Medical Journals

Understanding the Failure of Cd8+ T-cell Vaccination Against Simian/Human Immunodeficiency Virus.

Authors:
  • De Boer Rob J

From: Theoretical Biology UU, Padualaan 8, 3584 CH Utrecht, The Netherlands. r.j.deboer@bio.uu.nl

Journal of virology

  • Publish Date: Mar 2007
  • ISSN: 0022-538X
  • Volume: 81
  • Issue: 6
  • Pages: 2838-48
  • Medium: Print
  • Language: English
  • Citation (JAMA): De Boer Rob J, et al. Understanding the Failure of Cd8+ T-cell Vaccination Against Simian/Human Immunodeficiency Virus.. J. Virol. Mar 2007;81:2838-48

Abstract

Although CD8+ T cells play an important role in controlling viral infections, boosting specific CD8+ T cells by prophylactic vaccination with simian immunodeficiency virus (SIV) epitopes fails to provide sterilizing immunity. Viral replication rates and viral contraction rates after the peak viremia hardly depend on the presence of memory CD8+ T cells. To study these paradoxical findings, we parameterize novel mathematical models for acute SIV and human immunodeficiency virus infection. These models explain that failure of vaccination is due to the fact that effector/target ratios are too low during the viral expansion phase. Because CD8+ T cells require cell-to-cell contacts, immune protection requires high effector/target ratios at the primary site of infection. Effector/target ratios become favorable for immune control at the time of the peak in the viral load when the virus becomes limited by other factors, such as the availability of uninfected target cells. At the viral set point, effector/target ratios are much higher, and perturbations of the number of CD8+ effector cells have a large impact on the viral load. Such protective effector/target ratios are difficult to achieve with nucleic acid- or protein-based vaccines.

Mesh Headings (Keywords): Acute Disease, Animals, CD8-Positive T-Lymphocytes, HIV, HIV Infections, Humans, Models, Theoretical, Simian Acquired Immunodeficiency Syndrome, Simian immunodeficiency virus, Vaccination, Virus Replication


Check for Full Text / PubMed Unique Identifier (PMID): 17202215


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