“…Previous studies of limited numbers of HIV-infected infants have demonstrated that HIVspecific CD8 ϩ T-cell responses can be detected at low frequency in some infants (5,24,35). Moreover, when detected in infancy, the CD8 ϩ T-cell responses generated had no immediate benefit in clinical outcome (5,23,32), and no studies have compared IU, IP, and chronic pediatric infection. Recent reports that CD8 ϩ T-cell responses in infants can exert selection pressure in vivo in known CD8 ϩ T-cell epitopes within the first few months of life (10,20,29) suggest that in some instances, at least, these responses may be functional.…”