The Journal of Immunology, 1999, 162: 2308-2314.
Copyright © 1999 by The American Association of Immunologists
Conserved CTL Epitopes Shared Between HIV-Infected Human Long-Term Survivors and Chimpanzees1
Sunita S. Balla-Jhagjhoorsingh,
Gerrit Koopman,
Petra Mooij,
Tom G. M. Haaksma,
Vera J. P. Teeuwsen,
Ronald E. Bontrop and
Jonathan L. Heeney2
Departments of Virology and Immunobiology, Biomedical Primate Research Centre, Rijswijk, The Netherlands
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Abstract
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Certain HIV-1 infected humans that do not progress to AIDS have
been documented to share particular MHC class I alleles that appear to
correlate with long-term survival. HIV-1-infected chimpanzees are
relatively resistant to progression to AIDS. Out of a group of 10
chimpanzees with CTL activity and nonprogressive HIV-1 infection, 2
animals with prominent cytolytic CD3+CD8+ T
cell responses to HIV-1 Ags were studied in detail. Characterization of
these CTL revealed that they contained the granzymes A and B, T cell
intracellular Ag-1, and perforin and induced calcium-dependent
cytolysis that correlated with the presence of apoptotic nuclei in
target cells. These CTL responses were directed against two gagpeptides, which were found to be identical to previously
described epitopes recognized in the context of HLA-B27 and HLA-B57
molecules. The latter two restriction elements occur with increased
frequency in human long-term survivor cohorts. Phylogenetic comparisons
revealed that the chimpanzee restriction elements, Patr-B*02and -B*03, described here do not show any
obvious similarity with the HLA-B*27 and
-B*57 alleles, suggesting that CTL responses to HIV-1 in
distinct primate species may be controlled by different types of
HLA-B-like molecules. The CTL responses in these two chimpanzees are
directed, however, against highly conserved epitopes mapping across the
majority of HIV-1 clades.
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Introduction
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Most
untreated HIV-1-infected humans develop high virus loads and declining
CD4+ T cell numbers within 510 yr after infection 1 . In
contrast to these progressors, a small group of long-term survivors
(LTS)3 do not develop
evidence of progression to AIDS despite the fact that they are known to
be infected for >17 yr 2, 3, 4, 5 . In addition, so called exposed
seronegative individuals appear to be protected against HIV infection
despite several years of unprotected sex with HIV-infected partners
6, 7, 8, 9 .
As possible mechanisms of resistance to AIDS, several hypotheses
have been put forward. In a few defined cases resistance has been
documented to be due to defective HIV-1 viruses 10, 11 . Similarly, in
a small percentage of LTS, mutations in chemokine coreceptors have been
identified as genetic factors of host resistance 12, 13, 14, 15, 16 . In terms of
host immune responses, the elimination of infected cells by cytotoxic
immune responses is of importance to establish control of the
intracellular stages of viral infections 17, 18, 19 . It has been
documented that certain CTL responses may be protective in the case of
HIV-1-infected individuals by reducing viral loads 20, 21, 22, 23 . The
beneficial role of CD8+ CTL in LTS is indirectly supported
by the finding that certain MHC class I alleles, especially
HLA-B*27 and -B*57, are found with increased
frequencies in various LTS cohorts 24, 25, 26 . The corresponding HIV-1
epitopes that are presented by these particular HLA molecules and
recognized by CTL have been mapped 3, 5, 24, 27, 28, 29 .
AIDS can be induced in various macaque species after infection with
HIV-2-related SIV, naturally carried by Sooty mangabeys 30, 31 .
Similar to humans, CTL responses directed against lentivirus-specific
Ags have been reported in macaques 32, 33, 34, 35 . A particular MHC class I
allele has been correlated with long-term survival in SIV-infected
rhesus macaques 36, 37 . Furthermore a correlation of certain MHC
alleles and particular opportunistic infections after the onset of AIDS
in macaques has been documented 38 . In addition to humans,
chimpanzees are one of the few species susceptible to persistent
infection with HIV-1. Worldwide, >150 chimpanzees have been infected
with divergent HIV-1 isolates including infection by uncultured
clinical samples directly from AIDS patients 39 . To date there has
been only one reported case of a chimpanzee that developed AIDS after
infection with several HIV-1 strains 40 . In chimpanzees the CCR5
HIV-1 coreceptor is intact and infected animals do not have the
mutations associated with resistance to AIDS in humans 41 .
