[HTML][HTML] Mucosal AIDS vaccine reduces disease and viral load in gut reservoir and blood after mucosal infection of macaques

IM Belyakov, Z Hel, B Kelsall, VA Kuznetsov… - Nature medicine, 2001 - nature.com
IM Belyakov, Z Hel, B Kelsall, VA Kuznetsov, JD Ahlers, J Nacsa, DI Watkins, TM Allen
Nature medicine, 2001nature.com
Given the mucosal transmission of HIV-1, we compared whether a mucosal vaccine could
induce mucosal cytotoxic T lymphocytes (CTLs) and protect rhesus macaques against
mucosal infection with simian/human immunodeficiency virus (SHIV) more effectively than
the same vaccine given subcutaneously. Here we show that mucosal CTLs specific for
simian immunodeficiency virus can be induced by intrarectal immunization of macaques
with a synthetic-peptide vaccine incorporating the LT (R192G) adjuvant. This response …
Abstract
Given the mucosal transmission of HIV-1, we compared whether a mucosal vaccine could induce mucosal cytotoxic T lymphocytes (CTLs) and protect rhesus macaques against mucosal infection with simian/human immunodeficiency virus (SHIV) more effectively than the same vaccine given subcutaneously. Here we show that mucosal CTLs specific for simian immunodeficiency virus can be induced by intrarectal immunization of macaques with a synthetic-peptide vaccine incorporating the LT(R192G) adjuvant. This response correlated with the level of T-helper response. After intrarectal challenge with pathogenic SHIV-Ku2, viral titers were eliminated more completely (to undetectable levels) both in blood and intestine, a major reservoir for virus replication, in intrarectally immunized animals than in subcutaneously immunized or control macaques. Moreover, CD4+ T cells were better preserved. Thus, induction of CTLs in the intestinal mucosa, a key site of virus replication, with a mucosal AIDS vaccine ameliorates infection by SHIV in non-human primates.
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