A prophylactic and therapeutic AIDS vaccine containing as a component the innocuous Tat Toxoid

https://doi.org/10.1016/S0753-3322(99)80020-1Get rights and content

Summary

Extracellular Tat can act as a viral toxin on uninfected cells of different tissues, including the CNS and the immune system, thus in order to immunize humans against Tat we have prepared a biologically inactivated but immunogenic Tat (Tat Toxoid). Tat Toxoid is not toxic in mice even at high doses. It triggers high levels of specific Tat Abs in the mouse and rabbit. Furthermore, in humans Tat Toxoid immunization was safe and induced in seronegatives persistent high levels of Tat Abs and in immunodeficient patients a significant rise of these specific Abs. Facing acute HIV-1 infection, the presence of high level of circulating Tat Abs promoted by Tat Toxoid vaccine should prevent Tatinduced immunosuppression and allow anti-HIV-1 cellular response to develop. As a consequence, early release of β-chemokines could enhance host resistance towards HIV-1, and, in infected people, inhibit viral replication and evolution towards AIDS.

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      Therefore, we postulate that most of the Tat proteins can be made more resistant to proteolysis and more immunogenic if they are previously associated with appropriate sulfated sugars. It is interesting to note that Tat86/PPS raised antibody titers roughly 40 times higher than those raised by Tat86Scam, because Tat86Scam is a Tat86 protein previously inactivated by alkylation of its seven cysteines according to a protocol similar to that used to prepare a toxoid of Tat86 [51] that could only attenuate the clinical signs of the disease in macaques challenged with SHIV89.6PD [24]. We therefore postulate that such a toxoid might raise a stronger immune response following its stabilization using appropriate sulfated polysaccharides.

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