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Wiley, European Journal of Immunology, 9(44), p. 2802-2810, 2014

DOI: 10.1002/eji.201344433

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Dendritic cell-based therapeutic vaccine elicits polyfunctional HIV-specific T-cell immunity associated with control of viral load

This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

Efforts aimed at restoring robust immune responses limiting therapeutically human immunodeficiency virus (HIV)-1 replication are warranted. We report that vaccination with dendritic cells (DC) generated ex vivo and loaded with HIV lipopeptides in patients (n = 19) on antiretroviral therapy was well tolerated and immunogenic. Vaccination increased: i) the breadth of the immune response from 1 (1-3) to 4 (2-5) peptide-pool responses/patient (P = 0.009); ii) the frequency of functional T cells (producing at least 2 cytokines among IFN-γ, TNF-α, and IL-2) from 0.026 to 0.32% (P = 0.002) and from 0.26 to 0.35% (P = 0.005) for CD4+ and CD8+ T cells, respectively; and iii) the breadth of cytokines secreted by peripheral blood mononuclear cells (PBMCs) upon antigen exposure, including IL-2, IFN-γ, IL-21, IL-17 and IL-13. Fifty percent of patients experienced a peak of viral load (VL) 1 log10 lower than the other half following antiviral treatment interruption. An inverse correlation was found between the peak of VL and the frequency of polyfunctional CD4+ T cells (P = 0.007), production of IL-2 (P = 0.006,), IFN-γ (P = 0.01), IL-21 (P = 0.006) and IL-13 (P = 0.001). These results suggest an association between vaccine responses and a better control of viral replication. These findings will help in the development of strategies for a functional cure for HIV infection.This article is protected by copyright. All rights reserved