Additionally, most chimpanzees have been experimentally infected with
defined viral inoculums, and deletions in viral genes such as
nef have in most cases been ruled out 42 . The majority of
HIV-1-infected chimpanzees do not show signs of disease progression and
in this regard resemble the status in LTS.
Cytotoxic T cell activity has been occasionally observed in chimpanzees
after HIV-1 infection or immunizations 43, 44, 45 . However, to date
detailed characterization of HIV-1-specific CTL responses in
chimpanzees is lacking. In this study we set out to determine the
phenotype and specificity of the CTL responses in two HIV-1-infected
chimpanzees in our cohort.
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Materials and Methods
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Animals studied
From a cohort of 10 chronically HIV-1-infected and 3
HIV-1-negative chimpanzees (Pan troglodytes verus), 2
HIV-1-infected chimpanzees (Ch-La and Ch-Ze) were studied in
detail. All of the HIV-1-infected chimpanzees in this cohort have been
extensively studied in a long-term follow-up for evidence of
progression to AIDS. None of these infected animals showed signs of
lymphadenopathy, a decline in CD4+ T cell numbers, elevated
virus load, increased activation or apoptosis markers, anemia, and/or
thrombocytopenia 39, 46, 47 . The two animals described in detail in
this report were part of a group of six chimpanzees who were all
infected i.v. on the same day with the same dose and strain of HIV-1 as
part of a larger vaccine efficacy study 48 . Ch-La had served as a
naive control and Ch-Ze had been immunized with rgp120 but subsequently
became infected 49 . In that study the presence of CTL was not
determined. Ch-La and Ch-Ze were tested 5 yr later and were the first
animals found in time in our cohort with positive cytolytic responses
and thus chosen for further study. The eight remaining HIV-1-infected
animals as well as the three HIV-1 negative chimpanzees served as
controls. These animals were MHC typed and lacked the Patr-B*02 or
-B*03 molecules.
Virus-specific CTL activities
Effector cells were generated from Lymphocyte Separation Medium
(Organon Teknica Corporation, Durham, NC) density gradient isolated
PBMC. Ag-specific cytotoxic effector cells from PBMC were activated by
coculture with autologous PHA (5 µg/ml, Sigma, St. Louis, MO)
stimulated, IL-2 (ADP 901, Medical Research Council, Hertfordshire,
U.K.) expanded and peptide pulsed T cell blasts as stimulator cells. To
prepare stimulator cells the T cell blasts were incubated with
overlapping peptide pools (2.5 µg/ml per peptide) spanning the
gag protein (22 peptides) for 3 h at 37°C and 5%
CO2. Overlapping peptides spanning the gag of
HIV-1SF2 were obtained from MRC AIDS Reagent project (ADP
788, MRC) and consisted of 22 20-mers overlapping by 10 amino acids
spanning gag amino acid residues 135364. Peptides 1 and 2
covered the residues 135164 and peptides 13 and 14 covered the
residues 252284. For more detailed epitope mapping, a panel of custom
9-mer peptides overlapping the specific epitopes were used (Quality
Control Biochemicals, Hopkinton, MA). After incubation, stimulator
cells were irradiated with 30 Gray. Stimulator cells and 15 x
106 freshly isolated PBMC were cocultured at a ratio of
0.51:1 in 3 ml RPMI 1640 (Life Technologies, Paisley, Scotland)
supplemented with L-glutamine (2 mM, Life Technologies),
penicillin (100 U/ml, Biochemie, Vienna, Austria), streptomycin (0, 2
mg/ml, Biochemie), and 10% FCS (Life Technologies). After 48 h
these cultures were supplemented with IL-2 at a concentration of 20
U/ml. Cultures were regularly fed with culture medium containing IL-2
during the coculture period. After 8 days, cocultures were harvested,
enriched for vital cells by lymphocyte separation medium density
gradient centrifugation, and restimulated with autologous stimulator
cells. After 48 h restimulated cultures were supplemented with
IL-2. Cytotoxicity was tested at day 16. Before assaying cytotoxic
effector cells, dead cells were removed by lymphocyte separation medium
density gradient centrifugation. To enrich cell cultures for
CD8+ cells, CD4+ cells were depleted after the
first stimulation by incubation with magnetic beads coupled to
anti-CD4 Abs (Dynabeads M450, Dynal, Oslo, Norway) for 60 min on
ice. Rosetted cells were depleted on a magnetic separator (MPC-6,
Dynal). The phenotype of cytolytic T cell lines was assessed by triple
color flow cytometry analysis (FACSort, Becton Dickinson, Mountain
View, CA), using FITC-labeled anti-CD8 (Becton Dickinson);
phycoerythin-labeled anti-CD4 and phycoerythin Cy5-labeled
anti-CD3 (Becton Dickinson). The CD8+ cells were
stimulated again before testing in the chromium release assay. Specific
cytolytic T cell lines were maintained by periodic restimulation with
irradiated autologous stimulator cells and PHA-stimulated human PBMC.
