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Prepublished online as a Blood First Edition Paper on June 28, 2002; DOI 10.1182/blood-2001-11-0080.

Submitted December 20, 2001
Accepted April 8, 2002
Analysis Of HIV-1- And CMV-Specific Memory CD4 T Cell Responses During Primary and Chronic Infection
Alexandre Harari, G Paolo Rizzardi, Kim Ellefsen, Donatella Cuiffreda, Patrick Champagne, Pierre-Alexandre Bart, Daniel Kaufmann, Amalio Telenti, Roland Sahli, Giuseppe Tambussi, Laurent Kaiser, Adriano Lazzarin, Luc Perrin, and Giuseppe Pantaleo*
Laboratory of AIDS Immunopathogenesis, Divisions of Immunology and Allergy, University of Lausanne, Lausanne, Switzerland
Division of Infectious Diseases, Department of Medicine, University of Lausanne, Lausanne, Switzerland
Institute of Microbiology, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Lausanne, Switzerland
Division of Infectious Diseases, San Raffaele Institute, Milan, Italy
Laboratory of Virology, University of Geneva, Geneva, Switzerland
Laboratory of AIDS Immunopathogenesis, Divisions of Immunology and Allergy, University of Lausanne, Lausanne, Switzerland; Division of Infectious Diseases, Department of Medicine, University of Lausanne, Lausanne, Switzerland
* Corresponding author; email: giuseppe.pantaleo{at}chuv.hospvd.ch.
CD4 T cell-specific memory antiviral responses to HIV-1 and to cytomegalovirus (CMV) were investigated in 16 patients with documented primary HIV-1 infection (4 out of 16 subjects had also primary CMV infection) and compared with those observed in patients with chronic HIV-1 and CMV co-infection. Virus-specific memory CD4 T cells were characterized on the basis of the expression of the chemokine receptor CCR7. HIV-1- and CMV-specific IFN- secreting CD4 T cells were detected in patients with primary and chronic HIV-1 and CMV co-infection and were mostly contained in the cell population lacking expression of CCR7. The magnitude of the primary CMV-specific CD4 T cell response was significantly greater compared to that of chronic CMV infection while there were no differences between primary and chronic HIV-1-specific CD4 T cell responses. A substantial proportion of CD4+CCR7- T cells were infected with HIV-1. These results provide advances in the characterization of antiviral memory CD4 T cell response and in the delineation of the potential mechanisms that likely prevent the generation of a robust HIV-1-specific CD4 T cell immune response during primary infection.

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