An algorithm for evaluating human cytotoxic T lymphocyte responses to candidate AIDS vaccines

AIDS Res Hum Retroviruses. 1999 Jul 20;15(11):1021-34. doi: 10.1089/088922299310539.

Abstract

Development of an effective vaccine against HIV-1 will likely require the induction of a broad array of immune responses, including virus-specific CTLs and neutralizing antibodies. One promising vaccine approach involves live recombinant canarypox (CP)-based vectors (ALVAC) containing multiple HIV-1 genes. In phase I clinical trials in HIV-1-seronegative volunteers, the cumulative rate of detection of HIV-1-specific CTLs has been as high as 60-70%. In the present study, the factors associated with CTL responsiveness were evaluated in a subset of vaccinees immunized with a CP vector expressing portions of the gag, pro, and env genes of HIV-1 (ALVAC-HIV). CTL responses were detected in one of seven examined. While the responding individual had both CD4+ and CD8+ CTLs directed at multiple HIV-1 antigens, this response was not detectable 1 year after the last vaccination. In-depth characterization of "CTL nonresponders" showed that nonresponsiveness was not associated with defects in antigen processing or presentation. A generalized defect in CTL responsiveness was ruled out by parallel assays to detect CMV-specific CTLs from these same volunteers. Furthermore, HIV-1-specific memory CTLs were not detectable by peptide stimulation or by a novel technique for flow cytometric visualization of Gag epitope-specific T lymphocytes while HIV-1-seropositive donors frequently had 0.1-3% of CD8+ cells stain positively for this epitope (SLYNTVATL). Taken together, these results suggest that the lack of detectable HIV-1 CTLs in these volunteers was not due to classic MHC-linked nonresponsiveness.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • AIDS Vaccines / immunology*
  • Algorithms
  • Animals
  • Antigen Presentation
  • Avipoxvirus
  • CD8-Positive T-Lymphocytes / immunology
  • Cells, Cultured
  • DNA, Viral / administration & dosage
  • Flow Cytometry
  • HIV Antigens / immunology
  • HIV Envelope Protein gp120 / genetics
  • HIV Seronegativity
  • HIV-1* / immunology
  • Humans
  • Mice
  • Models, Immunological*
  • T-Lymphocytes, Cytotoxic / immunology*

Substances

  • AIDS Vaccines
  • DNA, Viral
  • HIV Antigens
  • HIV Envelope Protein gp120