DNA immunization in combination with effective antiretroviral drug therapy controls viral rebound and prevents simian AIDS after treatment is discontinued.

Abstract:

:DNA immunization in conjunction with antiretroviral therapy was evaluated in SIV-infected rhesus macaques treated with [R]-9-[2-phosphonylmethoxypropyl]adenine (PMPA). Macaques were immunized monthly with DNA vaccines expressing either SIV gag/tat or SIV gag/tat and 19 CD8+ T cell epitopes during 7 months of therapy. Half the animals from each group were additionally immunized before infection. Only 60% of the animals (4 controls, 20 vaccinated) responded to PMPA (ART responders). All 4 ART responder controls demonstrated viral rebound or CD4 decline after PMPA was withdrawn. In contrast, 17 of 20 vaccinated ART responders contained viral rebound for over 7 months after PMPA was withdrawn. Viral control correlated with stable CD4 counts, higher lymphoproliferation and an increase in the magnitude and breadth of the CD8+ T cell response. Immunizing before infection or with multi-epitopes enhanced these effects. These results demonstrate that DNA immunization during antiretroviral therapy may be an effective strategy to treat HIV infection.

journal_name

Virology

journal_title

Virology

authors

Fuller DH,Rajakumar PA,Wu MS,McMahon CW,Shipley T,Fuller JT,Bazmi A,Trichel AM,Allen TM,Mothe B,Haynes JR,Watkins DI,Murphey-Corb M

doi

10.1016/j.virol.2005.12.008

subject

Has Abstract

pub_date

2006-04-25 00:00:00

pages

200-15

issue

1

eissn

0042-6822

issn

1096-0341

pii

S0042-6822(05)00810-X

journal_volume

348

pub_type

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