“…These observations appear to be inconsistent with a model in which antiviral immune responses represent the primary mechanism underlying the loss of CD4 ϩ T cells. Many studies have suggested cytotoxic effects of HIV-1 proteins, including Tat, Vpr, Nef, and protease, in tissue culture systems (5,12,36,44,56,69,70,73,74,80,85,86,89,93). However, vpr-or nef-deleted HIV-1 still exhibits significant cytotoxicity in tissue culture, and SIV mutants lacking these genes are still capable of causing AIDS in some monkeys (2,35,42,49,50,63).…”