Humoral and cellular immune responses have been produced by intramuscu
lar vaccination with dna plasmids expressing HIV-1 genes, suggesting p
ossible immunotherapeutic and prophylactic value for these constructs.
Vaccination with these constructs has decreased HIV-1 viral load in H
IV-1-infected chimpanzees. In addition, naive (i.e. non-HIV-1-infected
) chimpanzees were protected against a heterologous challenge with HIV
-1. Ongoing phase I clinical trials show that therapeutic vaccinations
indeed boost anti-HIV-1 immune responses in humans. A therapeutic pha
se I trial on humans with these constructs induced a good safety profi
le and also demonstrated an immunological potentiation. These findings
indicate that further studies with these constructs in humans are war
ranted. (C) 1998 Elsevier Science Ltd. All rights reserved.