{Reference Type}: Journal Article {Title}: Mpox-specific immune responses elicited by vaccination or infection in people living with HIV. {Author}: Grüner E;Grossegesse M;Stern D;Ober V;Eser TM;Reiling G;Stirner R;Ibarra G;Postel N;Conca R;Dächert C;Grifoni A;Sette A;Bogner J;Seybold U;Roider J; {Journal}: J Infect Dis {Volume}: 0 {Issue}: 0 {Year}: 2024 Mar 13 {Factor}: 7.759 {DOI}: 10.1093/infdis/jiae138 {Abstract}: In the recent mpox outbreak, people living with HIV (PLWH) were at high risk both for contracting infection and for suffering a more severe disease course. We studied cellular and humoral immune responses elicited by mpox infection (n = 5; n = 3 PLWH) or smallpox vaccination (n = 17; all PLWH) in a cohort of men who have sex with men. All PLWH were successfully treated, with stable CD4 counts and undetectable HIV viral loads. 11/17 vaccinated individuals had received childhood smallpox vaccination. In this group of individuals, both two-dose MVA-vaccination and natural infection evoked mpox-specific immune responses mediated by B cells as well as CD4 and CD8 T cells. This study improves our understanding of smallpox vaccination mediated cross-reactivity to other orthopox viruses, and the long-lasting durability of childhood smallpox vaccination mediated immune responses including in PLWH.