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Blood, 1 March 2004, Vol. 103, No. 5, pp. 1791-1795. Prepublished online as a Blood First Edition Paper on November 6, 2003; DOI 10.1182/blood-2003-09-3023.
IMMUNOBIOLOGY Antibody-targeted MHC complexdirected expansion of HIV-1 and KSHV-specific CD8+ lymphocytes: a new approach to therapeutic vaccinationFrom the Department of Immunology, Division of Investigative Science, Faculty of Medicine, Imperial College of Science, Technology, and Medicine, The Chelsea and Westminster Hospital, London, United Kingdom.
The ability of therapeutic vaccines to generate large numbers of CD8+ T lymphocytes that have specificity for HIV-1 or other virally infected cells has enormous potential clinical value. However, approaches to produce cytotoxic T lymphocytes (CTLs) in vivo via vaccine technology have thus far been disappointing and the ex vivo production of cells for adoptive transfer is labor intensive and expensive. We describe the results of a 2-step antibody-targeting system for the production of CD8+ T lymphocytes specific for HIV-1 and Kaposi sarcomaassociated herpesvirus (KSHV), suitable for use in vivo. In 8 consecutive human leukocyte antigenA2 (HLA-A2)positive HIV-1infected individuals with Kaposi sarcoma, 2 cycles of this system resulted in more than 1 Log increases of specific anti-HIV and anti-KSHV CD8+ lymphocytes. These expanded cells have an effector phenotype that includes the ability to produce interferon-
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