Control of viral rebound through therapeutic immunization with DermaVir

被引:55
作者
Lisziewicz, J
Trocio, J
Xu, JQ
Whitman, L
Ryder, A
Bakare, N
Lewis, MG
Wagner, W
Pistorio, A
Arya, S
Lori, F
机构
[1] RIGHT, Washington, DC 20007 USA
[2] Genet Immunol LLC, Washington, DC USA
[3] So Res Inst, Frederick, MD USA
[4] IRCCS G Gaslini, Clin Epidemiol & Biometry Unit, Genoa, Italy
[5] NCI, NIH, Bethesda, MD 20892 USA
关键词
dendritic cells; HIV therapy; vaccine;
D O I
10.1097/00002030-200501030-00004
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Objective: To reconstitute immune responses capable of eliminating infected cells and suppressing viral load during chronic retroviral infection. Design: A topical, DNA-based therapeutic immunization (DermaVir) was designed to express most of the regulatory and structural viral genes in dendritic cells. Methods: DermaVir alone and in combination with antiretroviral drugs was tested in chronically SIV-infected macaques. Results: DermaVir provided virological, immunological and clinical benefit for SIV-infected macaques during chronic infection and AIDS. In combination with antiretroviral drugs, DermaVir augmented SIV-specific T-cell responses and enhanced control of viral load rebound during treatment interruptions. Conclusions: The results indicate the feasibility of therapeutic immunization even in immune compromised hosts, and suggest that DermaVir can complement antiretroviral drugs to sustain suppression of HIV-1 replication. (C) 2005 Lippincott Williams Wilkins.
引用
收藏
页码:35 / 43
页数:9
相关论文
共 11 条
[1]   Eventual AIDS vaccine failure in a rhesus monkey by viral escape from cytotoxic T lymphocytes [J].
Barouch, DH ;
Kunstman, J ;
Kuroda, MJ ;
Schmitz, JE ;
Santra, S ;
Peyerl, FW ;
Krivulka, GR ;
Beaudry, K ;
Lifton, MA ;
Gorgone, DA ;
Montefiori, DC ;
Lewis, MG ;
Wolinsky, SM ;
Letvin, NL .
NATURE, 2002, 415 (6869) :335-339
[2]   A prospective trial of structured treatment interruptions in human immunodeficiency virus infection [J].
Fagard, C ;
Oxenius, A ;
Günthard, H ;
Garcia, F ;
Le Braz, M ;
Mestre, G ;
Battegay, M ;
Furrer, H ;
Vernazza, P ;
Bernasconi, E ;
Telenti, A ;
Weber, R ;
Leduc, D ;
Yerly, S ;
Price, D ;
Dawson, SJ ;
Klimkait, T ;
Perneger, TV ;
McLean, A ;
Clotet, B ;
Gatell, JM ;
Perrin, L ;
Plana, M ;
Phillips, R ;
Hirschel, B .
ARCHIVES OF INTERNAL MEDICINE, 2003, 163 (10) :1220-1226
[3]   DNA vaccines against human immunodeficiency virus type 1 in the past decade [J].
Giri, M ;
Ugen, KE ;
Weiner, DB .
CLINICAL MICROBIOLOGY REVIEWS, 2004, 17 (02) :370-+
[4]   Hydroxyurea in the treatment of HIV infection - Clinical efficacy and safety concerns [J].
Lisziewicz, J ;
Foli, A ;
Wainberg, M ;
Lori, F .
DRUG SAFETY, 2003, 26 (09) :605-624
[5]  
LISZIEWICZ J, IN PRESS J INVEST DE
[6]   Control of SIV rebound through structured treatment interruptions during early infection [J].
Lori, F ;
Lewis, MG ;
Xu, JQ ;
Varga, G ;
Zinn, DE ;
Crabbs, C ;
Wagner, W ;
Greenhouse, J ;
Silvera, P ;
Yalley-Ogunro, J ;
Tinelli, C ;
Lisziewicz, J .
SCIENCE, 2000, 290 (5496) :1591-1593
[7]   Therapeutic dendritic-cell vaccine for simian AIDS [J].
Lu, W ;
Wu, XX ;
Lu, YZ ;
Guo, WZ ;
Andrieu, JM .
NATURE MEDICINE, 2003, 9 (01) :27-32
[8]   HIV-1-specific CD4+ T cells are detectable in most individuals with active HIV-1 infection, but decline with prolonged viral suppression [J].
Pitcher, CJ ;
Quittner, C ;
Peterson, DM ;
Connors, M ;
Koup, RA ;
Maino, VC ;
Picker, LJ .
NATURE MEDICINE, 1999, 5 (05) :518-525
[9]   Immune control of HIV-1 after early treatment of acute infection [J].
Rosenberg, ES ;
Altfeld, M ;
Poon, SH ;
Phillips, MN ;
Wilkes, BM ;
Eldridge, RL ;
Robbins, GK ;
D'Aquila, RT ;
Goulder, PJR ;
Walker, BD .
NATURE, 2000, 407 (6803) :523-526
[10]   Control of viremia in simian immunodeficiency virus infection by CD8+ lymphocytes [J].
Schmitz, JE ;
Kuroda, MJ ;
Santra, S ;
Sasseville, VG ;
Simon, MA ;
Lifton, MA ;
Racz, P ;
Tenner-Racz, K ;
Dalesandro, M ;
Scallon, BJ ;
Ghrayeb, J ;
Forman, MA ;
Montefiori, DC ;
Rieber, EP ;
Letvin, NL ;
Reimann, KA .
SCIENCE, 1999, 283 (5403) :857-860