Holm-Hansen Carol
Nasjonalt folkehelseinstitutt, Divisjon for smittevern Postboks 4404 Nydalen 0403 Oslo.
Tidsskr Nor Laegeforen. 2006 Nov 30;126(23):3117-20.
Vaccination has traditionally been the only way by which virus infections have been controlled and eliminated. An effective vaccine will be the best way to control the HIV/AIDS pandemic, especially in the developing world where antiretroviral drugs are not available for the majority of persons living with HIV infection. Much is known about the mechanisms that provide protection against virus infections. Advances in technology have provided possibilities for developing new vaccine strategies and vaccine delivery systems. A major challenge to the development of an HIV vaccine is the high degree of genetic variation among virus isolates. Recent research results indicate that it may be possible to design a single vaccine that is effective against multiple HIV subtypes. Despite great challenges there is reason to be optimistic. The development of a vaccine against HIV has been slow due to great scientific challenges and limited resources. Numerous promising candidate vaccines are currently in clinical trials. There will be an effective vaccine against HIV, but when remains an open question.
传统上,疫苗接种一直是控制和消除病毒感染的唯一途径。有效的疫苗将是控制艾滋病毒/艾滋病大流行的最佳方式,尤其是在发展中世界,那里大多数艾滋病毒感染者无法获得抗逆转录病毒药物。我们对提供针对病毒感染的保护机制了解很多。技术进步为开发新的疫苗策略和疫苗递送系统提供了可能性。开发艾滋病毒疫苗的一个主要挑战是病毒分离株之间高度的基因变异。最近的研究结果表明,有可能设计出一种对多种艾滋病毒亚型有效的单一疫苗。尽管面临巨大挑战,但仍有理由保持乐观。由于巨大的科学挑战和有限的资源,艾滋病毒疫苗的开发一直很缓慢。目前有许多有前景的候选疫苗正在进行临床试验。将会有针对艾滋病毒的有效疫苗,但何时出现仍是一个悬而未决的问题。