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cc-by (c) Gómez, Carmen Elena et al., 2015
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/175248

A Phase I Randomized Therapeutic MVA-B Vaccination Improves the Magnitude and Quality of the T Cell Immune Responses in HIV-1-Infected Subjects on HAART

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Trial Design: Previous studies suggested that poxvirus-based vaccines might be instrumental in the therapeutic HIV field. A phase I clinical trial was conducted in HIV-1-infected patients on highly active antiretroviral therapy (HAART), with CD4 T cell counts above 450 cells/mm3 and undetectable viremia. Thirty participants were randomized (2:1) to receive either 3 intramuscular injections of MVA-B vaccine (coding for clade B HIV-1 Env, Gag, Pol and Nef antigens) or placebo, followed by interruption of HAART. Methods: The magnitude, breadth, quality and phenotype of the HIV-1-specific T cell response were assayed by intracellular cytokine staining (ICS) in 22 volunteers pre- and post-vaccination. Results: MVA-B vaccine induced newly detected HIV-1-specific CD4 T cell responses and expanded pre-existing responses (mostly against Gag, Pol and Nef antigens) that were high in magnitude, broadly directed and showed an enhanced polyfunctionality with a T effector memory (TEM) phenotype, while maintaining the magnitude and quality of the pre-existing HIV-1-specific CD8 T cell responses. In addition, vaccination also triggered preferential CD8+ T cell polyfunctional responses to the MVA vector antigens that increase in magnitude after two and three booster doses. Conclusion: MVA-B vaccination represents a feasible strategy to improve T cell responses in individuals with pre-existing HIV-1-specific immunity.

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GÓMEZ, Carmen elena, PERDIGUERO, Beatriz, GARCÍA ARRIAZA, Juan, CEPEDA, Victoria, SÁNCHEZ SORZANO, Carlos óscar, MOTHE, Beatriz, JIMÉNEZ, José luis, MUÑOZ FERNÁNDEZ, María ángeles, GATELL, José m, LÓPEZ BERNALDO DE QUIRÓS, Juan carlos, BRANDER, Christian, GARCÍA ALCAIDE, Felipe, ESTEBAN, Mariano. A Phase I Randomized Therapeutic MVA-B Vaccination Improves the Magnitude and Quality of the T Cell Immune Responses in HIV-1-Infected Subjects on HAART. _PLoS One_. 2015. Vol. 10, núm. 11, pàgs. e0141456. [consulta: 8 de abril de 2026]. ISSN: 1932-6203. [Disponible a: https://hdl.handle.net/2445/175248]

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