Immunodominance of HIV-1-specific CD8+ T-cell responses in acute HIV-1 infection: at the crossroads of viral and host genetics

M Lichterfeld, GY Xu, S Le Gall, M Altfeld - Trends in immunology, 2005 - cell.com
M Lichterfeld, GY Xu, S Le Gall, M Altfeld
Trends in immunology, 2005cell.com
The development of HIV-1-specific CD8+ T-cell responses during acute HIV-1 infection is
associated with a dramatic decline in HIV-1 replication and the resolution of the acute
retroviral syndrome. These HIV-1-specific CD8+ T cells typically target a small number of
viral epitopes in a distinct hierarchical order, and high-level viremia in chronic progressive
infection leads to broadly diversified HIV-1-specific CD8+ T-cell responses with a less clear
immunodominance pattern. It is argued here that the specific hierarchical pattern of immune …
The development of HIV-1-specific CD8+ T-cell responses during acute HIV-1 infection is associated with a dramatic decline in HIV-1 replication and the resolution of the acute retroviral syndrome. These HIV-1-specific CD8+ T cells typically target a small number of viral epitopes in a distinct hierarchical order, and high-level viremia in chronic progressive infection leads to broadly diversified HIV-1-specific CD8+ T-cell responses with a less clear immunodominance pattern. It is argued here that the specific hierarchical pattern of immune responses in acute HIV-1 infection is the result of a tightly regulated process that, among other factors, is critically impacted by the kinetics of viral protein expression, the HLA class I background of the infected individual and the autologous sequence of the infecting virus.
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