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*
Departments of Medical Microbiology, University of Nairobi, Nairobi, Kenya;
Molecular Immunology Group, Institute of Molecular Medicine, John Radcliffe Hospital, Oxford, United Kingdom;
Department of Medical Microbiology, University of Manitoba, Winnipeg, Canada; and
§
Division of Infectious Diseases, Department of Medicine, University of Toronto, Toronto, Canada
Understanding how individuals with a high degree of HIV
exposure avoid persistent infection is paramount to HIV vaccine design.
Evidence suggests that mucosal immunity, particularly virus-specific
CTL, could be critically important in protection against sexually
acquired HIV infection. Therefore, we have looked for the presence of
HIV-specific CD8+ T cells in cervical mononuclear cells
from a subgroup of highly HIV-exposed but persistently seronegative
female sex workers in Nairobi. An enzyme-linked immunospot assay was
used to measure IFN-
release in response to known class I
HLA-restricted CTL epitope peptides using effector cells from the blood
and cervix of HIV-1-resistant and -infected sex workers and from
lower-risk uninfected controls. Eleven of 16 resistant sex workers had
HIV-specific CD8+ T cells in the cervix, and a similar
number had detectable responses in blood. Where both blood and cervical
responses were detected in the same individual, the specificity of the
responses was similar. Neither cervical nor blood responses were
detected in lower-risk control donors. HIV-specific CD8+ T
cell frequencies in the cervix of HIV-resistant sex workers were
slightly higher than in blood, while in HIV-infected donor cervical
response frequencies were markedly lower than blood, so that there was
relative enrichment of cervical responses in HIV-resistant compared
with HIV-infected donors. HIV-specific CD8+ T cell
responses in the absence of detectable HIV infection in the genital
mucosa of HIV-1-resistant sex workers may be playing an important part
in protective immunity against heterosexual HIV-1
transmission.
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