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Science 20 October 2000:
Vol. 290. no. 5491, pp. 486 - 492
DOI: 10.1126/science.290.5491.486

Research Articles

Control of Viremia and Prevention of Clinical AIDS in Rhesus Monkeys by Cytokine-Augmented DNA Vaccination

Dan H. Barouch,1* Sampa Santra,1 Jörn E. Schmitz,1 Marcelo J. Kuroda,1 Tong-Ming Fu,2 Wendeline Wagner,3 Miroslawa Bilska,4 Abie Craiu,1 Xin Xiao Zheng,1 Georgia R. Krivulka,1 Kristin Beaudry,1 Michelle A. Lifton,1 Christine E. Nickerson,1 Wendy L. Trigona,2 Kara Punt,2 Dan C. Freed,2 Liming Guan,2 Sheri Dubey,2 Danilo Casimiro,2 Adam Simon,2 Mary-Ellen Davies,2 Michael Chastain,2 Terry B. Strom,1 Rebecca S. Gelman,5 David C. Montefiori,4 Mark G. Lewis,3 Emilio A. Emini,2 John W. Shiver,2 Norman L. Letvin1

With accumulating evidence indicating the importance of cytotoxic T lymphocytes (CTLs) in containing human immunodeficiency virus-1 (HIV-1) replication in infected individuals, strategies are being pursued to elicit virus-specific CTLs with prototype HIV-1 vaccines. Here, we report the protective efficacy of vaccine-elicited immune responses against a pathogenic SHIV-89.6P challenge in rhesus monkeys. Immune responses were elicited by DNA vaccines expressing SIVmac239 Gag and HIV-1 89.6P Env, augmented by the administration of the purified fusion protein IL-2/Ig, consisting of interleukin-2 (IL-2) and the Fc portion of immunoglobulin G (IgG), or a plasmid encoding IL-2/Ig. After SHIV-89.6P infection, sham-vaccinated monkeys developed weak CTL responses, rapid loss of CD4+ T cells, no virus-specific CD4+ T cell responses, high setpoint viral loads, significant clinical disease progression, and death in half of the animals by day 140 after challenge. In contrast, all monkeys that received the DNA vaccines augmented with IL-2/Ig were infected, but demonstrated potent secondary CTL responses, stable CD4+ T cell counts, preserved virus-specific CD4+ T cell responses, low to undetectable setpoint viral loads, and no evidence of clinical disease or mortality by day 140 after challenge.

1 Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, USA.
2 Merck Research Laboratories, West Point, PA 19486, USA.
3 Southern Research Institute, 431 Aviation Way, Frederick, MD 21701, USA.
4 Duke University Medical Center, Durham, NC 27710, USA.
5 Department of Biostatistical Science, Dana-Farber Cancer Institute, 44 Binney Street, Boston, MA 02115, USA.
*   To whom correspondence should be addressed. E-mail: dan_barouch{at}hotmail.com


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   Abstract »    Full Text »    PDF »
Influence of Glycosylation on the Efficacy of an Env-Based Vaccine against Simian Immunodeficiency Virus SIVmac239 in a Macaque AIDS Model.
K. Mori, C. Sugimoto, S. Ohgimoto, E. E. Nakayama, T. Shioda, S. Kusagawa, Y. Takebe, M. Kano, T. Matano, T. Yuasa, et al. (2005)
J. Virol. 79, 10386-10396
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High-Potency Human Immunodeficiency Virus Vaccination Leads to Delayed and Reduced CD8+ T-Cell Expansion but Improved Virus Control.
M. P. Davenport, L. Zhang, A. Bagchi, A. Fridman, T.-M. Fu, W. Schleif, J. W. Shiver, R. M. Ribeiro, and A. S. Perelson (2005)
J. Virol. 79, 10059-10062
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A Human T-Cell Leukemia Virus Type 1 Regulatory Element Enhances the Immunogenicity of Human Immunodeficiency Virus Type 1 DNA Vaccines in Mice and Nonhuman Primates.
D. H. Barouch, Z.-y. Yang, W.-p. Kong, B. Korioth-Schmitz, S. M. Sumida, D. M. Truitt, M. G. Kishko, J. C. Arthur, A. Miura, J. R. Mascola, et al. (2005)
J. Virol. 79, 8828-8834
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DNA Vaccines: Progress and Challenges.
