The ability of two different human professional APCs, specifically macropha
ges (M phi) and dendritic cells (DC), to stimulate primary responses in hum
an CD8(+) T lymphocytes was examined using both allogeneic and Ag-pulsed au
tologous APCs, CTL responses in CD8(+) T lymphocytes isolated from HIV-unin
fected donors were evaluated against six different HIV epitopes that are re
stricted by four different HLA alleles using autologous human PBMC-derived
M phi and DCs for primary stimulation. In a side-by-side experiment, immatu
re DCs. but not M phi, were able to prime a CTL response against the B14-re
stricted p24(gag) 298-306 epitope; mature DCs were also able to prime a res
ponse against this epitope, In addition, DCs were capable of priming CD8(+)
CTL responses against the BS-restricted p24(gag) 259-267 epitope, In contr
ast, M phi were unable to prime strong CTL responses against other epitopes
, Since the Ag-specific cytotoxic responses required subsequent rounds of r
estimulation before they could be detected, the ability of the allogeneic M
phi and DCs to directly prime CD8(+) T lymphocyte responses without subseq
uent restimulation was examined. Similar to the aforementioned peptide-spec
ific results, DCs were more efficient than M phi in priming both allogeneic
proliferative and cytotoxic responses in human CD8(+) T lymphocytes. Colle
ctively, these results promote an enhanced status for DCs in the primary st
imulation of human CD8(+) T lymphocytes.