Loss of viral control in early HIV-1 infection is temporally associated with sequential escape from CD8+ T cell responses and decrease in HIV-1-specific CD4+ and CD8+ T cell frequencies.

The outcome of human immunodeficiency virus type 1 (HIV-1) infection is related to the set-point plasma virus load (pVL) that emerges after primary HIV-1 infection (PHI). This set-point pVL generally remains stable but eventually increases with progression to disease. However, the events leading to...

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Main Authors: Oxenius, A, Price, D, Trkola, A, Edwards, C, Gostick, E, Zhang, H, Easterbrook, P, Tun, T, Johnson, A, Waters, A, Holmes, E, Phillips, R
Format: Journal article
Language:English
Published: 2004
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author Oxenius, A
Price, D
Trkola, A
Edwards, C
Gostick, E
Zhang, H
Easterbrook, P
Tun, T
Johnson, A
Waters, A
Holmes, E
Phillips, R
author_facet Oxenius, A
Price, D
Trkola, A
Edwards, C
Gostick, E
Zhang, H
Easterbrook, P
Tun, T
Johnson, A
Waters, A
Holmes, E
Phillips, R
author_sort Oxenius, A
collection OXFORD
description The outcome of human immunodeficiency virus type 1 (HIV-1) infection is related to the set-point plasma virus load (pVL) that emerges after primary HIV-1 infection (PHI). This set-point pVL generally remains stable but eventually increases with progression to disease. However, the events leading to loss of viremic control are poorly understood. Here, we describe an individual who presented with symptomatic PHI and subsequently progressed rapidly, after an initial period of 1 year during which viral replication was well controlled. Escalation of viral replication in this atypical case was preceded by the emergence of escape variants in many epitopes targeted by dominant CD8+ T cell responses and a marked decrease in HIV-1-specific CD4+ and CD8+ T cell frequencies. There were no changes in viral tropism, replication kinetics, or neutralizing antibody titers. These findings demonstrate the temporal relationship between viral escape from CD8+ T cell activity, decrease in HIV-1-specific T cell frequencies, and loss of control of viral replication.
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spelling oxford-uuid:5432a001-d1c8-4697-967f-8fa999b532892022-03-26T16:36:17ZLoss of viral control in early HIV-1 infection is temporally associated with sequential escape from CD8+ T cell responses and decrease in HIV-1-specific CD4+ and CD8+ T cell frequencies.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:5432a001-d1c8-4697-967f-8fa999b53289EnglishSymplectic Elements at Oxford2004Oxenius, APrice, DTrkola, AEdwards, CGostick, EZhang, HEasterbrook, PTun, TJohnson, AWaters, AHolmes, EPhillips, RThe outcome of human immunodeficiency virus type 1 (HIV-1) infection is related to the set-point plasma virus load (pVL) that emerges after primary HIV-1 infection (PHI). This set-point pVL generally remains stable but eventually increases with progression to disease. However, the events leading to loss of viremic control are poorly understood. Here, we describe an individual who presented with symptomatic PHI and subsequently progressed rapidly, after an initial period of 1 year during which viral replication was well controlled. Escalation of viral replication in this atypical case was preceded by the emergence of escape variants in many epitopes targeted by dominant CD8+ T cell responses and a marked decrease in HIV-1-specific CD4+ and CD8+ T cell frequencies. There were no changes in viral tropism, replication kinetics, or neutralizing antibody titers. These findings demonstrate the temporal relationship between viral escape from CD8+ T cell activity, decrease in HIV-1-specific T cell frequencies, and loss of control of viral replication.
spellingShingle Oxenius, A
Price, D
Trkola, A
Edwards, C
Gostick, E
Zhang, H
Easterbrook, P
Tun, T
Johnson, A
Waters, A
Holmes, E
Phillips, R
Loss of viral control in early HIV-1 infection is temporally associated with sequential escape from CD8+ T cell responses and decrease in HIV-1-specific CD4+ and CD8+ T cell frequencies.
title Loss of viral control in early HIV-1 infection is temporally associated with sequential escape from CD8+ T cell responses and decrease in HIV-1-specific CD4+ and CD8+ T cell frequencies.
title_full Loss of viral control in early HIV-1 infection is temporally associated with sequential escape from CD8+ T cell responses and decrease in HIV-1-specific CD4+ and CD8+ T cell frequencies.
title_fullStr Loss of viral control in early HIV-1 infection is temporally associated with sequential escape from CD8+ T cell responses and decrease in HIV-1-specific CD4+ and CD8+ T cell frequencies.
title_full_unstemmed Loss of viral control in early HIV-1 infection is temporally associated with sequential escape from CD8+ T cell responses and decrease in HIV-1-specific CD4+ and CD8+ T cell frequencies.
title_short Loss of viral control in early HIV-1 infection is temporally associated with sequential escape from CD8+ T cell responses and decrease in HIV-1-specific CD4+ and CD8+ T cell frequencies.
title_sort loss of viral control in early hiv 1 infection is temporally associated with sequential escape from cd8 t cell responses and decrease in hiv 1 specific cd4 and cd8 t cell frequencies
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