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Oral Abstract Session 01 - Global HIV Vaccine Enterprise

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Plenary 02: A New Look at the Transmission Event<br />

PL02.<strong>01</strong><br />

Barriers to Mucosal Transmission: Challenges and<br />

Opportunities<br />

J.D. Estes 1<br />

1SAIC-Frederick, Frederick National Laboratory, Frederick, MD,<br />

USA<br />

During <strong>HIV</strong>-1 mucosal transmission, the viral diversity of the<br />

infecting virus is dramatically reduced as the virus transverses the<br />

various host barriers in order to establish a new infection. While<br />

the stringency of the mucosal blockade is now well documented,<br />

there is a paucity of understanding on where the bottleneck<br />

occurs including the contributions of various host components in<br />

determining the nature of transmitted founder viruses. A detailed<br />

understanding of the process of lentiviral transmission will likely<br />

be critical to guide the design of efficacious vaccine approaches<br />

that capitalize on opportunities to interdict productive infection<br />

of the host. This talk will discuss the development of new tools<br />

that can be used to elucidate the biological and immunological<br />

barriers surrounding mucosal transmission, the timing and<br />

process of establishment of infection, and progression to<br />

systemic infection. Using nonhuman primate models of mucosal<br />

transmission allows for extensive tissue analyses to define the<br />

early stages and host responses involved in the establishment and<br />

spread of virus in the first days following mucosal inoculation, and<br />

to determine the tissues, cells and pathways that are involved in<br />

transmission through systemic dissemination in order to better<br />

guide the development of preventative strategies.<br />

PL02.02<br />

Plenary Sesions<br />

Viral Dynamics and Immune Response in Acute<br />

Infection and Their Impact on Viral Set-Point<br />

M. Robb 1<br />

1 Henry M. Jackson Foundation, Bethesda, MD, USA<br />

Understanding early viral and immune events during acute<br />

<strong>HIV</strong> infection is critical to inform prevention and treatment<br />

efforts. We characterized plasma viral load, peripheral blood<br />

mononuclear cell populations and cytokine/chemokine profiles<br />

at baseline and during early stages of acute infections from East<br />

Africa and Thailand in the prospective RV217 high-risk cohort.<br />

Individuals at high risk for <strong>HIV</strong>-1 were prospectively followed<br />

with twice weekly small blood volumes collected and tested for<br />

<strong>HIV</strong>-1 RNA (NAT) to detect acute infection prior to the advent<br />

of antibody. The relationship of events observed prior to and at<br />

peak viremia will be discussed in relation to the determination of<br />

viral load set-point and immune activation.<br />

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

25<br />

PLENARY SESSIONS

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