Cytotoxicity assay
Target cells were autologous EBV B-lymphoblastoid cell line
labeled with 150 µCi Na2CrO4 (Amersham
International, Buckinghamshire, U.K.) for 1 h, then pulsed with
pools of peptides at a concentration of 25 µg/ml for 1 h at
37°C, followed by a 16 h incubation period with the same
peptides at a concentration of 2.5 µg/ml. Unpulsed B-lymphoblastoid
cell lines were used as controls. Subsequently, target cells were
washed and plated at 5 x 103 cells per well in
96-well U-shaped plates (Costar, Cambridge, MA) together with effector
cells at three E:T ratios. After 5 h incubation at 37°C
supernatants were harvested and
counted in a
counter (Cobra 5,
Packard). Percentages of specific 51Cr release were
calculated as 100 x (experimental release - spontaneous
release)/(maximum release - spontaneous release). All
experimental values were determined in duplicate or triplicate and
maximum and spontaneous releases were performed in quadruplicate.
Responses of 10% or more above specific lysis of control unpulsed
targets, were scored as positive.
Immunocytochemistry
The granzymes A and B (GrA and GrB), the RNA binding protein T
cell intracellular Ag-1 (TIA-1), and perforin expression on
CD8+ and CD4+ T cells was studied using a
double-staining technique. Cytospin preparations were fixed in 4%
buffered formalin for 9 min, washed in PBS, and preincubated with
normal goat serum (10% in PBS). Subsequently, the slides were
incubated with anti-GrA (GA11) or -GrB (GB11), both kindly provided
by Dr. E. Hack (CLB, Amsterdam, The Netherlands), anti-TIA-1
(Coulter, Hialeah, FL) or antiperforin mAb (T Cell Diagnostics,
Woburn, MA), secondary biotinylated Ab (goat anti-mouse, Dako,
Glostrup, Denmark), a streptavidine-biotin-alkaline phosphatase complex
(Dako), normal mouse serum (5% in PBS, Jackson ImmunoResearch
Laboratories, West Grove, PA), FITC-labeled CD8 (DK25) or CD4 (OKT4),
peroxidase-labeled rabbit anti-FITC (Dako), and peroxidase-labeled
swine anti-rabbit (Dako). All incubation steps were performed at
room temperature for 30 min. Endogenous peroxidases were blocked with
0.1% NaN3 plus 0.3% H2O2 in PBS
after the incubation with the first Ab AP activity was detected
with naphthol-AS-MX phosphate (Sigma), and Fast Blue BB (Sigma) in 0.1
M Tris-HCl, pH 8.5 (20 min in the dark), yielding a blue color. HRP
activity was detected using H2O2 (0.03%) and
3-amino-9-ethylcarbazole (Sigma) yielding a red color.
For detection of apoptosis during CTL-mediated killing, cytospin
preparations of CTL incubated with peptide pulsed autologous B cell
target cells cultured for 5 h were prepared and stained
subsequently with anti-CD20 mAb (L26, Dako), FITC-labeled goat
anti-mouse Ab (Dako) and ethidium bromide (100 µg/ml in PBS;
Sigma).
MHC class I typing, restriction, and epitope mapping
Chimpanzees were initially typed for their Patr class I Ags by
means of serological methods 50 . The corresponding Patr class I
nucleotide sequences were determined based on the method described by
Ennis et al. 51 . The correlation of serotypes and nucleotide
sequences was established based on performing extensive segregation
studies 52 . The Patr class I alleles (Patr-B*02 and
-B*03) that are relevant for this study have been published
previously 53, 54 . These restriction elements were identified by
testing cytotoxic reactivity of CTL of Ch-La and Ch-Ze on a panel of
allogeneic Patr-A, -B, and -C locus-typed cells.