J. J. Donnelly, B. Wahren, and M. A. Liu (2005)
J. Immunol. 175, 633-639
   Abstract »    Full Text »    PDF »
Effect of CD8+ Lymphocyte Depletion on Virus Containment after Simian Immunodeficiency Virus SIVmac251 Challenge of Live Attenuated SIVmac239{Delta}3-Vaccinated Rhesus Macaques.
J. E. Schmitz, R. P. Johnson, H. M. McClure, K. H. Manson, M. S. Wyand, M. J. Kuroda, M. A. Lifton, R. S. Khunkhun, K. J. McEvers, J. Gillis, et al. (2005)
J. Virol. 79, 8131-8141
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Enhanced Potency of Plasmid DNA Microparticle Human Immunodeficiency Virus Vaccines in Rhesus Macaques by Using a Priming-Boosting Regimen with Recombinant Proteins.
G. R. Otten, M. Schaefer, B. Doe, H. Liu, I. Srivastava, J. zur Megede, J. Kazzaz, Y. Lian, M. Singh, M. Ugozzoli, et al. (2005)
J. Virol. 79, 8189-8200
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DNA Vaccines Expressing Different Forms of Simian Immunodeficiency Virus Antigens Decrease Viremia upon SIVmac251 Challenge.
M. Rosati, A. von Gegerfelt, P. Roth, C. Alicea, A. Valentin, M. Robert-Guroff, D. Venzon, D. C. Montefiori, P. Markham, B. K. Felber, et al. (2005)
J. Virol. 79, 8480-8492
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Novel Protein and Poxvirus-Based Vaccine Combinations for Simultaneous Induction of Humoral and Cell-Mediated Immunity.
C. L. Hutchings, S. C. Gilbert, A. V. S. Hill, and A. C. Moore (2005)
J. Immunol. 175, 599-606
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Immunization of Macaques with Single-Cycle Simian Immunodeficiency Virus (SIV) Stimulates Diverse Virus-Specific Immune Responses and Reduces Viral Loads after Challenge with SIVmac239.
D. T. Evans, J. E. Bricker, H. B. Sanford, S. Lang, A. Carville, B. A. Richardson, M. Piatak Jr., J. D. Lifson, K. G. Mansfield, and R. C. Desrosiers (2005)
J. Virol. 79, 7707-7720
   Abstract »    Full Text »    PDF »
Induction of T-Cell Immunity to Antiretroviral Drug-Resistant Human Immunodeficiency Virus Type 1.
I. Stratov, C. J. Dale, S. Chea, J. McCluskey, and S. J. Kent (2005)
J. Virol. 79, 7728-7737
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Resting naive CD4+ T cells are massively infected and eliminated by X4-tropic simian-human immunodeficiency viruses in macaques.
Y. Nishimura, C. R. Brown, J. J. Mattapallil, T. Igarashi, A. Buckler-White, B. A. P. Lafont, V. M. Hirsch, M. Roederer, and M. A. Martin (2005)
PNAS 102, 8000-8005
   Abstract »    Full Text »    PDF »
Replication-Defective Adenovirus Serotype 5 Vectors Elicit Durable Cellular and Humoral Immune Responses in Nonhuman Primates.
S. Santra, M. S. Seaman, L. Xu, D. H. Barouch, C. I. Lord, M. A. Lifton, D. A. Gorgone, K. R. Beaudry, K. Svehla, B. Welcher, et al. (2005)
J. Virol. 79, 6516-6522
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Rapid Viral Escape at an Immunodominant Simian-Human Immunodeficiency Virus Cytotoxic T-Lymphocyte Epitope Exacts a Dramatic Fitness Cost.
C. S. Fernandez, I. Stratov, R. De Rose, K. Walsh, C. J. Dale, M. Z. Smith, M. B. Agy, S.-l. Hu, K. Krebs, D. I. Watkins, et al. (2005)
J. Virol. 79, 5721-5731
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Novel simian immunodeficiency virus CTL epitopes restricted by MHC class I molecule Mamu-B*01 are highly conserved for long term in DNA/MVA-vaccinated, SHIV-challenged rhesus macaques.
J. Su, M. A. Luscher, Y. Xiong, T. Rustam, R. R. Amara, E. Rakasz, H. L. Robinson, and K. S. MacDonald (2005)
Int. Immunol. 17, 637-648
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Vaccine-Elicited Memory Cytotoxic T Lymphocytes Contribute to Mamu-A*01-Associated Control of Simian/Human Immunodeficiency Virus 89.6P Replication in Rhesus Monkeys.
