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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
2004-11-3
pubmed:abstractText
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.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0014-2980
pubmed:author
pubmed:issnType
Print
pubmed:volume
34
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
3208-15
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed-meshheading:15459901-Amino Acid Sequence, pubmed-meshheading:15459901-CD8-Positive T-Lymphocytes, pubmed-meshheading:15459901-Cross Infection, pubmed-meshheading:15459901-DNA, Viral, pubmed-meshheading:15459901-Enzyme-Linked Immunosorbent Assay, pubmed-meshheading:15459901-HIV Infections, pubmed-meshheading:15459901-HIV-1, pubmed-meshheading:15459901-Hepatitis B, pubmed-meshheading:15459901-Hepatitis B Antibodies, pubmed-meshheading:15459901-Hepatitis B Surface Antigens, pubmed-meshheading:15459901-Hepatitis B virus, pubmed-meshheading:15459901-Humans, pubmed-meshheading:15459901-Interferon-gamma, pubmed-meshheading:15459901-Lymphocyte Activation, pubmed-meshheading:15459901-Oligopeptides, pubmed-meshheading:15459901-Peptide Fragments, pubmed-meshheading:15459901-Polymerase Chain Reaction, pubmed-meshheading:15459901-Sequence Analysis, DNA, pubmed-meshheading:15459901-Viremia
pubmed:year
2004
pubmed:articleTitle
Parenteral exposure to high HIV viremia leads to virus-specific T cell priming without evidence of infection.
pubmed:affiliation
Laboratorio di Immunopatologia Virale, Divisione Malattie Infettive ed Epatologia, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy. missale@tin.it
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't