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Results
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Detection of gag-specific CTL in HIV-1-infected
chimpanzees
Of the 10 chimpanzees in our HIV-1-infected cohort, 6 chimpanzees
were challenged with HIV-1 in 1990 49 . In that study the presence of
CTL were not determined. PBMC from these animals were tested 5 years
later for the presence of gag and env-specific
CTL responses. Persistent Ag-specific cytolytic activity was first
detected in two animals against different gag epitopes
suggesting the existence of at least two CTL epitopes (Fig. 1
). The strong gag-specific
CTL responses in these two infected animals (Ch-La and Ch-Ze) were
selected for further study and characterized in detail.
Env-specific CTL were not detected. As controls, cells from
chimpanzees lacking the Patr-B*02 and -B*03 molecules were also tested
for the ability to recognize the epitopes described in this study in a
CTL assay. Cells from three HIV-1 negative control chimpanzees as well
as eight HIV-1-infected chimpanzees were stimulated according to the
same stimulation protocol with pooled peptides. Taking these 11 animals
into account, we have never detected false positive responses in these
chimpanzees to the specific epitopes. Cytolytic responses were observed
to distinct pooled peptides, but these have not yet been characterized
to the epitope level (data not shown).

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FIGURE 1. CTL epitope mapping of (A) Ch-La and (B)
Ch-Ze on 20-mer peptides with a 10-mer overlap at an E:T ratio of 5:1.
Custom made 9-mer peptides were used for a more detailed epitope
mapping. The first bar represents the specific lysis for a pool of all
22 gag peptides; the next six bars represent the
specific lysis for smaller pools of the gag peptides,
whereas single 20-mer peptides of the reacting pool are depicted in the
next three bars for Ch-La (A) or the next four bars for
Ch-Ze (B). The actual peptide reactivity is seen in the
last two bars.
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CTL epitope mapping
CTL of Ch-La were found to recognize a pool of peptides 13 of
HIV-1 gag (Fig. 1
A). After testing individual
peptides it was found that only peptides 1 and 2 were recognized. This
suggested that the actual epitope that was recognized was located in
the overlapping region of these two peptides (VHQAISPRTL). To test this
assumption, two novel peptides were synthesized and target cells were
pulsed with these 9-mer peptides. Target cells loaded with VHQAISPRT
were not affected whereas HQAISPRTL (HIV-1 gag amino acid
residues 146154) loaded target cells were lysed by the effector
cells.
CTL of Ch-Ze were found to react with a pool of peptides 1114 of the
same HIV-1 gag preparation mentioned earlier (Fig. 1
B). More in detail, only peptides 13 and 14 were recognized
mapping to the following 10-mer (KRWIILGLNK). To define the fine
specificity of the epitope, target cells were pulsed with the relevant
9-mer peptides. These subsequent studies demonstrated that target cells
with KRWIILGLN (HIV-1 gag amino acid residues 265273) were
lysed whereas targets loaded with the RWIILGLNK oligopeptide were not
lysed by the effector cells.
Phenotypic characterization of CTL and their killing mechanism
The phenotype of the effector cells was characterized by FACS
analysis to determine the cell surface markers. The bulk culture
contained CD3+CD4+ T cells,
CD3-CD8+ as an indication of NK cells and
CD3+CD8+ cells as an indication of CTL. After
enrichment for CD8+ cells using magnetic beads, the CTL
culture from Ch-Ze was found to consist of 95%
CD3+CD8+ T cells and 3% CD4+ T
cells (Fig. 2
). These cells were then
stimulated again before testing. The cells maintained the same
phenotype during the culture period. Similar data were found for the
culture of Ch-La and these results were consistent over time.

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FIGURE 2. FACS scattergrams of the cell culture of Ch-Ze after the first
stimulation after CD8 cell purification using magnetic beads. Cultured
cells were stained with phycoerythin-labeled anti-CD4, FITC-labeled
anti-CD8 and RPE-Cy5-labeled anti-CD3 mAbs. Percentage of the
different cell populations in culture are depicted in the
quadrants.
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To establish that these chimpanzee CD3+CD8+ T
cells used the same cytolytic machinery as human CTL, the effector
cells were incubated with peptide-labeled target cells according to
standardized procedures. The autologous B cell targets were found to
have fragmented apoptotic nuclei as was determined by staining the B
cells with FITC-labeled anti-CD20 in combination with propidium
iodide for detection of B and T cell nuclei. Further analysis revealed
that the CD8+ T cells were positive for TIA-1 (Fig. 3
A). This was in contrast to
the CD4+ T cells present in the same cultures that were, as
expected, negative for these markers (Fig. 3
B). The same was
seen for the other contents of the cytotoxic granules GrA, GrB, and
perforin. Cytolytic responses were also tested for calcium dependency
in medium containing 1.5 M EDTA, which was found to completely inhibit
these specific chimpanzee CTL responses. Thus, the CTL activity
observed in these chimpanzees is caused by
CD3+CD8+ T cells carrying GrA, GrB, TIA-1, and
perforin that use a calcium-dependent pathway resulting in apoptosis of
target cells and therefore resembles human CTL 55 .

