Journal of Clinical Virology 21 (2001) 81–89 Antibodies against full-length Tat protein and some low-molecular-weight Tat-peptides correlate with low or undetectable viral load in HIV-1 seropositive patients M.C. Re a, *, M. Vignoli a , G. Furlini a , D. Gibellini a , V. Colangeli b , F. Vitone a , M. La Placa a a Department of Clinical and Experimental Medicine, Section of Microbiology, Uniersity of Bologna, Via Massarenti, 9 -40138 Bologna, Italy b Department of Clinical and Experimental Medicine, Section of Infectious Diseases, Uniersity of Bologna, Via Massarenti, 9 -40138 Bologna, Italy Received 13 October 2000; accepted 18 December 2000 Abstract Background : The efficacy of a specific humoral response to transactivating Tat protein was studied in a group of HIV-1 seropositive drug addicts, who had previously received a similar course of anti-retroviral treatment with two reverse transcriptase inhibitors. Objecties : The aim of the study was to evaluate the meaning of an immune response to Tat protein in HIV-1 seropositive patients with different levels of HIV-1 RNA viremia. Study design : The study analyzed the presence of anti-Tat antibody reacting either with full-length Tat or with individual overlapping Tat-peptides (Tat 6–14 , Tat 11–24 , Tat 36–50 , Tat 46–60 , Tat 56–70 and Tat 65–80 ), in a group of HIV-1 seropositive subjects with different peripheral blood viral loads. Plasma samples were examined by immunoenzymatic assay for the presence of anti-Tat IgG antibody and for the quantification of peripheral blood (plasma) viral load by branched DNA assay. Results : The large majority of HIV-1 patients showed detectable levels of serum IgG to full-length-Tat, and the anti-Tat antibody level presented an inverse correlation with viral load magnitude. The analysis of antibody levels against individual overlapping Tat-peptides clearly showed that an undetectable viral load was significantly associated with the presence of a high antibody concentration against Tat 6–14 , Tat 36–50 and Tat 46–60 (P =0.002, P =0.027 and P 0.001, respectively). Conclusion : In HIV-1-infected patients, a strong humoral immune response against HIV-1 Tat protein is inversely correlated to peripheral blood viral load and, in particular, a high level of antibody against Tat peptides containing amino acid residues 6 – 14 (Tat 6–14 ), 36–50 (Tat 36–50 ) and 46–60 (Tat 46–60 ) is associated with an undetectable plasma viral load. These findings may help to tailor anti-HIV-1 Tat-containing vaccines. © 2001 Elsevier Science B.V. All rights reserved. Keywords: Anti-Tat antibody; HV-1 viral load; Tat protein www.elsevier.com/locate/jcv * Corresponding author. Tel.: +39-51-4290900; fax: +39-51-341632. E-mail address: remc@med.unibo.it (M.C. Re). 1386-6532/01/$ - see front matter © 2001 Elsevier Science B.V. All rights reserved. PII:S1386-6532(00)00189-X