Cytotoxic T‐lymphocyte induction in asymptomatic HIV‐1‐infected patients immunized with Retrovector®‐transduced autologous fibroblasts expressing HIV‐1IIIBEnv/Rev proteins
作者:
Ulrike Ziegner,
Gloria Peters,
Douglas Jolly,
Steven Mento,
Jeffrey Galpin,
Charles Prussak,
Jack Barber,
David Hartnett,
Cheryl Bohart,
Wolfgang Klump,
Nancy Sajjadi,
Bruce Merchant,
John Warner,
期刊:
AIDS
(OVID Available online 1995)
卷期:
Volume 9,
issue 1
页码: 43-50
ISSN:0269-9370
年代: 1995
出版商: OVID
关键词: Gene transfer;vector-transduced autologous fibroblasts;HIV-1 infection;retrovector;genetic immunization;Env/Rev proteins;gene expression;cytotoxic T lymphocytes;B lymphoblastoid cell lines;cellular immune responses;Phase I clinical study
数据来源: OVID
摘要:
ObjectiveTo demonstrate the safety and enhancement of HIV-1-specific immune responses in HIV-infected asymptomatic patients following treatment with retroviral vector (Retrovector®)-transduced autologous fibroblasts (VTAF) expressing HIV-1IIIBEnv/Rev proteins.DesignA non-placebo-controlled, single arm Phase I study.ParticipantsFour HIV-1-seropositive asymptomatic volunteers were selected based on age (18–50 years), CD4/CD3 lymphocyte counts (> 600 × 106/l or > 40%), and positive delayed-type hypersensitivity test to at least one recall antigen.InterventionsPatients were treated at 2-week intervals with a total of three intramuscular injections of irradiated autologous fibroblasts transduced with a molecularly engineered, non-replicating amphotropic murine retrovector encoding the HIV-1IIIBEnv/Rev proteins.Main outcome measuresThe clinical status of patients was assessed by history, physical examination, serum chemistry and hematology, CD4/CD3 lymphocyte counts, HIV viral burden, and monitored throughout the study to detect potentially treatment-induced toxic or unwanted side-effects. In addition, HIV-1-specific cytotoxic T-lymphocyte (CTL) activity was measured to determine the biological activity of VTAF.ResultsNo acute local or systemic adverse events occurred following three injections with VTAF. Furthermore, a statistically significant increase of CD8+ CTL activity against HIV-1IIIBEnv/Rev-expressing targets was observed in peripheral blood mononuclear cells from two out of four patients.ConclusionsThis is the first report of the administration of a gene transfer treatment to HIV-1-infected patients and provides initial support for the safety and biological activity of retrovector-transduced fibroblasts administered to asymptomatic patients. This treatment resulted in the detection of increased HIV-1IIIBEnv/Rev-specific CTL activity in two HIV-seropositive patients and could provide a better understanding of the role of CTL activity in HIV disease progression.
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