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Blood, 15 November 2006, Vol. 108, No. 10, pp. 3414-3419.
Prepublished online as a Blood First Edition Paper on August 1, 2006; DOI 10.1182/blood-2006-06-030668.
Previous Article | Next Article 
Submitted January 27, 2006
Accepted July 6, 2006
Nef interference with HIV-1-specific CTL antiviral
activity is epitope specific
Sama Adnan, Arumugam Balamurugan, Alicja Trocha, Michael S Bennett, Hwee L Ng, Ayub Ali, Christian Brander, and Otto O Yang*
University of California, Los Angeles, CA
Massachusetts General Hospital, Harvard University, Boston, MA
* Corresponding author; email: oyang{at}mednet.ucla.edu.
HIV-1 Nef and HIV-1-specific CTL have important and
opposing roles in the immunopathogenesis of HIV-1
infection. Nef-mediated downmodulation of HLA class I
on infected cells can confer resistance to CTL
clearance, but the factors determining the efficiency of
this process are unknown. This study examines the
impact of Nef on the antiviral activity of several CTL
clones recognizing epitopes from early and late HIV-1
proteins, restricted by HLA- A, B, and C molecules. CTL
targeting epitopes in early proteins remained
susceptible to the effects of Nef, although possibly to
a lesser degree than CTL targeting late protein
epitopes, indicating that significant Nef-mediated HLA
downregulation can precede even the presentation of
early protein-derived epitopes. However, HLA-C-
restricted CTL were unaffected by Nef, consistent with
downregulation of cell surface HLA- A and B but not C
molecules. Thus CTL vary dramatically in their
susceptibility to Nef interference, suggesting
differences in the relative importance of HLA- A- and B-
versus C-restricted CTL in vivo. The data thus indicate
that C-restricted CTL may have an underappreciated
antiviral role in the setting of Nef in vivo, and
suggest a benefit of promoting C-restricted CTL for
immunotherapy or vaccine development.

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