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Oral Abstract Session 01 - Global HIV Vaccine Enterprise

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SYMPOSIA SESSIONS<br />

42<br />

Symposia <strong>Session</strong>s<br />

Symposium 05: Mucosal Immunology<br />

S05.03<br />

The Current State of Mucosal Immunity Elicited By<br />

<strong>Vaccine</strong>s<br />

R. Shattock 1<br />

1Imperial College London, London, United Kingdom (Great<br />

Britain)<br />

The development of a successful vaccine against <strong>HIV</strong> is likely<br />

to require induction of strong and long-lasting humoral and<br />

cellular immune responses at the mucosal portal of virus entry.<br />

Mucosal antibodies able to prevent initial target cell infection,<br />

reinforced by cellular responses that can control or eliminate<br />

the initial foci of infected cells may offer the best potential for<br />

robust sterilizing protection against <strong>HIV</strong> acquisition. While the<br />

design of vaccine strategies able to induce such responses may<br />

be crucial to development of effective vaccines, little has been<br />

done to define possible mucosal correlates of protection against<br />

vaginal or rectal exposure. Indeed, to date, most human clinical<br />

<strong>HIV</strong> vaccine trials have omitted to evaluate mucosal immune<br />

responses and have focused only on parenterally administered<br />

candidates. The observation that the modest protective efficacy<br />

of the RV144 trial did not correlate with neutralization but V1/<br />

V2 binding antibodies has generated speculation that nonneutralizing<br />

antibodies may have had some impact on <strong>HIV</strong><br />

acquisition, most likely at the mucosal level. Indeed a range<br />

of other effector functions such as viral aggregation, mucus<br />

trapping, inhibition of transcytosis, antibody dependent cellular<br />

cytotoxicity (ADCC), and Fc-mediated inhibition of infection may<br />

all enhance mucosal protection by antibody. However there is a<br />

lack of definitive data to establish that localized responses offer<br />

additional benefit over and above effector functions mediated<br />

by mucosal expression of systemic induced responses. Drawing<br />

on the wider field of vaccinology this presentation will review<br />

current understanding of how adjuvants, delivery strategies and<br />

routes of immunization modify mucosal responses to vaccination<br />

in humans and non-human primates and will assess the relative<br />

strengths and weakness of different approaches as they relate to<br />

mucosal protection against <strong>HIV</strong> acquisition.<br />

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

S05.04<br />

Persistence Pays Off: Stringent Control And Potential<br />

Clearance of AIDS Virus Infection by Persistent<br />

<strong>Vaccine</strong>-Induced Effector Memory T Cells<br />

L. Picker 1<br />

1 <strong>Vaccine</strong> and Gene Therapy Institute,Oregon Health & Science<br />

University, Portland, OR, USA<br />

This presentation will discuss recent advances in understanding<br />

the efficacy of CMV/SIV vaccine vectors in protection against<br />

highly pathogenic SIV challenge.

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