term>Human immunodeficiency virus</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>SIDA</term>
<term>Efficacité</term>
<term>Lymphocyte T CD8</term>
<term>Virus immunodéficience humaine</term>
<term>Hématologie</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Mapping the precise determinants of T-cell efficacy against viruses in humans is a public health priority with crucial implications for vaccine design. To inform this effort, we performed a comprehensive analysis of the effective CD8<sup>+</sup>
T-cell clonotypes that constitute responses specific for the HIV p24 Gag-derived KK10 epitope (KRWIILGLNK; residues 263-272) restricted by HLA-B<sup>*</sup>
2705, which are known to confer superior control of viral replication in HIV-infected individuals. Particular KK10-specific CD8<sup>+</sup>
T-cell clonotypes, characterized by TRBV4-3/TRBJ1-3 gene rearrangements, were found to be preferentially selected in vivo and shared between individuals. These "public" clonotypes exhibit high levels of TCR avidity and Ag sensitivity, which impart functional advantages and enable effective suppression of HIV replication. The early L<sub>268</sub>
M mutation at position 6 of the KK10 epitope enables the virus to avoid recognition by these highly effective CD8<sup>+</sup>
T-cell clonotypes. However, alternative clonotypes with variant reactivity provide flexibility within the overall KK10-specific response. These findings provide refined mechanistic insights into the workings of an effective CD8<sup>+</sup>
T-cell response against HIV.</div>
</front>
</TEI>
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<fA08 i1="01" i2="1" l="ENG"><s1>Escape from highly effective public CD8<sup>+</sup>
T-cell clonotypes by HIV</s1>
</fA08>
<fA11 i1="01" i2="1"><s1>CANDELA IGLESIAS (Maria)</s1>
</fA11>
<fA11 i1="02" i2="1"><s1>ALMEIDA (Jorge R.)</s1>
</fA11>
<fA11 i1="03" i2="1"><s1>FASTENACKELS (Solène)</s1>
</fA11>
<fA11 i1="04" i2="1"><s1>VAN BOCKEL (David J.)</s1>
</fA11>
<fA11 i1="05" i2="1"><s1>HASHIMOTO (Masao)</s1>
</fA11>
<fA11 i1="06" i2="1"><s1>VENTURI (Vanessa)</s1>
</fA11>
<fA11 i1="07" i2="1"><s1>GOSTICK (Emma)</s1>
</fA11>
<fA11 i1="08" i2="1"><s1>URRUTIA (Alejandra)</s1>
</fA11>
<fA11 i1="09" i2="1"><s1>WOOLDRIDGE (Linda)</s1>
</fA11>
<fA11 i1="10" i2="1"><s1>CLEMENT (Mathew)</s1>
</fA11>
<fA11 i1="11" i2="1"><s1>GRAS (Stephanie)</s1>
</fA11>
<fA11 i1="12" i2="1"><s1>WILMANN (Pascal G.)</s1>
</fA11>
<fA11 i1="13" i2="1"><s1>AUTRAN (Brigitte)</s1>
</fA11>
<fA11 i1="14" i2="1"><s1>MORIS (Arnaud)</s1>
</fA11>
<fA11 i1="15" i2="1"><s1>ROSSJOHN (Jamie)</s1>
</fA11>
<fA11 i1="16" i2="1"><s1>DAVENPORT (Miles P.)</s1>
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<fA11 i1="17" i2="1"><s1>TAKIGUCHI (Masafumi)</s1>
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<fA11 i1="18" i2="1"><s1>BRANDER (Christian)</s1>
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<fA11 i1="19" i2="1"><s1>DOUEK (Daniel C.)</s1>
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<fA11 i1="20" i2="1"><s1>KELLEHER (Anthony D.)</s1>
</fA11>
<fA11 i1="21" i2="1"><s1>PRICE (David A.)</s1>
</fA11>
<fA11 i1="22" i2="1"><s1>APPAY (Victor)</s1>
</fA11>
<fA14 i1="01"><s1>Inserm UMR S 945, Infections and Immunity, Avenir Group, Université Pierre et Marie Curie-Paris 6, Hôpital Pitié-Salpêtrière</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>22 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>Human Immunology Section, Vaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health</s1>
<s2>Bethesda, MD</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>19 aut.</sZ>
<sZ>21 aut.</sZ>
</fA14>
<fA14 i1="03"><s1>St Vincent's Centre for Applied Medical Research and the Kirby Institute, University of New South Wales</s1>
