Accuri C6 Flow Cytometer System
A more recent version of this article appeared on October 1, 2009

Published online before print July 13, 2009
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© by The Society for Leukocyte Biology
Journal of Leukocyte Biology, doi:10.1189/jlb.0209094


Received for publication February 20, 2009.
Revised May 19, 2009.
Accepted for publication May 21, 2009.


Article

Obstacles to the successful development of an efficacious T cell-inducing HIV-1 vaccine

Larissa Herkenhoff Haut *{dagger} and Hildegund C. J. Ertl {dagger}@

*Departamento de Microbiologia e Parasitologia, Universidade Federal de Santa Catarina, Florianopolis, SC, Brazil; and{dagger}Wistar Institute, Philadelphia, Pennsylvania, USA

@ To whom correspondence should be addressed. E-mail: ertl{at}wistar.upenn.edu.


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Abstract

An efficacious vaccine to HIV-1 is direly needed to stem the global pandemic. Immunogens that elicit broadly cross-neutralizing antibodies to HIV-1 remain elusive, and thus, most HIV-1 vaccine efforts are focusing on induction of T cells. The notion that T cells can mediate protection against HIV-1 has been called into question by the failure of the STEP trial, which was designed to test this concept by the use of an E1-deleted Ad vaccine carrier. Lack of efficacy of the STEP trial vaccine underscores our limited knowledge about correlates of immune protection against HIV-1 and stresses the need for an enhanced commitment to basic research, including preclinical and clinical vaccine studies. In this review, we discuss known correlates of protection against HIV-1 and different vaccine strategies that have been or are being explored to induce such correlates, focusing on T cell-inducing vaccines and particularly on Ad vectors.

Key Words: correlates of protection • adenovirus vectors • STEP trial • animal models