Common cold virus may have foiled HIV vaccine test

Published: Monday, Nov. 16, 2009 1:30 p.m. MST
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WASHINGTON — The failure of an experimental AIDS vaccine trial two years ago may have been caused by the common cold virus.

The vaccine was intended to block the spread of HIV, which causes AIDS. But the test was canceled after volunteers who got the shots were more likely to become infected than those who got a dummy shot.

The problem, which could hamper efforts to stifle the spread of HIV in Third World countries, may have been using the common adenovirus to carry HIV material around the body to help the immune system recognize the invader. The conclusion comes from researchers reporting in Tuesday's edition of Proceedings of the National Academy of Sciences.

The test vaccine itself did not spread the illness, the team of researchers said.

However, adenovirus — which causes the common cold — is so widespread that many people have previously been exposed to it. The researchers said that prior exposure resulted in mucus membranes producing large numbers of immune cells called CD4 T-cells to fight off the adenovirus. But those are also the cells that HIV infects, providing a ready place for the AIDS virus to grow in people who had received the vaccine and were later exposed to HIV, the researchers said.

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"Our research would suggest a cautious approach for the future development of adenovirus vector vaccines for use in areas of high HIV prevalence, or in individuals whose lifestyles meant that they were at higher risk of HIV infection," said Steven Patterson, lead author of the study appearing in Tuesday's edition of Proceedings of the National Academy of Sciences.

Adenovirus is also used in vaccines for tuberculosis and malaria that are under development, said Patterson, of Imperial College, London. This raises a particularly difficult problem in many areas of the world with a high rate of HIV, and high rates of TB and malaria that will be targeted by vaccines for those diseases, he said.

"If our hypothesis is correct, then the use of an adenovirus vaccine against any disease in an area of high HIV prevalence may increase the risk of HIV infection," he said.

However, Patterson noted in an e-mail, "there are scientists in the HIV vaccine field who do not believe that the adenovirus was the reason for increased number of infections in the vaccinated group."

Dr. Michael Robertson of Merck & Co., Inc., which was conducting the discontinued study, known as Step, welcomed the report as providing "additional insights.

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