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The Journal of Immunology, 00, 165: 1082-1092.
Copyright © 00 by The American Association of Immunologists

Maintenance of Large Numbers of Virus-Specific CD8+ T Cells in HIV-Infected Progressors and Long-Term Nonprogressors

Juan C. Gea-Banacloche*, Stephen A. Migueles*, Lisa Martino*, W. Lesley Shupert*, Andrew C. McNeil*, M. Shirin Sabbaghian*, Linda Ehler*, Calman Prussin{dagger}, Randy Stevens{ddagger}, Laurie Lambert{ddagger}, John Altman§, Claire W. Hallahan*, Juan Carlos Lopez Bernaldo de Quiros and Mark Connors1,*

Laboratories of * Immunoregulation and {dagger} Allergic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892; {ddagger} Science Applications International Corp., Frederick Cancer Research and Development Center, Frederick, MD 21702; § Emory University Vaccine Center at Yerkes, Atlanta, GA 30322; and Servicio de Medicina Interna 1, Clinica Puerta de Hierro, Universidad Autonoma de Madrid, and Servicio de Microbiologia, Hospital General Gregorio Maranon, Madrid, Spain

The virus-specific CD8+ T cell responses of 21 HIV-infected patients were studied including a unique cohort of long-term nonprogressors with low levels of plasma viral RNA and strong proliferative responses to HIV Ags. HIV-specific CD8+ T cell responses were studied by a combination of standard cytotoxic T cell (CTL) assays, MHC tetramers, and TCR repertoire analysis. The frequencies of CD8+ T cells specific to the majority of HIV gene products were measured by flow cytometric detection of intracellular IFN-{gamma} in response to HIV-vaccinia recombinant-infected autologous B cells. Very high frequencies (0.8–18.0%) of circulating CD8+ T cells were found to be HIV specific. High frequencies of HIV-specific CD8+ T cells were not limited to long-tern nonprogressors with restriction of plasma virus. No correlation was found between the frequency of HIV-specific CD8+ T cells and levels of plasma viremia. In each case, the vast majority of cells (up to 17.2%) responded to gag-pol. Repertoire analysis showed these large numbers of Ag-specific cells were scattered throughout the repertoire and in the majority of cases not contained within large monoclonal expansions. These data demonstrate that high numbers of HIV-specific CD8+ T cells exist even in patients with high-level viremia and progressive disease. Further, they suggest that other qualitative parameters of the CD8+ T cell response may differentiate some patients with very low levels of plasma virus and nonprogressive disease.




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J. Immunol., February 15, 2002; 168(4): 1847 - 1853.
[Abstract] [Full Text] [PDF]


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J. Virol.Home page
D. R. Casimiro, A. Tang, H. C. Perry, R. S. Long, M. Chen, G. J. Heidecker, M.-E. Davies, D. C. Freed, N. V. Persaud, S. Dubey, et al.
Vaccine-Induced Immune Responses in Rodents and Nonhuman Primates by Use of a Humanized Human Immunodeficiency Virus Type 1 pol Gene
J. Virol., January 1, 2002; 76(1): 185 - 194.
[Abstract] [Full Text] [PDF]


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J. Virol.Home page
M. R. Betts, D. R. Ambrozak, D. C. Douek, S. Bonhoeffer, J. M. Brenchley, J. P. Casazza, R. A. Koup, and L. J. Picker
Analysis of Total Human Immunodeficiency Virus (HIV)-Specific CD4+ and CD8+ T-Cell Responses: Relationship to Viral Load in Untreated HIV Infection
J. Virol., December 15, 2001; 75(24): 11983 - 11991.
[Abstract] [Full Text] [PDF]


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J. Virol.Home page
T. Matano, M. Kano, H. Nakamura, A. Takeda, and Y. Nagai
Rapid Appearance of Secondary Immune Responses and Protection from Acute CD4 Depletion after a Highly Pathogenic Immunodeficiency Virus Challenge in Macaques Vaccinated with a DNA Prime/Sendai Virus Vector Boost Regimen
J. Virol., December 1, 2001; 75(23): 11891 - 11896.
[Abstract] [Full Text]


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Proc. Natl. Acad. Sci. USAHome page
M. Dybul, T.-W. Chun, C. Yoder, B. Hidalgo, M. Belson, K. Hertogs, B. Larder, R. L. Dewar, C. H. Fox, C. W. Hallahan, et al.
Short-cycle structured intermittent treatment of chronic HIV infection with highly active antiretroviral therapy: Effects on virologic, immunologic, and toxicity parameters
PNAS, November 29, 2001; (2001) 261568398.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
A. C. McNeil, W. L. Shupert, C. A. Iyasere, C. W. Hallahan, J. Mican, R. T. Davey Jr., and M. Connors
High-level HIV-1 viremia suppresses viral antigen-specific CD4+ T cell proliferation
PNAS, November 20, 2001; 98(24): 13878 - 13883.
[Abstract] [Full Text] [PDF]


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J. Virol.Home page
S. F. Sieg, D. A. Bazdar, C. V. Harding, and M. M. Lederman
Differential Expression of Interleukin-2 and Gamma Interferon in Human Immunodeficiency Virus Disease
J. Virol., October 15, 2001; 75(20): 9983 - 9985.
[Abstract] [Full Text] [PDF]


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BloodHome page
J. Lieberman, P. Shankar, N. Manjunath, and J. Andersson
Dressed to kill? A review of why antiviral CD8 T lymphocytes fail to prevent progressive immunodeficiency in HIV-1 infection
Blood, September 15, 2001; 98(6): 1667 - 1677.
[Abstract] [Full Text] [PDF]


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Br Med BullHome page
J. Wilkinson and F. Gotch
Immune interventions: The changing face of HIV and AIDS
Br. Med. Bull., September 1, 2001; 58(1): 187 - 203.
[Abstract] [Full Text] [PDF]


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BloodHome page
G. Chen, P. Shankar, C. Lange, H. Valdez, P. R. Skolnik, L. Wu, N. Manjunath, and J. Lieberman
CD8 T cells specific for human immunodeficiency virus, Epstein-Barr virus, and cytomegalovirus lack molecules for homing to lymphoid sites of infection
Blood, July 1, 2001; 98(1): 156 - 164.
[Abstract] [Full Text] [PDF]


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J. Virol.Home page
T. U. Vogel, T. M. Allen, J. D. Altman, and D. I. Watkins
Functional Impairment of Simian Immunodeficiency Virus-Specific CD8+ T Cells during the Chronic Phase of Infection
J. Virol., March 1, 2001; 75(5): 2458 - 2461.
[Abstract] [Full Text]


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J. Virol.Home page
P. A. Goepfert, A. Bansal, B. H. Edwards, G. D. Ritter Jr., I. Tellez, S. A. McPherson, S. Sabbaj, and M. J. Mulligan
A Significant Number of Human Immunodeficiency Virus Epitope-Specific Cytotoxic T Lymphocytes Detected by Tetramer Binding Do Not Produce Gamma Interferon
J. Virol., November 1, 2000; 74(21): 10249 - 10255.
[Abstract] [Full Text]


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Proc. Natl. Acad. Sci. USAHome page
M. Dybul, T.-W. Chun, C. Yoder, B. Hidalgo, M. Belson, K. Hertogs, B. Larder, R. L. Dewar, C. H. Fox, C. W. Hallahan, et al.
Short-cycle structured intermittent treatment of chronic HIV infection with highly active antiretroviral therapy: Effects on virologic, immunologic, and toxicity parameters
PNAS, December 18, 2001; 98(26): 15161 - 15166.
[Abstract] [Full Text] [PDF]




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