Abstract
Expansion of CD4 lymphocytes from human immunodeficiency virus type 1 (HIV-1)-infected persons ex vivo has been limited by enhanced virus replication and cell death. The successful expansion of functional CD4 lymphocytes from HIV-1-infected persons has now been accomplished using a bispecific monoclonal antibody to CD3 and CD8 in combination with three antiretroviral agents. CD4 lymphocytes were polyclonally expanded by a factor of 103-107 during 4-8 weeks in culture. Supernatants from most cultures were persistently HIV-1 p24 antigen-negative by day 14 and remained negative despite removal of antiretroviral agents at day 28. In such cultures, HIV-1 could not be recovered by cocultivation, and amounts of HIV-1 DNA declined or remained stable at low levels, eventually becoming undetectable in 2 cases. This approach establishes the feasibility of CD4 lymphocyte expansion in persons with HIV disease and may be useful for immune-based or gene therapies.
Original language | English (US) |
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Pages (from-to) | 88-96 |
Number of pages | 9 |
Journal | Journal of Infectious Diseases |
Volume | 172 |
Issue number | 1 |
DOIs | |
State | Published - Jul 1995 |
Funding
Received 26 September 1994; revised 2 February 1995. Presented in part: First National Conference on Human Retroviruses and Related Infections, Washington, DC, December 1993. Written informed consent was obtained from all subjects studied following the guidelines established by the Massachusetts General Hospital Human Studies Committee. Grantsupport: NationalInstitutesofHealth(AI-36550,AI-366ll,AI-30914, CA-12464), Pediatric AIDS Foundation Ariel Project, and NIAID AIDS Institutional Training Grant AI-07061. Reprints or correspondence: Dr. Cara C. Wilson, Infectious Disease Unit, Gray 5, Massachusetts General Hospital, Boston, MA 02114. * Present affiliation: New England Regional Primate Research Center, Southborough, and Infectious Disease Unit, Massachusetts General Hospital, Boston, Massachusetts.
ASJC Scopus subject areas
- General Medicine