Scientists Combine Two Approaches to Thwart the Spread of HIV

Data derived from the Science Watch/Hot Papers database and the Web of Science (ISI, Philadelphia) show that Hot Papers are cited 50 to 100 times more often than the average paper of the same type and age. D.H. Barouch et al., "Control of viremia and prevention of clinical AIDS in rhesus monkeys by cytokine-augmented DNA vaccination," Science, 290:486-92, Oct. 20, 2000. (Cited in 130 papers) J.R. Mascola et al., "Protection of macaques against vaginal transmission of a pathogenic HIV-1/SIV chi

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HIV vaccine strategies generally fall into two categories: those aimed at raising antibody responses, and those aimed at inducing high numbers of cytotoxic T lymphocytes (CTLs), or killer T cells. In the early years of HIV vaccine development most approaches focused on antibodies. But researchers had difficulty developing vaccine immunogens that elicit an effective antibody response. The Hot Paper by Dan Barouch and colleagues, Massachusetts General Hospital (MGH), used rhesus monkeys and has helped the CTL strategy gain prominence.1 In that same year, two groups published proof-of-principle companion papers, which also became Hot Papers; their results implied that an antibody-boosting vaccine strategy also could be successful.2,3 Subsequent work has shown that both approaches have advantages and drawbacks, and that a combined strategy may provide the best level of protection against HIV.

The immune system's CTL response arm had been shown to be particularly important for controlling HIV replication. Researchers at ...

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