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PJ Online homeThe Pharmaceutical Journal
Vol 273 No 7329 p845
11 December 2004

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Dendritic vaccine may control HIV progression

Scientists have produced a vaccine that may limit replication of the HIV-1 virus and thus prevent progression of the disease.

They developed a vaccine consisting of dendritric cells from each patient’s own immune system loaded with an inactivated form of HIV-1. This was injected into 18 HIV-positive patients who had been recorded as having stable levels of the virus in their blood for the previous six months.

The vaccine was found to induce an HIV-1 specific T-cell response associated with sustained viral suppression and, in addition, the amount of the virus in the patients’ plasma was found to decline.

Virus levels decreased by an average of 80 per cent over the first 112 days after the vaccination. Eight patients demonstrated prolonged suppression of viral load of more than 90 per cent for at least one year.

Furthermore, the scientists were able to identify specific components of the immune response that are needed to contain the virus, a finding that may be useful for future research.

The scientists acknowledge the need for a randomised trial with a control arm, but say that a vaccine capable of controlling viral replication in this disease would not only allow patients to live without daily antiretroviral drugs, but would also minimise their risk of transmitting the virus to healthy people.

The paper appeared in an advance online publication of Nature Medicine on 28 November.

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