Repeated immunization with recombinant gp160 human immunodeficiency virus (HIV) envelope protein in early HIV-1 infection: evaluation of the T cell proliferative response

J Infect Dis. 1999 Feb;179(2):337-44. doi: 10.1086/314587.

Abstract

This longitudinal study was designed to evaluate cellular immunity in early-stage, asymptomatic human immunodeficiency virus (HIV)-1-infected persons (CD4 cell count,>400/mm3; median, 625/mm3) who were immunized with either recombinant (r) gp160 or placebo every 2 months for 5 years. Proliferative responses were assessed against rgp160, rp24, and a panel of recall antigens and mitogens. Despite good reactivity to recall antigens, at baseline approximately 33% had proliferative responses to gp160, and approximately 42% showed p24 gag responses. There was no statistical difference between vaccine and placebo groups for antigens or mitogens. After 1 year, approximately 73% of the subjects in the vaccine arm had new or boosted responses to gp160, versus approximately 18% in the placebo arm. Statistical significance was maintained throughout the study. Recurrent vaccination with recombinant gp160 was proven to be persistently immunogenic, increasing significantly the ability of HIV-1-infected persons to mount new proliferative responses to the vaccine.

Publication types

  • Clinical Trial
  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • AIDS Vaccines / administration & dosage
  • AIDS Vaccines / immunology*
  • Adult
  • Aged
  • Aged, 80 and over
  • Cryopreservation
  • Double-Blind Method
  • Follow-Up Studies
  • HIV Envelope Protein gp160 / administration & dosage
  • HIV Envelope Protein gp160 / immunology*
  • HIV Infections / immunology
  • HIV Infections / therapy*
  • Humans
  • Immunization
  • Leukocytes, Mononuclear / immunology
  • Longitudinal Studies
  • Lymphocyte Activation
  • Middle Aged
  • Mitogens / immunology
  • T-Lymphocyte Subsets / immunology*
  • Vaccines, Synthetic / administration & dosage
  • Vaccines, Synthetic / immunology

Substances

  • AIDS Vaccines
  • HIV Envelope Protein gp160
  • Mitogens
  • Vaccines, Synthetic