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One HIV Vaccine Trial Provided Some Small Measure of Hope

Question 14

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One HIV vaccine trial provided some small measure of hope for the development of an effective HIV vaccine. This vaccine, known as RV144, was administered to a high risk population in Thailand, and reduced new infections by ~30%. To address the mechanism of immune protection correlating with vaccine efficacy, a series of studies were performed. In one study, total IgG antibodies from four non-infected vaccinees were isolated and were mixed with HIV-infected cells plus peripheral blood lymphocytes from healthy unrelated donors. As a control, IgG antibodies were purified from four donors receiving the placebo, rather than the RV144 vaccine. Six hours later, lysis of the HIV-infected target cells was assessed, as shown in Figure Q40) . One HIV vaccine trial provided some small measure of hope for the development of an effective HIV vaccine. This vaccine, known as RV144, was administered to a high risk population in Thailand, and reduced new infections by ~30%. To address the mechanism of immune protection correlating with vaccine efficacy, a series of studies were performed. In one study, total IgG antibodies from four non-infected vaccinees were isolated and were mixed with HIV-infected cells plus peripheral blood lymphocytes from healthy unrelated donors. As a control, IgG antibodies were purified from four donors receiving the placebo, rather than the RV144 vaccine. Six hours later, lysis of the HIV-infected target cells was assessed, as shown in Figure Q40) .   Figure Q40)  The immune mechanism that correlates with protection based on these data is: A)  CD8-dependent target cell lysis B)  Complement-dependent cell lysis C)  Induction of apoptosis by TNF-R stimulation D)  Target cell apoptosis induced by Fas-ligand stimulation E)  ADCC induced by NK cells Figure Q40) The immune mechanism that correlates with protection based on these data is:


A) CD8-dependent target cell lysis
B) Complement-dependent cell lysis
C) Induction of apoptosis by TNF-R stimulation
D) Target cell apoptosis induced by Fas-ligand stimulation
E) ADCC induced by NK cells

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