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Blood, 15 June 2006, Vol. 107, No. 12, pp. 4825-4833.
Prepublished online as a Blood First Edition Paper on March 7, 2006; DOI 10.1182/blood-2005-06-2463.


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Submitted June 23, 2005
Accepted February 9, 2006

Long lasting CCR5 internalization by antibodies in a subset of Long Term Non Progressors: a possible protective effect against disease progression

Claudia Pastori, Barbara Weiser, Claudia Barassi, Caterina Uberti-Foppa, Silvia Ghezzi, Renato Longhi, Giliola Calori, Harold Burger, Kimdar Kemal, Guido Poli, Adriano Lazzarin, and Lucia Lopalco*

Immunobiology of HIV Unit, Infectious Diseases Clinic, San Raffaele Scientific Institute, Milan, Italy
Wadsworth Center, NY State Department of Health, Albany, NY, USA
Aids Immunopathogenesis Unit, San Raffaele Scientific Institute, Milan, Italy
Istituto di Biocatalisi e Riconoscimento Molecolare, Milan, Italy
Clinic Research Office, San Raffaele Scientific Institute, Milan, Italy
Aids Immunopathogenesis Unit, San Raffaele Scientific Institute, Milan, Italy; Aids Immunopathogenesis Unit, San Raffaele Scientific Institute, Milan, Italy; Wadsworth Center, NY State Department of Health, Albany, NY, USA
Immunobiology of HIV Unit, Infectious Diseases Clinic, San Raffaele Scientific Institute, Milan, Italy; Aids Immunopathogenesis Unit, San Raffaele Scientific Institute, Milan, Italy; Wadsworth Center, NY State Department of Health, Albany, NY, USA

* Corresponding author; email: lopalco.lucia{at}hsr.it.

Exposure to HIV-1 does not necessarily result in infection and progression toward disease, suggesting that the control of viral infection may be achieved. Antibodies (Abs) to CCR5 have been detected in HIV-exposed but uninfected subjects (ESN), thus they could be involved in HIV protection. To assess whether these Abs may also contribute to slow HIV-disease progression, we searched for anti-CCR5 Abs in 497 subjects, including 85 Long Term Non Progressors (LTNP), 70 Progressors, 135 HIV+ HAART treated, and 207 seronegative donors. We found anti-CCR5 Abs in a fraction of LTNP (23.5%), but not in the other populations studied (p< .0001). These Abs recognized a conformed region within the first extramembrane loop of CCR5 and they induced a stable and long lasting down regulation of CCR5 on surface of T lymphocytes, thus blocking HIV entry. In addition, CD4+ lymphocytes from LTNP carrying anti CCR5 Abs are resistance to R5 strains of HIV-1. Follow-up studies showed that the loss of anti-CCR5 Abs, occurred in some subjects, was significantly associated with a progression toward disease, whereas subjects who retained anti CCR5 Abs maintained their LTNP status. Induction of anti-CCR5 Abs could be relevant to vaccine design and therapeutics.


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