M. S. Seaman, S. Santra, M. H. Newberg, V. Philippon, K. Manson, L. Xu, R. S. Gelman, D. Panicali, J. R. Mascola, G. J. Nabel, et al. (2005)
J. Virol. 79, 4580-4588
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Human Immunodeficiency Virus (HIV)-Specific Gamma Interferon Secretion Directed against All Expressed HIV Genes: Relationship to Rate of CD4 Decline.
Y. Peretz, G. Alter, M.-P. Boisvert, G. Hatzakis, C. M. Tsoukas, and N. F. Bernard (2005)
J. Virol. 79, 4908-4917
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Signature for Long-Term Vaccine-Mediated Control of a Simian and Human Immunodeficiency Virus 89.6P Challenge: Stable Low-Breadth and Low-Frequency T-Cell Response Capable of Coproducing Gamma Interferon and Interleukin-2.
S. Sadagopal, R. R. Amara, D. C. Montefiori, L. S. Wyatt, S. I. Staprans, N. L. Kozyr, H. M. McClure, B. Moss, and H. L. Robinson (2005)
J. Virol. 79, 3243-3253
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Immunologic Pressure within Class I-Restricted Cognate Human Immunodeficiency Virus Epitopes during Highly Active Antiretroviral Therapy.
J. P. Casazza, M. R. Betts, B. J. Hill, J. M. Brenchley, D. A. Price, D. C. Douek, and R. A. Koup (2005)
J. Virol. 79, 3653-3663
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Enhanced Cellular Immunity in Macaques following a Novel Peptide Immunotherapy.
S. Chea, C. J. Dale, R. De Rose, I. A. Ramshaw, and S. J. Kent (2005)
J. Virol. 79, 3748-3757
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Enhanced immunogenicity using an alphavirus replicon DNA vaccine against human immunodeficiency virus type 1.
E. K. L. Nordstrom, M. N. E. Forsell, C. Barnfield, E. Bonin, T. Hanke, M. Sundstrom, G. B. Karlsson, and P. Liljestrom (2005)
J. Gen. Virol. 86, 349-354
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Vaccination of Rhesus Macaques with Recombinant Mycobacterium bovis Bacillus Calmette-Guerin Env V3 Elicits Neutralizing Antibody-Mediated Protection against Simian-Human Immunodeficiency Virus with a Homologous but Not a Heterologous V3 Motif.
K. Someya, D. Cecilia, Y. Ami, T. Nakasone, K. Matsuo, S. Burda, H. Yamamoto, N. Yoshino, M. Kaizu, S. Ando, et al. (2005)
J. Virol. 79, 1452-1462
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HIV-1 Vpr inhibits the maturation and activation of macrophages and dendritic cells in vitro.
K. Muthumani, D. S. Hwang, A. Y. Choo, S. Mayilvahanan, N. S. Dayes, K. P. Thieu, and D. B. Weiner (2005)
Int. Immunol. 17, 103-116
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Unparalleled complexity of the MHC class I region in rhesus macaques.
N. Otting, C. M. C. Heijmans, R. C. Noort, N. G. de Groot, G. G. M. Doxiadis, J. J. van Rood, D. I. Watkins, and R. E. Bontrop (2005)
PNAS 102, 1626-1631
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Analysis of Pigtail Macaque Major Histocompatibility Complex Class I Molecules Presenting Immunodominant Simian Immunodeficiency Virus Epitopes.
M. Z. Smith, C. J. Dale, R. De Rose, I. Stratov, C. S. Fernandez, A. G. Brooks, J. Weinfurter, K. Krebs, C. Riek, D. I. Watkins, et al. (2005)
J. Virol. 79, 684-695
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Neutralizing Antibodies Elicited by Immunization of Monkeys with DNA Plasmids and Recombinant Adenoviral Vectors Expressing Human Immunodeficiency Virus Type 1 Proteins.
J. R. Mascola, A. Sambor, K. Beaudry, S. Santra, B. Welcher, M. K. Louder, T. C. VanCott, Y. Huang, B. K. Chakrabarti, W.-P. Kong, et al. (2005)
J. Virol. 79, 771-779
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Novel Adeno-Associated Virus Vector Vaccine Restricts Replication of Simian Immunodeficiency Virus in Macaques.
