Cross reactive CTL responses in persons infected with different HIV viral clades. NLM AIDSLINE Important note: Information in this article was accurate in 1997. The state of the art may have changed since the publication date.

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Cross reactive CTL responses in persons infected with different HIV viral clades.

Conf Adv AIDS Vaccine Dev. 1997 May 4-7;:43. Unique Identifier : AIDSLINE MED/97927029
Gotch F; McAdam S; Whitworth J; Charing Cross & Westminster Medical School, Dept. Immunology, Chelsea; & Westminster Hospital, London, United Kingdom. Fax: 181-746-5997.


Abstract: 8,500 persons/day are infected with HIV, 90% of whom live in developing countries. It would cost 300 billion dollars to treat all HIV infected individuals in the world with modern, potent, antiretroviral drugs. This is clearly not feasible and there is an urgent need to develop a vaccine for HIV. Such a prophylactic vaccine will need to be effective and safe; and to induce cross-reactive immune responses in order to protect at-risk individuals from infection or from disease progression with all the different subtypes or clades of virus to which they may be exposed. There is an increasing body of evidence to suggest that cytotoxic T-lymphocytes play a crucial role in the control of HIV throughout infection, and may be able to offer some degree of protection. We propose therefore that a vaccine for HIV should generate high levels of virus specific CTL prior to virus exposure. We have conducted experiments to measure gag-specific cross-clade-reactive CTL activity in infected persons from the Gambia, Uganda and the UK. Our preliminary results have enabled us to evaluate whether a vaccine based on a single well-characterised clade of virus (B clade) would be expected to induce sufficient cross-reactive cellular immune responses to offer protection from infection with other clades of HIV.1 such as A, C and D clade which predominate in Sub-Saharan Africa where vaccines are most urgently needed.
Keywords: *HIV/GENETICS *HIV Infections/IMMUNOLOGY *T-Lymphocytes, Cytotoxic/IMMUNOLOGYKWDhiv/geneticsKWDhivinfections/immunologyKWDt-lymphocytes,cytotoxic/immunology
971130
M97B1192

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