PMID- 8207839 OWN - NLM STAT- MEDLINE DCOM- 19940713 LR - 20231120 IS - 0022-538X (Print) IS - 1098-5514 (Electronic) IS - 0022-538X (Linking) VI - 68 IP - 7 DP - 1994 Jul TI - Temporal association of cellular immune responses with the initial control of viremia in primary human immunodeficiency virus type 1 syndrome. PG - 4650-5 AB - Virologic and immunologic studies were performed on five patients presenting with primary human immunodeficiency virus type 1 (HIV-1) infection. CD8+ cytotoxic T lymphocyte (CTL) precursors specific for cells expressing antigens of HIV-1 Gag, Pol, and Env were detected at or within 3 weeks of presentation in four of the five patients and were detected in all five patients by 3 to 6 months after presentation. The one patient with an absent initial CTL response had prolonged symptoms, persistent viremia, and low CD4+ T-cell count. Neutralizing antibody activity was absent at the time of presentation in all five patients. These findings suggest that cellular immunity is involved in the initial control of virus replication in primary HIV-1 infection and indicate a role for CTL in protective immunity to HIV-1 in vivo. FAU - Koup, R A AU - Koup RA AD - Aaron Diamond AIDS Research Center, New York University School of Medicine, New York 10016. FAU - Safrit, J T AU - Safrit JT FAU - Cao, Y AU - Cao Y FAU - Andrews, C A AU - Andrews CA FAU - McLeod, G AU - McLeod G FAU - Borkowsky, W AU - Borkowsky W FAU - Farthing, C AU - Farthing C FAU - Ho, D D AU - Ho DD LA - eng GR - AI 24030/AI/NIAID NIH HHS/United States GR - AI 24239/AI/NIAID NIH HHS/United States GR - AI 25541/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Virol JT - Journal of virology JID - 0113724 RN - 0 (HIV Antibodies) SB - IM MH - Acquired Immunodeficiency Syndrome/blood/*immunology/microbiology MH - HIV Antibodies/analysis MH - HIV-1/immunology MH - Humans MH - Neutralization Tests MH - T-Lymphocytes, Cytotoxic/*immunology MH - Time Factors MH - Viremia/*immunology PMC - PMC236393 EDAT- 1994/07/01 00:00 MHDA- 1994/07/01 00:01 PMCR- 1994/07/01 CRDT- 1994/07/01 00:00 PHST- 1994/07/01 00:00 [pubmed] PHST- 1994/07/01 00:01 [medline] PHST- 1994/07/01 00:00 [entrez] PHST- 1994/07/01 00:00 [pmc-release] AID - 10.1128/JVI.68.7.4650-4655.1994 [doi] PST - ppublish SO - J Virol. 1994 Jul;68(7):4650-5. doi: 10.1128/JVI.68.7.4650-4655.1994.