P. R. Johnson, B. C. Schnepp, M. J. Connell, D. Rohne, S. Robinson, G. R. Krivulka, C. I. Lord, R. Zinn, D. C. Montefiori, N. L. Letvin, et al. (2005)
J. Virol. 79, 955-965
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Immunogenicity Study of Glycoprotein-Deficient Rabies Virus Expressing Simian/Human Immunodeficiency Virus SHIV89.6P Envelope in a Rhesus Macaque.
P. M. McKenna, P. P. Aye, B. Dietzschold, D. C. Montefiori, L. N. Martin, P. A. Marx, R. J. Pomerantz, A. Lackner, and M. J. Schnell (2004)
J. Virol. 78, 13455-13459
   Abstract »    Full Text »    PDF »
Efficacy of DNA and Fowlpox Virus Priming/Boosting Vaccines for Simian/Human Immunodeficiency Virus.
C. J. Dale, R. De Rose, I. Stratov, S. Chea, D. C. Montefiori, S. Thomson, I. A. Ramshaw, B. E. H. Coupar, D. B. Boyle, M. Law, et al. (2004)
J. Virol. 78, 13819-13828
   Abstract »    Full Text »    PDF »
Gene Expression Profiling of Host Response in Models of Acute HIV Infection.
S. E. Bosinger, K. A. Hosiawa, M. J. Cameron, D. Persad, L. Ran, L. Xu, M. R. Boulassel, M. Parenteau, J. Fournier, E. W. Rud, et al. (2004)
J. Immunol. 173, 6858-6863
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Intranasal HIV-1-gp160-DNA/gp41 Peptide Prime-Boost Immunization Regimen in Mice Results in Long-Term HIV-1 Neutralizing Humoral Mucosal and Systemic Immunity.
C. Devito, B. Zuber, U. Schroder, R. Benthin, K. Okuda, K. Broliden, B. Wahren, and J. Hinkula (2004)
J. Immunol. 173, 7078-7089
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Predicting the Impact of a Nonsterilizing Vaccine against Human Immunodeficiency Virus.
M. P. Davenport, R. M. Ribeiro, D. L. Chao, and A. S. Perelson (2004)
J. Virol. 78, 11340-11351
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Repertoire and Immunofocusing of CD8 T Cell Responses Generated by HIV-1 gag-pol and Expression Library Immunization Vaccines.
R. A. K. Singh and M. A. Barry (2004)
J. Immunol. 173, 4387-4393
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Novel and Promiscuous CTL Epitopes in Conserved Regions of Gag Targeted by Individuals with Early Subtype C HIV Type 1 Infection from Southern Africa.
A. M. Masemola, T. N. Mashishi, G. Khoury, H. Bredell, M. Paximadis, T. Mathebula, D. Barkhan, A. Puren, E. Vardas, M. Colvin, et al. (2004)
J. Immunol. 173, 4607-4617
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Kinetics of Virus-Specific CD8+ T Cells and the Control of Human Immunodeficiency Virus Infection.
M. P. Davenport, R. M. Ribeiro, and A. S. Perelson (2004)
J. Virol. 78, 10096-10103
   Abstract »    Full Text »    PDF »
Induction of Cellular Immune Responses to Simian Immunodeficiency Virus Gag by Two Recombinant Negative-Strand RNA Virus Vectors.
Y. Nakaya, T. Nakaya, M.-S. Park, J. Cros, J. Imanishi, P. Palese, and A. Garcia-Sastre (2004)
J. Virol. 78, 9366-9375
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Proliferation and Differentiation of CD8+ T Cells in the Absence of IL-2/15 Receptor {beta}-Chain Expression or STAT5 Activation.
R. M. Teague, R. M. Tempero, S. Thomas, K. Murali-Krishna, and B. H. Nelson (2004)
J. Immunol. 173, 3131-3139
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Essential role for virus-neutralizing antibodies in sterilizing immunity against Friend retrovirus infection.
R. J. Messer, U. Dittmer, K. E. Peterson, and K. J. Hasenkrug (2004)
PNAS 101, 12260-12265
   Abstract »    Full Text »    PDF »
Highly pathogenic SHIVs and SIVs target different CD4+ T cell subsets in rhesus monkeys, explaining their divergent clinical courses.
Y. Nishimura, T. Igarashi, O. K. Donau, A. Buckler-White, C. Buckler, B. A. P. Lafont, R. M. Goeken, S. Goldstein, V. M. Hirsch, and M. A. Martin (2004)
PNAS 101, 12324-12329
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