Abstract:
:Primary HIV-1 infection (PHI) is marked by a flu-like syndrome and high levels of viremia that decrease to a viral set point with the first emergence of virus-specific CD8+ T-cell responses. Here, we investigated in a large cohort of 527 subjects the immunodominance pattern of the first virus-specific cytotoxic T-lymphocyte (CTL) responses developed during PHI in comparison to CTL responses in chronic infection and demonstrated a distinct relationship between the early virus-specific CTL responses and the viral set point, as well as the slope of CD4+ T-cell decline. CTL responses during PHI followed clear hierarchical immunodominance patterns that were lost during the transition to chronic infection. Importantly, the immunodominance patterns of human immunodeficiency virus type 1 (HIV-1)-specific CTL responses detected in primary, but not in chronic, HIV-1 infection were significantly associated with the subsequent set point of viral replication. Moreover, the preservation of the initial CD8+ T-cell immunodominance patterns from the acute into the chronic phase of infection was significantly associated with slower CD4+ T-cell decline. Taken together, these data show that the specificity of the initial CTL response to HIV is critical for the subsequent control of viremia and have important implications for the rational selection of antigens for future HIV-1 vaccines.
journal_name
J Viroljournal_title
Journal of virologyauthors
Streeck H,Jolin JS,Qi Y,Yassine-Diab B,Johnson RC,Kwon DS,Addo MM,Brumme C,Routy JP,Little S,Jessen HK,Kelleher AD,Hecht FM,Sekaly RP,Rosenberg ES,Walker BD,Carrington M,Altfeld Mdoi
10.1128/JVI.00182-09subject
Has Abstractpub_date
2009-08-01 00:00:00pages
7641-8issue
15eissn
0022-538Xissn
1098-5514pii
JVI.00182-09journal_volume
83pub_type
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