Zolla-Pazner Susan
New York Veterans Affairs Medical Center and NYU School of Medicine, New York 10016, USA.
Nat Rev Immunol. 2004 Mar;4(3):199-210. doi: 10.1038/nri1307.
During the past 20 years, the pendulum of opinion in the HIV-1 vaccine field has swung between two extremes, initially favouring the induction of antibodies only, and subsequently favouring the induction of cell-mediated immune responses only. At present, the consensus seems to be that induction of both humoral and cellular immunity by an HIV-1 vaccine will be required to achieve maximum protection. One obstacle to the development of an effective HIV-1 vaccine has been the difficulty in inducing broadly reactive, potent antibodies with protective functions. Defining epitopes and designing immunogens that will induce these antibodies is one of the main challenges that now confronts the HIV-1 vaccine field.
在过去20年里,HIV-1疫苗领域的观点钟摆一直在两个极端之间摆动,最初只倾向于诱导产生抗体,随后又只倾向于诱导产生细胞介导的免疫反应。目前,共识似乎是,HIV-1疫苗需要诱导体液免疫和细胞免疫才能实现最大程度的保护。开发有效的HIV-1疫苗的一个障碍是难以诱导出具有保护功能的广泛反应性、强效抗体。确定表位并设计能诱导这些抗体的免疫原是HIV-1疫苗领域目前面临的主要挑战之一。