Document 3231 DOCN M94A3231 TI Coselection in AIDS pathogenesis. DT 9412 AU Hoffmann GW; Immune Network Research Ltd., Vancouver, Canada. SO Int Conf AIDS. 1994 Aug 7-12;10(1):123 (abstract no. PA0111). Unique Identifier : AIDSLINE ICA10/94369344 AB A model of AIDS pathogenesis in the context of an idiotypic network model is presented. Many phenomena related to AIDS have been described. It is important that we formulate and develop a conceptual model that can account for as wide a variety of the phenomena as possible. Phenomena to be explained include the prevalence of autoimmune phenomena in AIDS, the high rate of mutations observed in HIV, the fact that it appears to be very difficult to superinfect an animal or a culture with a second strain of SIV or HIV, and the fact that immunity to MHC class II can be protective. We postulate that the T cell receptor is involved in the cell infection process. A pathogenesis model is presented that is based on coselection (mutual positive selection) of HIV and helper T cells. Immune recognition of a particular viral strain favours infection by that strain and the selection of that strain. HIV variants that are recognized by as many T cells as possible are preferentially selected. Simultaneously, helper T cells with specificity for HIV are stimulated and postively selected. This is turn favours the selection of suppressor T cells with idiotypes that resemble HIV. Then immunity against HIV automatically zeroes in on the centre-pole idiotypic determinants of suppressor T cells. It has been found that immunity to class II MHC can be protective. This phenomenon will be discussed in the context of the coselection model. Anti-class II MHC immunity could displace the centre-pole, and lead to a decrease in the level of complementarity between helper cell idiotypes and HIV, which in turn could result in inhibition of infection. DE Acquired Immunodeficiency Syndrome/*IMMUNOLOGY Animal Human HIV/GENETICS/*PATHOGENICITY HLA-D Antigens/IMMUNOLOGY *Models, Biological Mutation SIV/PATHOGENICITY T-Lymphocytes/*IMMUNOLOGY/MICROBIOLOGY T-Lymphocytes, Helper-Inducer/IMMUNOLOGY T-Lymphocytes, Suppressor-Effector/IMMUNOLOGY Variation (Genetics) MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).