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        <dc:title>Antigenic oscillations and shifting immunodominance in HIV-1 infections</dc:title>
        <dc:creator>Nowak, M.A.</dc:creator>
        <dc:creator>May, R.M.</dc:creator>
        <dc:creator>Sigmund, K.</dc:creator>
        <dc:description>Atypical protein antigen contains several epitopes that can be recognized by cytotoxic T lymphocytes (CTL), but in a characteristic antiviral immune response in vivo, CTL recognize only a small number of these potential epitopes, sometimes only one, this phenomenon is known as immunodominance. Antigenic variation within CTL epitopes has been demonstrated for the human immunodeficiency virus HIV-1 and other viruses and such 'antigenic escape' may be responsible for viral persistence. Here we develop a new mathematical model that deals with the interaction between CTL and multiple epitopes of a genetically variable pathogen, and show that the nonlinear competition among CTL responses against different epitopes can explain immunodominance. This model suggests that an antigenically homogeneous pathogen population tends to induce a dominant response against a single epitope, whereas a heterogeneous pathogen population can stimulate complicated fluctuating responses against multiple epitopes. Antigenic variation in the immunodominant epitope can shift responses to weaker epitopes and thereby reduce immuno-logical control of the pathogen population. These ideas are consistent with detailed longitudinal studies of CTL responses in HIV-1 infected patients. For vaccine design, the model suggests that the major response should be directed against conserved epitopes even if they are subdominant.</dc:description>
        <dc:publisher>Nature Publishing Group</dc:publisher>
        <dc:date>1995-06</dc:date>
        <dc:type>Article</dc:type>
        <dc:type>NonPeerReviewed</dc:type>
        <dc:identifier>  Nowak, M.A. &lt;https://pure.iiasa.ac.at/view/iiasa/1481.html&gt;, May, R.M., &amp; Sigmund, K. &lt;https://pure.iiasa.ac.at/view/iiasa/282.html&gt;  (1995).  Antigenic oscillations and shifting immunodominance in HIV-1 infections.   Nature 375 (6532) 606-611. 10.1038/375606a0 &lt;https://doi.org/10.1038/375606a0&gt;.       </dc:identifier>
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