<s2>Darlinghurst</s2>
<s3>AUS</s3>
<sZ>4 aut.</sZ>
<sZ>20 aut.</sZ>
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<s3>JPN</s3>
<sZ>5 aut.</sZ>
<sZ>17 aut.</sZ>
</fA14>
<fA14 i1="05"><s1>Computational Biology Group, Centre for Vascular Research, University of New South Wales</s1>
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<s3>AUS</s3>
<sZ>6 aut.</sZ>
</fA14>
<fA14 i1="06"><s1>Department of Infection, Immunity and Biochemistry, Cardiff University School of Medicine</s1>
<s2>Cardiff</s2>
<s3>GBR</s3>
<sZ>7 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>21 aut.</sZ>
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<fA14 i1="07"><s1>Department of Biochemistry and Molecular Biology, School of Biomedical Sciences, Monash University</s1>
<s2>Victoria</s2>
<s3>AUS</s3>
<sZ>11 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>15 aut.</sZ>
</fA14>
<fA14 i1="08"><s1>AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Laboratoire d'Immunologie Cellulaire et Tssulaire</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>13 aut.</sZ>
<sZ>22 aut.</sZ>
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<s3>AUS</s3>
<sZ>16 aut.</sZ>
</fA14>
<fA14 i1="10"><s1>AIDS Research Institute IrsiCaixa-HIVACAT, Hospital Universitari Germans Trias i Pujol Ctra del Canyet</s1>
<s2>Barcelona</s2>
<s3>ESP</s3>
<sZ>18 aut.</sZ>
</fA14>
<fA14 i1="11"><s1>Institució Catalana de Recerca i Estudis Avançats (ICREA)</s1>
<s2>Barcelona</s2>
<s3>ESP</s3>
<sZ>18 aut.</sZ>
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<fC01 i1="01" l="ENG"><s0>Mapping the precise determinants of T-cell efficacy against viruses in humans is a public health priority with crucial implications for vaccine design. To inform this effort, we performed a comprehensive analysis of the effective CD8<sup>+</sup>
T-cell clonotypes that constitute responses specific for the HIV p24 Gag-derived KK10 epitope (KRWIILGLNK; residues 263-272) restricted by HLA-B<sup>*</sup>
2705, which are known to confer superior control of viral replication in HIV-infected individuals. Particular KK10-specific CD8<sup>+</sup>
T-cell clonotypes, characterized by TRBV4-3/TRBJ1-3 gene rearrangements, were found to be preferentially selected in vivo and shared between individuals. These "public" clonotypes exhibit high levels of TCR avidity and Ag sensitivity, which impart functional advantages and enable effective suppression of HIV replication. The early L<sub>268</sub>
M mutation at position 6 of the KK10 epitope enables the virus to avoid recognition by these highly effective CD8<sup>+</sup>
T-cell clonotypes. However, alternative clonotypes with variant reactivity provide flexibility within the overall KK10-specific response. These findings provide refined mechanistic insights into the workings of an effective CD8<sup>+</sup>
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<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Retroviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Retroviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Retroviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Immunodéficit</s0>
<s5>37</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Immune deficiency</s0>
<s5>37</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Inmunodeficiencia</s0>
<s5>37</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Immunopathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Immunopathology</s0>
<s5>39</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Inmunopatología</s0>
<s5>39</s5>
</fC07>
<fN21><s1>283</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>
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