Impact of MHC class I diversity on immune control of immunodeficiency virus replication

The recent failure of the T-cell-based HIV vaccine trial led by Merck & Co., Inc. prompts the urgent need to refocus on the question of which T-cell responses are required to control HIV replication. The well-described association between the expression of particular MHC class I molecules and successful containment of HIV or, in the macaque model, SIV replication provide a valuable starting point from which to evaluate more precisely what might constitute effective CD8(+) T-cell responses. Here, we review recent studies of T-cell mediated control of HIV and SIV infection, and offer insight for the design of a successful T-cell-based HIV vaccine in the future.