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Oral Abstract Session 01 - Global HIV Vaccine Enterprise

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POSTERS<br />

Posters<br />

Topic 5: <strong>HIV</strong> Transmission and Viral Diversity<br />

P05.13<br />

<strong>HIV</strong>-1 Subtype B- and F1-Infected Subjects Display<br />

Higher Cross-Clade T-Cell Response Than Subtype<br />

C-Infected Subjects<br />

F.H. Côrtes 1 , G. Bello 1 , C. Vorsatz 2 , J.H. Pilotto 3 , B. Grinsztejn 4 ,<br />

V.G. Veloso 2 , A.R. Pinto 5 , M.G. Morgado 1<br />

1 Oswaldo Cruz Institute/FIOCRUZ, Rio de Janeiro, Brazil;<br />

2 Evandro Chagas Clinical Research Institute/FIOCRUZ, Rio<br />

de Janeiro, Brazil; 3 Nova Iguaçu General Hospital, Nova<br />

Iguaçu, Brazil; 4 Evandro Chagas Clinical Research Institute/<br />

FIOCRUZ, Rio de Janeiro, Brazil; 5 Department of Microbiology,<br />

Immunology and Parasitology/UFSC, Santa Catarina, Brazil<br />

Background: The impact of the extensive genetic diversity of the<br />

<strong>HIV</strong>-1 group M isolates and its implications for vaccine design<br />

have long been discussed. Studies indicate that Gag and Nef<br />

conserved epitopes are commonly recognized and give rise to<br />

high cross-clade responses. The aim of this study was to compare<br />

T-cell responses to peptide pools derivate from subtype B, C and<br />

F1 consensus, among Brazilian subjects infected with those three<br />

<strong>HIV</strong>-1 subtypes.<br />

Methods: The study included 32 subjects infected with <strong>HIV</strong>-1<br />

subtypes B (n=13), C (n=11) and F1 (n=8). Gag and Nef-specific<br />

T cell responses were evaluated by IFN-γ ELISpot assay, using<br />

peptide pools based on subtype B, C and F1 Brazilians consensus.<br />

Results: A high cross-clade response between subtypes B and<br />

F1 for both Gag and Nef regions was observed among <strong>HIV</strong>-1<br />

subtype B- and F1-infected subjects. We also found no significant<br />

difference in magnitude of responses between subtype B and C<br />

consensus peptides in subtype B-infected subjects.In contrast,<br />

the magnitude of T cell responses to consensus C peptides in<br />

Gag region was significantly higher than to consensus B peptides<br />

among <strong>HIV</strong>-1 subtype C-infected subjects. In Nef, subtype<br />

C-infected subjects showed higher T cell responses to C than to<br />

F1 consensus peptides. Moreover, subtype F1-infected subjects<br />

presented lower responses to subtype C peptides than to<br />

subtype F1 and B ones.<br />

Conclusion: Overall, the level of cross-clade response between<br />

subtypes B and F1 was higher than between subtype C and B or<br />

between subtype C and F1. Our data suggest that significance of<br />

the <strong>HIV</strong>-1 group M genetic diversity for vaccine design may be<br />

dependent of the subtypes involved.<br />

170<br />

AIDS <strong>Vaccine</strong> 2<strong>01</strong>2<br />

P05.14<br />

Emergence of Unique Recombinant Forms (URFs) in<br />

Indian <strong>HIV</strong>-1 Epidemic: Data from Nationwide Clinical<br />

Cohort Between 2007 and 2<strong>01</strong>1<br />

U. Neogi 1 , S. Gupta 1 , A. Shet 2 , A. De Costa 3 , R.L. Laishram 4 ,<br />

A. Wanchu 5 , V. Diwan 6 , A.C. Banerjea 7 , A. Sonnerborg 8<br />

1 St. John’s Medical College, Bangalore, India; 2 Department<br />

of Pediatrics, St. John’s Medical College Hospital, Bangalore,<br />

India; 3 Division of <strong>Global</strong> Health, Karolinska Institutet,<br />

Stockholm, Sweden; 4 Regional Institute of Medical Science,<br />

Imphal, India; 5 Department of Internal Medicine, PGIMER,<br />

Chandigarh, India; 6 Department of Public Health and<br />

Environment, R.D. Gardi Medical Colleg, Ujjain, India;<br />

7 National Institute of Immunology, New Delhi, India; 8 Divisions<br />

of Infectious Diseases, Department of Medicine Huddinge,<br />

Karolinska Institutet, Sweden<br />

Background: Current epidemiological studies in India have been<br />

limited to single or localized geographic settings within the<br />

country. In this study we aim to cherecterised the nationwide<br />

distribution pattern of the <strong>HIV</strong>-1 subtypes based on the data<br />

collected from clinical cohorts from 7 provinces from four regions<br />

in India (northern, north-eastern, central and southern)<br />

Methods: Blood samples were collected from 212 <strong>HIV</strong>-1<br />

seropositive subjects between 2007 and 2<strong>01</strong>1. <strong>HIV</strong>-1 subtypes<br />

were determined using at least two or three viral genes, gag, pol,<br />

and env using maximum likelihood tree. Recombination events<br />

were identified using RIP ver 3 tools followed by breakpoints<br />

analysis in Simplot version 3.5.1 and fragment-specific<br />

phylogenetic analysis.<br />

Results: When a single gene was used for subtype determination,<br />

the mean proportion of <strong>HIV</strong>-1C, B and A1 were 95.9%, 1.9%<br />

and 0.2% respectively while recombinants constituted 2.1%.<br />

The overall prevalence of URFs (BC/A1C) increased significantly<br />

to 10% when two (p

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