title: HIV-1 and the self-nonself connection: how to sleep with the enemy and be much better off.
abstract: Envelope-based immunogens capable of generating high titers of neutralizing antibodies have until now been difficult to generate, or failed to act as useful vaccines to prevent HIV-1 infection and disease progression. On the other hand, humoral immune responses to self and allogeneic cellular antigens involved in HIV-1 docking and entry are present both in infected patients and in subjects with natural resistance to HIV-1 infection, where they share similarities but also display definite differences. By dissecting these subtle differences, crucial cellular and molecular markers, possibly correlated with natural resistance to HIV-1 and with the modulation of clinical progression in stably infected patients, have been identified. Here, state-of-the art knowledge on anti-self immune responses following infection or exposure to HIV will be reviewed. The possible implications of these mechanisms in the design of unconventional therapies aimed to counteract the peculiar HIV-1 capability to circumvent the immune system will be discussed.
authors.affiliation: Department of Immunology, Infectious Diseases and Transplants, San Raffaele Scientific Institute, Milan, Italy. lopalco.lucia@hsr.it
authors.forename: Lucia
authors.initials: L
authors.lastname: Lopalco
authors.forename: Samuele E
authors.initials: SE
authors.lastname: Burastero
mesh_terms: D000818:Animals; D001323:Autoantibodies / Q000276:immunology*; D001324:Autoantigens / Q000276:immunology; D015551:Autoimmunity / Q000276:immunology*; D003429:Cross Reactions; D015658:HIV Infections / Q000276:immunology* / Q000821:virology; D015497:HIV-1 / Q000276:immunology*; D006801:Humans; D007113:Immunity, Innate / Q000276:immunology; D018716:Molecular Mimicry
chemical_list: D001323:Autoantibodies; D001324:Autoantigens