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FEB-15-96 THU 15:48 BSTN HUMAN RIGHTS INST. 617 266 0051 2-16-1996 :20PM FROM KAHPAKUKI 613/010061 P.03 Salk Immunogen, Cont'd from page 1 After years of study in HIV-seropositive Individuals the results this year have been published in Journal of Acquired Immune Deficiency Syndrome (Vol. 7. Supplement 1, 1994), happened to Salk before, the scientific establishment scoffed. the Journal of Infectious Diseases (June 94). and elsewhere. The Salk rationale is based on the Idea that the virus The reports suggest that immunization with the HIV-1 persia due to an inadequate immune system response and immunogen leads to an improvement of cell-mediated that the body can be induced to generate a more effective immune response against the virus, a slower rate of increase response through vaccination. The mechanisms by which in the amount of virus (i.e. viral load or viral burden), a this may occur Include reducing the amount of circulating slower decline in CD4+ T-cell percent, and a reduction in the virus, improving recognition of variants of the virus, enhancing the immune system's recognition of viral antigens rate of clinical progression (the appearance of new symptoms or opportunistic infections). In a double-blind, adjuvant- and increasing support of the remaining T-cells. (See Salk, controlled study, immune system, viral, and cellular effects J., Prospects for the control of AIDS by immunizing were observed in the first year following the start of seropositive individuals, Nature, 327,473-476, 1987). immunization with clinical effects seen in the second year. [NOTE: antigens are substances that slimulate on immune While the results individually are not all that remarkable, the response. The immune system recognizes these substances as concordance of all these markers, without exception, seem to being foreign, and produces antibodies to fight them. The be in the right direction, antigen/antibody response is an important part of immunity.] No serious adverse reactions to immunization have been Since that time, we have been able to demonstrate in observed in any of the studies conducted thus far. several human trials the safety and immune-enhancing In a double-blind, controlled study (Study 103), both the properties of his HIV-1 Immunogen, made from the whole killed Zairian strain of HIV. pattern of change in viral burden and the incidence of progression has been more favorable among those who Salk's methodology involved culturing the live HIV-1 showed the most pronounced immune response following virus to obtain sufficient amounts and then purifying it. It immunization. Specifically, what was looked for was an was then stripped of its envelope glycoprotein gp120. leaving immunogen-specific cell-mediated immune response, Since the rest of the antigens intact. Salk felt that we did not know progression did not correlate with cell-mediated immune enough about the active mane of the 1A

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