PMID- 28594230 OWN - NLM STAT- MEDLINE DCOM- 20180417 LR - 20181202 IS - 1931-8405 (Electronic) IS - 0889-2229 (Print) IS - 0889-2229 (Linking) VI - 33 IP - 8 DP - 2017 Aug TI - Conserved HIV-1 Gag p24 Epitopes Elicit Cellular Immune Responses That Impact Disease Outcome. PG - 832-842 LID - 10.1089/AID.2016.0168 [doi] AB - Although the breadth of the human immunodeficiency virus type 1 (HIV-1)-specific cellular immune response and its impact on the control of viral replication have already been addressed, reported data have proven controversial. We hypothesize that the nature of targeted epitopes, rather than the simple breadth or magnitude of responses, correlates with disease outcome. In this study, we explore the occurrence of patterns of Gag p24 recognition among untreated HIV-1-infected patients by identifying the epitopes that compose such patterns and how they distinctly associate with disease progression. Utilizing enzyme-linked immunospot (ELISPOT) interferon gamma (IFN-gamma), we screened cellular responses of 27 HIV-1-infected subjects against 15-mer peptides encompassing the whole Gag p24 protein. Obtained data were used to develop a clustering analysis that allowed definition of two groups of individuals with totally distinct patterns of recognition. Although targeted Gag p24 peptides were completely different between the two groups, the breadth and magnitude of the responses were not. Interestingly, viral control and preservation of CD4(+) T cells were increased in one group. In addition, we compared genetic conservation of amino acid sequences of the recognized peptides, as well as of the human leucocyte antigen class I (HLA-I)-restricted epitopes within them. Subjects presenting higher control of HIV-1 replication targeted more conserved epitopes, and higher genetic variation was present mainly in anchor residues for HLA-I molecules. We strengthen the existing evidence from cases of HIV-1 infection in humans that, cellular immune responses targeting conserved epitopes, rather than the magnitude and breadth of responses, associate with a better control of viral replication and maintenance of peripheral CD4(+) T cell counts. FAU - Tarosso, Leandro F AU - Tarosso LF AD - Division of Clinical Immunology and Allergy, University of Sao Paulo School of Medicine, Sao Paulo, Brazil . FAU - Vieira, Vinicius A AU - Vieira VA AD - Division of Clinical Immunology and Allergy, University of Sao Paulo School of Medicine, Sao Paulo, Brazil . FAU - Sauer, Mariana M AU - Sauer MM AD - Division of Clinical Immunology and Allergy, University of Sao Paulo School of Medicine, Sao Paulo, Brazil . FAU - Tomiyama, Helena I AU - Tomiyama HI AD - Division of Clinical Immunology and Allergy, University of Sao Paulo School of Medicine, Sao Paulo, Brazil . FAU - Kalil, Jorge AU - Kalil J AD - Division of Clinical Immunology and Allergy, University of Sao Paulo School of Medicine, Sao Paulo, Brazil . FAU - Kallas, Esper G AU - Kallas EG AD - Division of Clinical Immunology and Allergy, University of Sao Paulo School of Medicine, Sao Paulo, Brazil . LA - eng PT - Journal Article DEP - 20170803 PL - United States TA - AIDS Res Hum Retroviruses JT - AIDS research and human retroviruses JID - 8709376 RN - 0 (Epitopes) RN - 0 (HIV Core Protein p24) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Adult MH - Cohort Studies MH - Conserved Sequence MH - Enzyme-Linked Immunospot Assay MH - Epitopes/genetics/*immunology MH - Female MH - HIV Core Protein p24/genetics/*immunology MH - HIV Infections/*immunology MH - HIV-1/genetics/*immunology MH - Humans MH - *Immunity, Cellular MH - Interferon-gamma/metabolism MH - Male MH - Treatment Outcome MH - Young Adult PMC - PMC5564043 OTO - NOTNLM OT - Gag OT - T cells OT - antigen processing and presentation OT - immune response COIS- No competing financial interests exist. EDAT- 2017/06/09 06:00 MHDA- 2018/04/18 06:00 PMCR- 2018/08/01 CRDT- 2017/06/09 06:00 PHST- 2017/06/09 06:00 [pubmed] PHST- 2018/04/18 06:00 [medline] PHST- 2017/06/09 06:00 [entrez] PHST- 2018/08/01 00:00 [pmc-release] AID - 10.1089/aid.2016.0168 [pii] AID - 10.1089/AID.2016.0168 [doi] PST - ppublish SO - AIDS Res Hum Retroviruses. 2017 Aug;33(8):832-842. doi: 10.1089/AID.2016.0168. Epub 2017 Aug 3.