The desire to induce HIV-1-specific responses soon after birth to prevent breast milk transmission of HIV-1 led us to propose a vaccine regimen which primes HIV-1-specific T cells using a recombinant Mycobacterium bovis bacillus Calmette-Gué rin (rBCG) vaccine. Because attenuated live bacterial vaccines are typically not sufficiently immunogenic as stand-alone vaccines, rBCG-primed T cells will likely require boost immunization(s). Here, we compared modified Danish (AERAS-401) and Pasteur lysine auxotroph (222) strains of BCG expressing the immunogen HIVA for their potency to prime HIV-1-specific responses in adult BALB/c mice and examined four heterologous boosting HIVA vaccines for their immunogenic synergy. We found that both BCG.HIVA 401 and BCG.HIVA 222 primed HIV-1-specific CD8 1 T-cell-mediated responses. The strongest boosts were delivered by human adenovirus-vectored HAdV5.HIVA and sheep atadenovirus-vectored OAdV7.HIVA vaccines, followed by poxvirus MVA.HIVA; the weakest was plasmid pTH.HIVA DNA. The prime-boost regimens induced T cells capable of efficient in vivo killing of sensitized target cells. We also observed that the BCG.HIVA 401 and BCG.HIVA 222 vaccines have broadly similar immunologic properties, but display a number of differences mainly detected through distinct profiles of soluble intercellular signaling molecules produced by immune splenocytes in response to both HIV-1-and BCG-specific stimuli. These results encourage further development of the rBCG prime-boost regimen.Key words: BCG . HIV . Mother-to-child transmission . Prime-boost . T cells . Vaccines
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IntroductionIt is 30 years since the first cases of AIDS were described, yet HIV-1 infection continues to take its toll particularly in resourcepoor areas such as many parts of sub-Saharan Africa [1]. About half of the infected adults are women of childbearing age, who will expose their babies to HIV-1 during pregnancy, delivery and breastfeeding [2]. Although antiretroviral treatment substantially decreases mother-to-child transmission (MTCT) of HIV-1 [3], it is not ideal due to the cost, requirement for daily compliance, side effects and possible development of drug resistance. Because breast milk provides essential nutrients and protection against
3542other diseases in the early days of life [4,5], formula as an HIV-1-free alternative is recommended only if it is acceptable, feasible, affordable, sustainable and safe (AFASS) and thus it is not an option for many HIV-1-positive mothers in Africa. The best hope for protecting newborns and infants in the 'South' (and in the 'North') against acquiring HIV-1 from their infected mothers while breastfeeding remains the development of safe, effective and accessible adult and pediatric vaccines [6]. For babies born to HIV-1-positive mothers, induction of anti-HIV-1 immunity as soon as possible after birth is highly desirable and may provide a basis for lifetime protection, which can be maintained by boosts later in life.A successful HIV-1 vaccine may ...