Hurwitz Julia L, Slobod Karen S, Lockey Tim D, Wang Shixia, Chou Te-Hui W, Lu Shan
Department of Immunology, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.
Curr Drug Targets Infect Disord. 2005 Jun;5(2):143-56. doi: 10.2174/1568005054201517.
One major obstacle to the design of a global HIV-1 vaccine is viral diversity. Presently, data suggest that a single antigen will not suffice to generate broadly reactive neutralizing antibodies to protect all individuals against all subtypes of HIV-1 infection. While some of the neutralizing epitopes are identified in the constant regions of the HIV-1 envelope (Env) glycoprotein, many are localized to variable regions and differ conformationally from one virus to the next. The successes of polyvalent vaccine approaches against other antigenically variable pathogens encourage adoption of the same approach for HIV-1 vaccine design. The critical question is which envelope antigens should be combined in a vaccine cocktail to provide maximum protection against HIV-1. A review of the existing human vaccines based on the polyvalent principle is included here to provide a historical perspective for the current effort of developing a polyvalent HIV-1 vaccine. Data generated from several groups actively working on candidate polyvalent HIV-1 vaccines are summarized. Information presented in this review highlights the potential and importance of the polyvalent vaccine approach for the future development of an effective HIV-1 vaccine.
设计全球人类免疫缺陷病毒1型(HIV-1)疫苗的一个主要障碍是病毒的多样性。目前,数据表明单一抗原不足以产生具有广泛反应性的中和抗体,从而保护所有个体免受所有HIV-1亚型感染。虽然一些中和表位在HIV-1包膜(Env)糖蛋白的恒定区被鉴定出来,但许多位于可变区,并且不同病毒之间在构象上存在差异。针对其他抗原可变病原体的多价疫苗方法取得的成功促使人们在HIV-1疫苗设计中采用相同的方法。关键问题是在疫苗组合中应组合哪些包膜抗原,以提供对HIV-1的最大保护。本文纳入了基于多价原则的现有人类疫苗综述,为当前开发多价HIV-1疫苗的努力提供历史视角。总结了几个积极致力于候选多价HIV-1疫苗研究的团队所产生的数据。本综述中呈现的信息突出了多价疫苗方法对未来开发有效HIV-1疫苗的潜力和重要性。