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Autologous dendritic cells electroporated with HIV-1 tat mRNA (also known as DC-TRN) is an investigational personalized autologous dendritic cell-based therapeutic vaccine. Developed collaboratively by the Vrije Universiteit Brussel and Erasmus MC, Rotterdam, the vaccine consists of autologous monocyte-derived dendritic cells electroporated ex vivo with mRNA encoding the early HIV-1 regulatory proteins Tat, Rev, and Nef (and in some formulations, Gag). These antigen-loaded dendritic cells are designed to present HIV-1 antigens via both MHC class I and class II pathways, thereby priming and expanding HIV-specific CD4+ and CD8+ T-cell responses to control viral replication. In a Phase I/IIa clinical trial in HIV-1-infected patients on stable highly active antiretroviral therapy (HAART), the vaccine was found to be safe and immunogenic, though it did not prevent viral rebound during analytical treatment interruption.
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