title: Cellular immunity to human immunodeficiency virus type 1 (HIV-1) clades: relevance to HIV-1 vaccine trials in Uganda.
abstract: The first prophylactic human immunodeficiency virus type 1 (HIV-1) vaccine trial in Africa, with a clade B immunogen, is currently under way in Uganda, in a region where clades A and D are endemic. The use of a B clade vaccine is based on anticipated cross-recognition of endemic strains of HIV-1 in Uganda, but, in fact, little is known about the cytotoxic T lymphocyte (CTL) responses in that region. Seventeen HIV-1-infected volunteers from Kampala, Uganda, were studied to determine the immune responses elicited by natural infection with local HIV-1 strains. Despite the presence of broad cross-clade recognition, the CTL responses to the infecting viral clade were highest in most people. Recognition of nonendemic clade B antigens was similar to that of the coendemic local clade, and, in some instances, cross-recognition of clade B was greater. Nevertheless, the degree of cross-clade cellular responses we observed lends justification to the use of clade B-based immunogens in the current phase 1 vaccine trial in Uganda.
authors.affiliation: Massachusetts General Hospital-East, AIDS Research Center, Charlestown, MA 02129, USA. cao@helix.mgh.harvard.edu
authors.forename: H
authors.initials: H
authors.lastname: Cao
authors.forename: I
authors.initials: I
authors.lastname: Mani
authors.forename: R
authors.initials: R
authors.lastname: Vincent
authors.forename: R
authors.initials: R
authors.lastname: Mugerwa
authors.forename: P
authors.initials: P
authors.lastname: Mugyenyi
authors.forename: P
authors.initials: P
authors.lastname: Kanki
authors.forename: J
authors.initials: J
authors.lastname: Ellner
authors.forename: B D
authors.initials: BD
authors.lastname: Walker
mesh_terms: D016915:AIDS Vaccines / Q000276:immunology*; D018604:Epitope Mapping; D015497:HIV-1 / Q000145:classification / Q000276:immunology*; D006801:Humans; D013602:T-Lymphocytes, Cytotoxic / Q000276:immunology
chemical_list: D016915:AIDS Vaccines