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FIGURE 3. Analysis of Ch-La PBMC in culture after two rounds of stimulation. The
cells were double stained for (A) CD8 and TIA-1 and
(B) CD4 and TIA-1. Original magnification was
x60.
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Characterization of MHC restriction elements
The involvement of MHC class I restriction elements was determined
for both chimpanzees using a mAb W6/32 (anti-MHC class I
molecules). By FACS analysis the binding of the Ab W6/32 on the surface
of the target cells was found to be optimal in the 1:100 dilution. As
can be seen in the dose-response curve, a 1:100 dilution of the
supernatant stock of Ab W6/32 resulted in complete inhibition of the
Ag-specific functional cytolytic response (Fig. 4
).

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FIGURE 4. Inhibition of the cytolytic response of CTL from Ch-Ze at an E:T ratio
of 2.5:1. Several dilutions of the anti-MHC class I Ab W6/32 were
added to the peptide-pulsed autologous target cells for 30 min at
37°C. Then the target cells were added to the effector cells of Ch-Ze
in a 51Cr release assay.
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To elucidate which MHC class I molecules were functioning as
restriction elements, an allogeneic B cell panel typed for the
different Patr molecules was used as target cells. This panel of
chimpanzee cells was selected based on the presence of known MHC class
I and II nucleotide sequences. The autologous and (partly) matched
allogeneic target cells were pulsed with the relevant gag
peptides and subsequently tested with the effector cells of Ch-La and
Ch-Ze (Table I
). The target cells that
are lysed are expected to share the same Patr allele that functions as
restriction element. As expected, CTL from Ch-La effectively lysed
autologous target cells and also cells from Ch-Ro, Ch-Wo, and Ch-Ka
(Table I
). All these cells share the Patr-B*02 and -C*05 molecules. To
distinguish which of these two restriction elements are used, Ch-Su and
Ch-Pe were selected that are positive for the Patr-C*05 molecules and
lack Patr-B*02 Ags. These target cells were not lysed, indicating that
the selected CTL from Ch-La recognize the gag epitope
HQAISPRTL in the context of Patr-B*02 molecules. The same procedure was
used to elucidate the restriction element of the CTL from Ch-Ze. The
CTL from Ch-Ze recognized its autologous target cells as well as the
allogeneic target cells from Ch-Fr, Ch-Qu, Ch-Na, and Ch-Ph (Table I
).
Apart from Ch-Ph, all these animals share Patr-A*06, -B*03, and -C*03
molecules. Ch-Ph, however, only shares the Patr-B*03 and -C*03
molecules with the previously mentioned cells. Cells of Ch-Pea were not
lysed confirming that the Patr-A*06 molecules were not able to present
the peptide. To further differentiate between the Patr-B*03 and -C*03
molecules, cells of Ch-Yv were selected that are positive for the
Patr-C*03 molecules. These target cells were not lysed. This indicates
that CTL from Ch-Ze, that are described in this study, recognize the
HIV-1 gag epitope KRWIILGLN in the context of Patr-B*03
molecules.
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Discussion
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The cytolytic activities in the two chimpanzees, Ch-La and Ch-Ze,
were found to be directed against two distinct 9-mer sequences in HIV-1
gag. CTL of Ch-La and Ch-Ze recognize the epitope HQAISPRTL
and KRWIILGLN, respectively. At least two research groups reported
independently, that in humans the CTL epitope HQAISPRTL is also
recognized in the context of HLA-B*5701 molecules 26, 29 . Likewise
the 9-mer KRWIILGLN is recognized by human CTL that are restricted by
HLA-B*2705 gene products 56 . Both the HLA-B*57 and -B*27
specificities are observed more frequently in LTS than in rapid
progressors to AIDS 3, 24, 26 . Based on these reports evidence
suggests that these HLA specificities may be involved in protective
immune responses against AIDS.
