Department of Public and International Affairs, George Mason University, Manassas, VA 20110, USA.
BMC Immunol. 2010 May 18;11:23. doi: 10.1186/1471-2172-11-23.
At present, the relatively sudden appearance and explosive spread of HIV throughout Africa and around the world beginning in the 1950s has never been adequately explained. Theorizing that this phenomenon may be somehow related to the eradication of smallpox followed by the cessation of vaccinia immunization, we undertook a comparison of HIV-1 susceptibility in the peripheral blood mononuclear cells from subjects immunized with the vaccinia virus to those from vaccinia naive donors.
Vaccinia immunization in the preceding 3-6 months resulted in an up to 5-fold reduction in CCR5-tropic but not in CXCR4-tropic HIV-1 replication in the cells from vaccinated subjects. The addition of autologous serum to the cell cultures resulted in enhanced R5 HIV-1 replication in the cells from unvaccinated, but not vaccinated subjects. There were no significant differences in the concentrations of MIP-1alpha, MIP-1beta and RANTES between the cell cultures derived from vaccinated and unvaccinated subjects when measured in culture medium on days 2 and 5 following R5 HIV-1 challenge.
Since primary HIV-1 infections are caused almost exclusively by the CCR5-tropic HIV-1 strains, our results suggest that prior immunization with vaccinia virus might provide an individual with some degree of protection to subsequent HIV infection and/or progression. The duration of such protection remains to be determined. A differential elaboration of MIP-1alpha, MIP-1beta and RANTES between vaccinated and unvaccinated subjects, following infection, does not appear to be a mechanism in the noted protection.
目前,艾滋病毒在 20 世纪 50 年代开始在非洲和全球范围内突然出现并迅速传播,这一现象至今仍未得到充分解释。我们推测,这种现象可能与天花根除后停止接种牛痘疫苗有关,因此我们比较了曾接种过牛痘病毒疫苗和未接种过牛痘疫苗的个体的外周血单个核细胞中对 HIV-1 的易感性。
在接种疫苗前 3-6 个月进行牛痘免疫,可使接种疫苗者外周血单个核细胞中对 CCR5 嗜性但不对 CXCR4 嗜性的 HIV-1 复制减少多达 5 倍。将自体血清添加到细胞培养物中可增强未接种疫苗者而非接种疫苗者的 R5 HIV-1 复制。在 R5 HIV-1 攻击后第 2 和第 5 天,从接种疫苗和未接种疫苗的个体的细胞培养物中测量的培养基中,MIP-1alpha、MIP-1beta 和 RANTES 的浓度没有明显差异。
由于原发性 HIV-1 感染几乎完全由 CCR5 嗜性 HIV-1 株引起,我们的结果表明,先前用牛痘病毒免疫可能为个体提供一定程度的对随后的 HIV 感染和/或进展的保护。这种保护的持续时间尚待确定。在感染后,接种疫苗和未接种疫苗的个体之间 MIP-1alpha、MIP-1beta 和 RANTES 的差异表达似乎不是这种保护的机制。