“…Recent evidence highlights the importance of the CTL responses against the proteins of HIV that are produced early during infection, in particular Tat and Rev, which are the only two viral proteins produced before Nef down-modulates MHC I expression [56]. Indeed, the selective pressure that CD8+ T cells exert on the virus, during the acute phase of the infection, pushes HIV to mutate in its immunodominant CTL epitopes faster and more frequently in the early proteins than in the late proteins [9,87], thus favoring immune escape and rapid establishment of chronic infection [20,32,45,69,88,89,95,96,116,169,218,235,236]. Mathematical models and in vitro studies suggest that CTL responses directed against HIV early proteins suppress virus production more effectively [96,218,221,235,236], and this is confirmed by studies in monkeys showing that CTL responses directed to Tat and Rev are more efficacious to control SIV replication than CTL responses against Gag and Pol [210].…”