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New Hot Paper Comments

By Rama Rao Amara

ESI Special Topics, January 2003
Citing URL - http://www.esi-topics.com/nhp/2003/january-03-RamaRaoAmara.html

Rama Rao Amara answers a few questions about this month's new hot paper in the field of Immunology.


From •>>January 2003

Field: Immunology
Article Title: "Control of a mucosal challenge and prevention of AIDS by a multiprotein DNA/MVA vaccine"
Authors: Amara, RR;Villinger, F;Altman, JD;Lydy, SL;O'Neil, SP;Staprans, SI;Montefiori, DC;Xu, Y;Herndon, JG;Wyatt, LS;Candido, MA;Kozyr, NL;Earl, PL;Smith, JM;Ma, HL;Grimm, BD;Hulsey, ML;Miller, J;McClure, HM;McNicholl, JM;Moss, B;Robinson, HL
Journal: SCIENCE
Volume: 292
Page: 69-74
Year: APR 6 2001
* Emory Univ, Vaccine Res Ctr, Atlanta, GA 30329 USA.
* Emory Univ, Vaccine Res Ctr, Atlanta, GA 30329 USA.
* Emory Univ, Yerkes Reg Primate Res Ctr, Atlanta, GA 30329 USA.
* Emory Univ, Sch Med, Vaccine Res Ctr, Atlanta, GA 30322 USA.
* Emory Univ, Sch Med, Dept Pathol & Lab Med, Atlanta, GA 30322 USA.
* Emory Univ, Sch Med, Dept Microbiol & Immunol, Atlanta, GA 30322 USA.
* Duke Univ, Med Ctr, Dept Surg, Durham, NC 27710 USA.
* NIAID, Viral Dis Lab, NIH, Bethesda, MD 20892 USA.
* Emory Univ, Sch Med, Dept Med, Div Infect Dis, Atlanta, GA 30322 USA.
* Ctr Dis Control & Prevent, Div AIDS STD & TB Lab Res, Natl Ctr Infect Dis, Atlanta, GA 30330 USA.

ST:  Why do you think your paper is highly cited?

This paper is the first demonstration of the ability of a vaccine-raised memory response to control a highly pathogenic immunodeficiency virus challenge in rhesus macaques.  The study evaluates the efficacy of a vaccine based on priming with DNA and boosting with rMVA (DNA/MVA) to control a SHIV 89.6P challenge administered intrarectally at seven months after the finalDr. Rama Rao Amara (right) and Dr. Harriet L. Robinson (left) vaccination.

ST:  Could you summarize the significance of your paper in layman’s terms?

WHO estimates that currently there are about 40 million individuals living with HIV and there are 16,000 new infections daily, worldwide.  At this rate the AIDS epidemic represents a major threat to public health globally.  Availability of drugs that control virus replication and improved treatment regimens like HAART have only been successful in prolonging the life of the infected individual so far.  Furthermore, there are several potential problems that are associated with the use of anti-viral drugs such as the affordability, rigorous adherence and resistance.  For these reasons development of a safe and effective HIV vaccine is imperative.  The multi-protein DNA/MVA vaccine raised very high titers of HIV-specific T infected cells) that rapidly expanded to control cells (white blood cells that can kill the virus the immunodeficiency virus challenge.  By 30 weeks post challenge, all control unvaccinated animals (4/4) died due to AIDS whereas all vaccinated animals (24/24) were healthy and maintained their plasma viral loads at or below the level of detection (300 copies per ml plasma).  This paper raises the hope that one day we will have an effective vaccine for AIDS.End

Dr. Rama Rao Amara
Assistant Professor
Emory University
Atlanta , GA

ESI Special Topics, January 2003
Citing URL - http://www.esi-topics.com/nhp/2003/january-03-RamaRaoAmara.html

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