Low-replicating viruses and strong anti-viral immune response associated with prolonged disease control in a superinfected HIV-1 LTNP elite controller.

<h4>Objective</h4>To study the causes for the lack of clinical progression in a superinfected HIV-1 LTNP elite controller patient.<h4>Methodology and principal findings</h4>We studied host genetic, virological and immunological factors associated with viral control in a SI lo...

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Main Authors: María Pernas, Concepción Casado, Carolina Arcones, Anuska Llano, Víctor Sánchez-Merino, Beatriz Mothe, José L Vicario, Eulalia Grau, Lidia Ruiz, Jorge Sánchez, Amalio Telenti, Eloísa Yuste, Christian Brander, Cecilio López- Galíndez
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0031928&type=printable
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Summary:<h4>Objective</h4>To study the causes for the lack of clinical progression in a superinfected HIV-1 LTNP elite controller patient.<h4>Methodology and principal findings</h4>We studied host genetic, virological and immunological factors associated with viral control in a SI long term non progressor elite controller (LTNP-EC). The individual contained both viruses and maintained undetectable viral loads for >20 years and he did not express any of the described host genetic polymorphisms associated with viral control. None of four full-length gp160 recombinants derived from the LTNP-EC replicated in heterologous peripheral blood mononuclear cells. CTL responses after SI were maintained in two samples separated by 9 years and they were higher in breadth and magnitude than responses seen in most of 250 treatment naïve patients and also 25 controller subjects. The LTNP-EC showed a neutralization response, against 4 of the 6 viruses analyzed, superior to other ECs.<h4>Conclusions</h4>The study demonstrated that a strong and sustained cellular and humoral immune response and low replicating viruses are associated with viral control in the superinfected LTNP-EC.
ISSN:1932-6203