TY - JOUR TI - CD8 T Cell Virus Inhibition Assay Protocol AU - Xu, Yinyan AU - Weideman, Ann Marie AU - Abad-Fernandez, Maria AU - Mollan, Katie R. AU - Kallon, Sallay AU - Samir, Shahryar AU - Warren, Joanna A. AU - Clutton, Genevieve AU - Roan, Nadia AU - Adimora, Adaora A. AU - Archin, Nancie AU - Kuruc, JoAnn AU - Gay, Cindy AU - Hudgens, Michael G. AU - Goonetilleke, Nilu VL - 12 IS - 6 PY - 2022 DA - 2022/03/20 SP - e4354 C1 - Bio-protocol 2022;12:e4354 DO - 10.21769/BioProtoc.4354 UR - https://doi.org/10.21769/BioProtoc.4354 AB - The human immunodeficiency virus (HIV)-1 viral inhibition assay (VIA) measures CD8+ T cell-mediated inhibition of HIV replication in CD4+ T cells and is increasingly used for clinical testing of HIV vaccines and immunotherapies. Different VIAs that differ in length of CD8:CD4 T cell culture periods (6–13 days), purity of CD4 cultures [isolated CD4+ T cells or CD8+ depleted peripheral blood mononuclear cells (PBMCs)], HIV strains (laboratory strains, isolates, reporter viruses) and read-outs of virus inhibition (p24 ELISA, intracellular measurement of p24, luciferase reporter expression, and viral gag RNA) have been reported.Here, we describe multiple modifications to a 7-day VIA protocol, the most impactful being the introduction of independent replicate cultures for both HIV infected-CD4 (HIV-CD4) and HIV-CD4:CD8 T cell cultures. Virus inhibition was quantified using a ratio of weighted averages of p24+ cells in replicate cultures and the corresponding 95% confidence intervals. We identify methodological and analysis changes that could be incorporated into other protocols to improve assay reproducibility. We found that in people living with HIV (PLWH) on antiretroviral therapy (ART), CD8 T cell virus inhibition was largely stable over time, supporting the use of this assay and/or analysis methods to examine therapeutic interventions.Graphic abstract: KW - CD4 KW - CD8 KW - HIV KW - JRCSF KW - T-cell KW - p24 KW - Virus inhibition JF - Bio-protocol SN - 2331-8325 PB - Bio-protocol LLC. BIO101 - False