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Human Retroviral Infections - Immunological and Therapeutic Control (Hardcover, 2002 ed.)
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Human Retroviral Infections - Immunological and Therapeutic Control (Hardcover, 2002 ed.)
Series: Infectious Agents and Pathogenesis
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The discovery of the human T cell leukemia virus type I in the late
1970s heralded a new era in retrovirology. For the first time, it
was demonstrated that a retrovirus could play a role in the
development of a human disease, in this case adult T cell leukemia
(ATL). Several years later, the acquired immunodeficiency syndrome
(AIDS) epidemic began, and it was dem- strated that a retrovirus,
originally designated the human T cell lymp- tropic virus type 3,
was the causal agent of this syndrome. This virus, later named the
human immunodeficiency virus type 1 (HIV-1), has since been
extensively studied in terms of its pathogenesis as well as its
ability to elicit immune responses. In that time, a tremendous
amount of information has been obtained about the virus. Although
recent drug regimens have been useful in significantly lowering
viral loads and perhaps maintaining an asymptomatic state among
individuals infected with HIV-1, an established "cure" for AIDS
eludes us. In addition, the effective drug therapies are very
expensive, and are not available to infected people in the third
world, where greater than 90% of new infections occur. Furthermore,
the development of viral resistance against the drug therapies is
an additional concern. Despite extensive study, no effective
vaccine has been developed. One of the problems in developing an
effective vaccine against HIV-1 is the ability of the virus,
particularly in the immunogenic envelop glycoprotein, to undergo
amino acid hypervariability.
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