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|a Infectious Diseases
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|a Pharmacology & Pharmacy
084 _ _ |2 WoS
|a Virology
100 1 _ |a Harrer, E.
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245 _ _ |a Therapeutic vaccination of HIV-1-infected patients on HAART with a recombinant HIV-1 nef-expressing MVA: safety, immunogenicity and influence on viral load during treatment interruption
260 _ _ |a London
|b International Medical Press
|c 2005
300 _ _ |a 285 - 300
336 7 _ |a Journal Article
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440 _ 0 |a Antiviral Therapy
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500 _ _ |a Record converted from VDB: 12.11.2012
520 _ _ |a The safety and immunogenicity of an HIV-1 nef-expressing modified vaccinia virus Ankara (MVA) was investigated in 14 HIV-1-positive patients (CD4 > 400/mu l) on highly active antiretroviral therapy (HAART). Patients were vaccinated at weeks 0, 4 and 16, followed by interruption of HAART at week 18. MVA-nef was well tolerated except for local reactions, with only mild systemic side effects reported in a few patients. Vaccination with MVA-nef was associated with recognition of new HIV-1 T-cell epitopes (cytotoxic T-lymphocyte epitopes in 9/14 patients, CD4 epitope/recombinant Nef protein in 2/14) and an increase in CD4+ and CD8+ T cells. All patients had been vaccinated against smallpox and a strong T-cell and antibody response to MVA was induced in all patients. After interruption of HAART, viral load rebounded in all patients, but after a median time of 36 (4-76) weeks in 9/14 patients, viraemia remained below the pre-HAART viral load and CD4 counts stayed above the pre-HAART levels. While six patients have remained off therapy for a median time of 64 (57-76) weeks, HAART was resumed in 8/14 patients after a median treatment interruption time of 15 (4-38) weeks. This study has demonstrated that MVA-nef is safe and immunogenic in HIV-1-infected subjects and has provided encouraging data on the potential of therapeutic vaccinations.
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700 1 _ |a Bäuerle, M.
|b 1
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700 1 _ |a Ferstl, B.
|b 2
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700 1 _ |a Chaplin, I. T.
|b 3
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700 1 _ |a Petzold, B.
|b 4
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700 1 _ |a Mateo, L.
|b 5
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700 1 _ |a Handley, A.
|b 6
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700 1 _ |a Tzatzaris, M.
|b 7
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700 1 _ |a Vollmar, J.
|b 8
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700 1 _ |a Bermann, S.
|b 9
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700 1 _ |a Rittmaier, M.
|b 10
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700 1 _ |a Eismann, K.
|b 11
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700 1 _ |a Miller, S.
|b 12
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700 1 _ |a Kalden, J. R.
|b 13
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700 1 _ |a Spriewald, B.
|b 14
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700 1 _ |a Willbold, D.
|b 15
|u FZJ
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700 1 _ |a Harrer, T.
|b 16
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773 _ _ |g Vol. 10, p. 285 - 300
|p 285 - 300
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|0 PERI:(DE-600)2118396-X
|t Antiviral therapy
|v 10
|y 2005
|x 1359-6535
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