Vaccine-induced gag-specific T cells are associated with reduced viremia after HIV-1 infection

H Janes, DP Friedrich, A Krambrink… - The Journal of …, 2013 - academic.oup.com
H Janes, DP Friedrich, A Krambrink, RJ Smith, EG Kallas, H Horton, DR Casimiro…
The Journal of infectious diseases, 2013academic.oup.com
The contribution of host T-cell immunity and HLA class I alleles to the control of human
immunodeficiency virus (HIV-1) replication in natural infection is widely recognized. We
assessed whether vaccine-induced T-cell immunity, or expression of certain HLA alleles,
impacted HIV-1 control after infection in the Step MRKAd5/HIV-1 gag/pol/nef study. Vaccine-
induced T cells were associated with reduced plasma viremia, with subjects targeting≥ 3
gag peptides presenting with half-log lower mean viral loads than subjects without Gag …
Abstract
The contribution of host T-cell immunity and HLA class I alleles to the control of human immunodeficiency virus (HIV-1) replication in natural infection is widely recognized. We assessed whether vaccine-induced T-cell immunity, or expression of certain HLA alleles, impacted HIV-1 control after infection in the Step MRKAd5/HIV-1 gag/pol/nef study. Vaccine-induced T cells were associated with reduced plasma viremia, with subjects targeting ≥3 gag peptides presenting with half-log lower mean viral loads than subjects without Gag responses. This effect was stronger in participants infected proximal to vaccination and was independent of our observed association of HLA-B*27, –B*57 and –B*58:01 alleles with lower HIV-1 viremia. These findings support the ability of vaccine-induced T-cell responses to influence postinfection outcome and provide a rationale for the generation of T-cell responses by vaccination to reduce viremia if protection from acquisition is not achieved. Clinical trials identifier: NCT00095576.
Oxford University Press