title: The role of immunity in protection from mucosal SIV infection in macaques.
abstract: The need for an effective vaccine against HIV has prompted a refocusing of attention on mucosal immunity. More than 75% of all infections are acquired across a mucosal surface. It is therefore a prerequisite for a vaccine to target directly the mucosal tissues or indirectly the regional lymph nodes in order to prevent or control viral replication. Although mucosal immunization has induced responses at the genital or rectal surfaces, immune mechanisms alone have not been shown to be sufficient to contain infections in macaques. A growing body of evidence suggests that a dual mechanism may be required for effective mucosal protection, mediated by specific CD4 and CD8 T cell and antibody responses to the immunizing agents, plus innate antiviral factors and beta chemokines that down-regulate CCR5 coreceptors. Targeted iliac lymph node immunization with SIV gp 120 and p27 in alum prevents SIV infection or significantly decreases the viral load when immunized macaques were challenged with SIV by the rectal route. Indeed, in addition to specific immunity, including significant SIgA antibody secreting cells in the iliac lymph nodes, CD8-suppressor factor and the 3beta chemokines (RANTES, MIP-1alpha and MIP-1beta) are significantly associated with protection against rectal mucosal SIV infection.
authors.affiliation: Division of Oral Medicine, Pathology, Microbiology and Immunology, Guy's Kings and St Thomas Hospitals and Schools of Medicine and Dentistry, London, UK. lesley.bergmeier@kcl.ac.uk
authors.forename: L A
authors.initials: LA
authors.lastname: Bergmeier
authors.forename: Y
authors.initials: Y
authors.lastname: Wang
authors.forename: T
authors.initials: T
authors.lastname: Lehner
mesh_terms: D000818:Animals; D000914:Antibodies, Viral / Q000276:immunology; D015496:CD4-Positive T-Lymphocytes / Q000276:immunology; D018414:CD8-Positive T-Lymphocytes / Q000276:immunology; D054405:Chemokine CCL3; D054407:Chemokine CCL4; D018946:Chemokine CCL5 / Q000276:immunology; D019742:Chemokines, CC / Q000276:immunology; D004195:Disease Models, Animal; D015536:Down-Regulation; D015683:Gene Products, gag / Q000627:therapeutic use; D018928:Immunity, Mucosal; D007114:Immunization; D007071:Immunoglobulin A, Secretory / Q000276:immunology; D008198:Lymph Nodes / Q000276:immunology; D008251:Macaca; D019402:Macrophage Inflammatory Proteins / Q000276:immunology; D008562:Membrane Glycoproteins / Q000627:therapeutic use; D019713:Receptors, CCR5 / Q000276:immunology; D018449:SAIDS Vaccines / Q000276:immunology; D016097:Simian Acquired Immunodeficiency Syndrome / Q000276:immunology* / Q000517:prevention & control; D015302:Simian Immunodeficiency Virus / Q000276:immunology; D013491:Suppressor Factors, Immunologic / Q000276:immunology; D014759:Viral Envelope Proteins / Q000627:therapeutic use; D019562:Viral Load
chemical_list: D000914:Antibodies, Viral; D054405:Chemokine CCL3; D054407:Chemokine CCL4; D018946:Chemokine CCL5; D019742:Chemokines, CC; C066594:Gag protein p27, Simian immunodeficiency virus; D015683:Gene Products, gag; D007071:Immunoglobulin A, Secretory; D019402:Macrophage Inflammatory Proteins; D008562:Membrane Glycoproteins; D019713:Receptors, CCR5; D018449:SAIDS Vaccines; D013491:Suppressor Factors, Immunologic; D014759:Viral Envelope Proteins; C069623:gp120 protein, Simian immunodeficiency virus