Zagury D, Lecoq H, Gervi I, Le Buanec H, Zagury J F, Bizzini B, Burny A, Hermans P, Perja M, Santagostino E, Gringeri A
Laboratoire de Physiologie Cellulaire, P. et M. Curie University, Paris, France.
Biomed Pharmacother. 1999 Mar;53(2):90-2. doi: 10.1016/s0753-3322(99)80065-1.
HAART (highly active antiretroviral therapy) suppresses but does not eradicate HIV-1 infection. However, since the antiretroviral agents used in HAART may also be toxic in the long-term, immunotherapies which correct HIV-1 immunosuppression or the cytokine dysregulation associated with it may be beneficial. In this respect, a double blind multicentric placebo-controlled phase II/III anti-IFN alpha vaccine trial has been carried out on 242 HIV-1 patients, the majority of whom were undergoing HAART treatment. In vaccinated patients (vaccinees) who responded to immunization by increased levels of IFN alpha Abs (whether under HAART or not) when compared to placebo or non-responder vaccinees, a strong correlation was found between an increased IFN alpha neutralizing capacity and the reduction of clinical manifestations.
高效抗逆转录病毒疗法(HAART)可抑制但无法根除HIV-1感染。然而,由于HAART中使用的抗逆转录病毒药物长期来看可能也具有毒性,纠正HIV-1免疫抑制或与之相关的细胞因子失调的免疫疗法可能有益。在这方面,已对242名HIV-1患者开展了一项双盲多中心安慰剂对照的II/III期抗IFNα疫苗试验,其中大多数患者正在接受HAART治疗。与安慰剂组或无反应的接种者相比,接种疫苗后IFNα抗体水平升高(无论是否接受HAART)的接种患者(受种者)中,发现IFNα中和能力增强与临床表现减轻之间存在密切关联。