Despite detailed analysis of the HIV-1-specific cytotoxic T lymphocyte response by various groups, its relation to viral load and viral sequence variation remains controversial. We analyzed
HLA-A*0201 restricted cytotoxic T lymphocyte responses in 17 HIV-1-infected individuals with viral loads ranging from < 400 to 221,000 HIV
RNA molecules per milliliter of plasma. In 13 out of 17 infected subjects, CTL responses against the
SLYNTVATL epitope (p17 Gag; aa 77-85) were detectable, whereas two other
HLA-A*0201 restricted
epitopes (ILKEPVHGV, IV9; and VIYQYMDDL, VL9) were only recognized by six and five individuals out of 17 individuals tested, respectively. Naturally occurring variants of the SL9
epitope were tested for binding to
HLA-A*0201 and for recognition by specific T cell clones generated from five individuals. Although these variants were widely recognized, they differed by up to 10,000-fold in terms of variant
peptide concentrations required for lysis of target cells. A comparison of viral sequences derived from 10
HLA-A*0201-positive individuals to sequences obtained from 11
HLA-A*0201-negative individuals demonstrated only weak evidence for immune selective pressure and thus question the in vivo efficacy of immunodominant CTL responses present during chronic HIV-1
infection.