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The Journal of Immunology, 2002, 168: 3099-3104.
Copyright © 2002 by The American Association of Immunologists

A Novel Approach to the Analysis of Specificity, Clonality, and Frequency of HIV-Specific T Cell Responses Reveals a Potential Mechanism for Control of Viral Escape1

Daniel C. Douek2,*,{dagger}, Michael R. Betts*, Jason M. Brenchley*, Brenna J. Hill*, David R. Ambrozak*, Ka-Leung Ngai{ddagger}, Nitin J. Karandikar§, Joseph P. Casazza§ and Richard A. Koup*

* Vaccine Research Center, National Institute of Allergy and Infectious Diseases, and {dagger} Department of Experimental Transplantation and Immunology, Medicine Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892; {ddagger} MegaBases Inc., Northwestern University, Evanston Research Park, IL 60201; and § University of Texas Southwestern Medical Center, Dallas, TX 75390

Escape from the CD8+ T cell response through epitope mutations can lead to loss of immune control of HIV replication. Theoretically, escape from CD8+ T cell recognition is less likely when multiple TCRs target individual MHC/peptide complexes, thereby increasing the chance that amino acid changes in the epitope could be tolerated. We studied the CD8+ T cell response to six immunodominant epitopes in five HIV-infected subjects using a novel approach combining peptide stimulation, cell surface cytokine capture, flow cytometric sorting, anchored RT-PCR, and real-time quantitative clonotypic TCR tracking. We found marked variability in the number of clonotypes targeting individual epitopes. One subject recognized a single epitope with six clonotypes, most of which were able to recognize and lyse cells expressing a major epitope variant that arose. Additionally, multiple clonotypes remained expanded during the course of infection, irrespective of epitope variant frequency. Thus, CD8+ T cells comprising multiple TCR clonotypes may expand in vivo in response to individual epitopes, and may increase the ability of the response to recognize virus escape mutants.




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