It is known that humans and chimpanzees share as much as 98% genetic
similarity as determined at the DNA level. For that reason, it is
possible that humans and chimpanzees share highly identical MHC
molecules that have the capacity to bind the same peptide. That this
possibility may reflect reality has been demonstrated for HLA-DR3-like
molecules in humans and chimpanzees that were reported to bind the same
peptide from the heat shock protein 65 of Mycobacterium
tuberculosis 57 . With regard to the A locus in humans and
chimpanzees a similar observation was made for the recognition of
certain Hepatitis C virus epitopes 58 . The alternative possibility is
that the same peptide binds to distinct types of MHC molecules in
disparate species. To discriminate between these two possibilities, the
chimpanzee restriction elements and their corresponding nucleotide
sequences were determined to allow comparisons. CTL of Ch-La were found
to be restricted by Patr-B*02 molecules that bind the HIV-1
gag epitope HQAISPRTL whereas CTL of Ch-Ze were found to
recognize Patr-B*03 molecules presenting the HIV-1 gag
epitope KRWIILGLN (Table I
). As can be seen, comparison of the
1 and
2 sequences of the relevant human and chimpanzee MHC
molecules show that the Patr-B*02 and HLA-B*5701 molecules that
both bind the HQAISPRTL are rather distinct in the peptide binding
pocket (Fig. 5
). The same observation was
made for the other set of molecules, Patr-B*03 and HLA-B*2705, which
are involved in binding of KRWIILGLN peptide. As expected, this is
consistent with phylogenetic analyses of the relevant nucleotide
sequences 54 . Thus, the same HIV-1 gag peptides are bound
by totally different types of HLA-B and Patr-B molecules, which group
into distinct lineages. Due to promiscuity the same MHC molecule may
bind a large set of peptides. As a consequence the same epitope may be
bound by different MHC molecules. This has been described for a
HCV CTL epitope 59 and for two HIV-1 nef CTL
epitopes 60, 61, 62 . Human individuals, especially LTS, and chimpanzees
that are relatively resistant to AIDS, recognize the same epitopes for
mounting CTL responses. One may wonder whether there is a biological
relevance to this phenomenon. Scanning of HIV-1 clades shows that
particular regions are highly conserved. This appears to be the case
for the two epitopes described here that map to such highly conserved
HIV-1 gag regions (Fig. 6
). In
this light, the hypothesis would be that protective CTL responses are
preferentially mounted against highly conserved epitopes. In other
words, some individuals in the human population may have the right type
of HLA molecules that can bind such peptides. In the case that a
mutation in such an epitope occurs, progression to disease may follow.
This is illustrated by a study of Goulder et al. 63 demonstrating
that a mutation in the KRWIIMGLNK epitope, which took place 12 years
after infection, correlated with subsequent progression to AIDS.

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FIGURE 6. Amino acid sequences of the CTL epitope regions identified in this
study, mapping across the HIV-1 clades. The amino acids present in all
known HIV-1 strains are shown in uppercase letters and the amino acids
present in the majority of known HIV-1 strains are shown in lowercase
letters.
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It is too early to conclude on the basis of only these two chimpanzees
that CTL-mediated protection may solely explain why chimpanzees are
relatively resistant to AIDS. It is likely that multiple immunological
mechanisms are responsible for this resistance. Further studies are
underway to investigate whether other conserved HIV-1 epitopes
are recognized by chimpanzee CTL. Studies of the immune responses
mounted by chimpanzees to HIV-1 infection may further elucidate the
role of CTL in protection from progression to AIDS and provide insight
for the development of effective HIV-1 vaccines or immunotherapeutic
strategies.
 |
Acknowledgments
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We thank Drs. Ivonne G. Nieuwenhuis for her technical assistance
and Jeannette Schouw for her secretarial assistance. We also thank Dr.
Michel R. Klein and Dr. Gerald Voss for their critical
appraisal of the manuscript.
 |
Footnotes
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1 This work was supported by the European Community Grant BMH4-CT97-2067. Reagents for this research were supplied by the European Union Program EVA (European Vaccine against AIDS). 
2 Address correspondence and reprint requests to Dr. J. L. Heeney, Biomedical Primate Research Centre, Department of Virology, P.O. Box 3306, 2280 GH Rijswijk, The Netherlands. E-mail address: 
3 Abbreviations used in this paper: LTS, long-term survivor; GrA, granzyme A; GrB, granzyme B; TIA-1, T cell intracellular Ag 1. 
Received for publication June 3, 1998.
Accepted for publication November 10, 1998.
 |
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