“…In support of this strategy, promising broad cross-clade cellular immunity against specific HIV-1 epitopes has been described (27,45,51,133); however, only a few epitopes are conserved across different subtypes, and single amino acid substitutions are selected by the CTL immune pressure, allowing the virus to escape with a dramatic deterioration of clinical conditions (8,9). Moreover, several studies have identified sequence variability within, as well as proximal to, characterized optimal epitopes, which can either modulate binding to the HLA molecule, reduce the binding affinity to the cognate T-cell receptor, or interfere with efficient antigen processing, resulting in escape from CTL surveillance (4,14,31,71).…”