title: Clinical, immunologic, and virologic observations related to human immunodeficiency virus (HIV) type 1 infection in a volunteer in an HIV-1 vaccine clinical trial.
abstract: A vaccine breakthrough occurred in a phase 1 clinical trial of a human immunodeficiency virus (HIV) type 1 candidate subunit vaccine. The vaccine antigen, gp120SF2, is a fully glycosylated protein produced in mammalian cells from the HIVSF2 isolate. After 4 immunizations, the subject developed neutralizing antibodies and lymphoproliferative responses to the gp120 protein. About 18 weeks after the last immunization, the subject became HIV infected. During the acute phase of infection, there was high virus burden, a decline in CD4+ T lymphocytes, increases in rgp120SF2-binding antibodies and HIVSF2- and HIVMN-neutralizing antibodies, and transient lymphoproliferative responses to HIV-1 envelope and core proteins. The nucleotide sequence of the V3 loop from 2 virus isolations displayed close similarity to the V3 sequence of the vaccine antigen. Thus, the immunologic responses induced by the vaccine in this subject did not protect him from HIV-1 infection.
authors.affiliation: AIDS Program, San Francisco General Hospital, CA 94110, USA.
authors.forename: J O
authors.initials: JO
authors.lastname: Kahn
authors.forename: K S
authors.initials: KS
authors.lastname: Steimer
authors.forename: J
authors.initials: J
authors.lastname: Baenziger
authors.forename: A M
authors.initials: AM
authors.lastname: Duliege
authors.forename: M
authors.initials: M
authors.lastname: Feinberg
authors.forename: T
authors.initials: T
authors.lastname: Elbeik
authors.forename: M
authors.initials: M
authors.lastname: Chesney
authors.forename: N
authors.initials: N
authors.lastname: Murcar
authors.forename: D
authors.initials: D
authors.lastname: Chernoff
authors.forename: F
authors.initials: F
authors.lastname: Sinangil
mesh_terms: D016915:AIDS Vaccines / Q000276:immunology*; D000328:Adult; D000595:Amino Acid Sequence; D018791:CD4 Lymphocyte Count; D015483:HIV Antibodies / Q000097:blood; D015699:HIV Envelope Protein gp120 / Q000235:genetics / Q000276:immunology*; D015658:HIV Infections / Q000276:immunology* / Q000517:prevention & control / Q000821:virology; D015497:HIV-1 / Q000235:genetics / Q000276:immunology*; D018451:Homosexuality, Male; D006801:Humans; D007110:Immunity, Active; D008297:Male; D008969:Molecular Sequence Data; D009500:Neutralization Tests; D010446:Peptide Fragments / Q000235:genetics; D012367:RNA, Viral / Q000097:blood / Q000235:genetics; D017422:Sequence Analysis, DNA; D014611:Vaccination
chemical_list: D016915:AIDS Vaccines; D015483:HIV Antibodies; D015699:HIV Envelope Protein gp120; C059762:HIV envelope protein gp120 (305-321); C082068:HIV-1 IIIB gp120 subunit vaccine; D010446:Peptide Fragments; D012367:RNA, Viral