Parenteral exposure to high HIV viremia leads to virus-specific T cell priming without evidence of infection.

Previous studies on CTL responses in HIV-exposed uninfected individuals assumed that the patients were exposed to replicating HIV, but the possibility that the immune responses detected were primed by exposure to a defective virus or viral antigen could not be excluded. Epidemiological and laborator...

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Main Authors: Missale, G, Papagno, L, Penna, A, Pilli, M, Zerbini, A, Vitali, P, Pieroni, G, Urbani, S, Uggeri, J, Pinheiro, S, Rowland-Jones, S, Ferrari, C
Format: Journal article
Language:English
Published: 2004
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author Missale, G
Papagno, L
Penna, A
Pilli, M
Zerbini, A
Vitali, P
Pieroni, G
Urbani, S
Uggeri, J
Pinheiro, S
Rowland-Jones, S
Ferrari, C
author_facet Missale, G
Papagno, L
Penna, A
Pilli, M
Zerbini, A
Vitali, P
Pieroni, G
Urbani, S
Uggeri, J
Pinheiro, S
Rowland-Jones, S
Ferrari, C
author_sort Missale, G
collection OXFORD
description Previous studies on CTL responses in HIV-exposed uninfected individuals assumed that the patients were exposed to replicating HIV, but the possibility that the immune responses detected were primed by exposure to a defective virus or viral antigen could not be excluded. Epidemiological and laboratory analysis of a nosocomial outbreak of acute hepatitis B unequivocally allowed the identification of an HIV-1- and HBV-co-infected patient with high plasma levels of both viruses, as the source case of the epidemics. This clinical setting provided a natural model for testing the HIV-specific T cell response in patients exposed to blood from a patient with highly replicating HIV. Parenteral exposure to both viruses led to acute hepatitis B in five subjects without evidence of HIV-1 infection. Cryopreserved lymphocytes derived from three exposed patients were tested ex vivo in an ELISPOT assay for IFN-gamma release upon stimulation with peptides from structural and non-structural HIV proteins; one of the patients was also tested with four HLA/class I tetramers. Circulating HIV-specific CD8 cells were detected by tetramer staining and a high frequency of T cells were able to release IFN-gamma upon stimulation with HIV peptides, showing in vivo T cell priming by HIV. These results unequivocally demonstrate a HIV-specific cell-mediated immune response in the absence of infection after exposure to highly replicating HIV.
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spelling oxford-uuid:4ac204d8-a250-4023-9339-1ceb5ce4d1982022-03-26T15:39:33ZParenteral exposure to high HIV viremia leads to virus-specific T cell priming without evidence of infection.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4ac204d8-a250-4023-9339-1ceb5ce4d198EnglishSymplectic Elements at Oxford2004Missale, GPapagno, LPenna, APilli, MZerbini, AVitali, PPieroni, GUrbani, SUggeri, JPinheiro, SRowland-Jones, SFerrari, CPrevious studies on CTL responses in HIV-exposed uninfected individuals assumed that the patients were exposed to replicating HIV, but the possibility that the immune responses detected were primed by exposure to a defective virus or viral antigen could not be excluded. Epidemiological and laboratory analysis of a nosocomial outbreak of acute hepatitis B unequivocally allowed the identification of an HIV-1- and HBV-co-infected patient with high plasma levels of both viruses, as the source case of the epidemics. This clinical setting provided a natural model for testing the HIV-specific T cell response in patients exposed to blood from a patient with highly replicating HIV. Parenteral exposure to both viruses led to acute hepatitis B in five subjects without evidence of HIV-1 infection. Cryopreserved lymphocytes derived from three exposed patients were tested ex vivo in an ELISPOT assay for IFN-gamma release upon stimulation with peptides from structural and non-structural HIV proteins; one of the patients was also tested with four HLA/class I tetramers. Circulating HIV-specific CD8 cells were detected by tetramer staining and a high frequency of T cells were able to release IFN-gamma upon stimulation with HIV peptides, showing in vivo T cell priming by HIV. These results unequivocally demonstrate a HIV-specific cell-mediated immune response in the absence of infection after exposure to highly replicating HIV.
spellingShingle Missale, G
Papagno, L
Penna, A
Pilli, M
Zerbini, A
Vitali, P
Pieroni, G
Urbani, S
Uggeri, J
Pinheiro, S
Rowland-Jones, S
Ferrari, C
Parenteral exposure to high HIV viremia leads to virus-specific T cell priming without evidence of infection.
title Parenteral exposure to high HIV viremia leads to virus-specific T cell priming without evidence of infection.
title_full Parenteral exposure to high HIV viremia leads to virus-specific T cell priming without evidence of infection.
title_fullStr Parenteral exposure to high HIV viremia leads to virus-specific T cell priming without evidence of infection.
title_full_unstemmed Parenteral exposure to high HIV viremia leads to virus-specific T cell priming without evidence of infection.
title_short Parenteral exposure to high HIV viremia leads to virus-specific T cell priming without evidence of infection.
title_sort parenteral exposure to high hiv viremia leads to virus specific t cell priming without evidence of infection
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