CD8(+) cytotoxic T lymphocytes (CTLs) are critical for protection agai
nst intracellular pathogens but often have been difficult to induce by
subunit vaccines in animals. DNA vaccines elicit protective CD8(+) T
cell responses. Malaria-naive volunteers who were vaccinated with plas
mid DNA encoding a malaria protein developed antigen-specific, genetic
ally restricted, CD8(+) T cell-dependent CTLs. Responses were directed
against all 10 peptides tested and were restricted by six human lymph
ocyte antigen (HLA) class I alleles. This first demonstration in healt
hy naive humans of the induction of CD8(+) CTLs by DNA vaccines, inclu
ding CTLs that were restricted by multiple HLA alleles in the same ind
ividual, provides a foundation for further human testing of this poten
tially revolutionary vaccine technology.