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Cytotoxic T Cell and Neutralizing Antibody Responses to Human Immunodeficiency Virus Type 1 Envelope with a Combination Vaccine Regimen

Identifieur interne : 003A79 ( Main/Exploration ); précédent : 003A78; suivant : 003A80

Cytotoxic T Cell and Neutralizing Antibody Responses to Human Immunodeficiency Virus Type 1 Envelope with a Combination Vaccine Regimen

Auteurs : Lawrence Corey [États-Unis] ; M. Juliana Mcelrath [États-Unis] ; Kent Weinhold [États-Unis] ; Thomas Matthews [États-Unis] ; Donald Stablein [États-Unis] ; Barney Graham [États-Unis] ; Michael Keefer [États-Unis] ; David Schwartz [États-Unis] ; Geoffrey Gorse [États-Unis]

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RBID : ISTEX:D94B9FA8C67707643C68CBF9D95B00F186D8F2D7

Abstract

Effective human immunodeficiency virus (HIV) vaccination may require induction of neutralizing antibodies (NAs) and CD8+ cytotoxic T lymphocytes (CTL) to prevent transmission and control early infection. Recombinant envelope proteins induce NAs but rarely CD8/ CTL responses, and vaccinia vectors containing HIV-1 envelope elicit CD8/ cytotoxicity but few NAs. To benefit from both approaches, 56 vaccinia-naive subjects were randomized to a regimen of priming with recombinant vaccinia gp160LAI and boosting with recombinant gp120SF-2, gp120LAI, gp120MN, or gp160MN. Of 51 persons for whom assays were done, 26 demonstrated envelope-specific CTL. Boosting with gp120, compared with gp160, elicited significantly more NAs and CD4-blocking antibodies. Neutralization of the homologous and heterologous HIV-1 laboratory strains occurred in all subjects receiving vac/env and gp120 and was detectable in 91% of the subjects for < 6 months. Thus, vaccine regimens in which one component elicits primarily CTL and the other NAs offer promise for the development of an effective HIV-1 vaccine strategy.

Url:
DOI: 10.1086/514202


Affiliations:


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