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Abstract
Annual Review of Medicine
Vol. 56: 213-223 (Volume publication date February 2005)
(doi:10.1146/annurev.med.54.101601.152349)
First published online as a Review in Advance on Aug. 30, 2004
Progress Toward an HIV Vaccine

Norman L. Letvin
Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02115; email:

The development of an HIV vaccine is proving to be an unprecedented challenge. The difficulty in creating this vaccine arises from the enormous genetic variation of the virus and the unusual importance of cytotoxic T lymphocytes (CTL) in controlling its spread. Whereas traditional vaccine strategies are unlikely to confer safe and effective HIV protection, novel strategies for eliciting CTL have provided substantial clinical benefits in nonhuman primate model systems. These vaccine strategies, including plasmid DNA and live recombinant vectors, are currently being evaluated in human clinical trials.

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Author:
Norman L. Letvin
Keywords:
cytotoxic T lymphocytes
nonhuman primate models
HIV immunity
DNA vaccines
live recombinant vectors

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