Phogat S, Wyatt R
Vaccine Research Center, NIAID, NIH, Bethesda, MD 20892-3005, USA.
Curr Pharm Des. 2007;13(2):213-27. doi: 10.2174/138161207779313632.
An effective vaccine against the human immunodeficiency virus type 1 (HIV-1) will likely require the elicitation of broadly neutralizing antibodies as well as cellular responses. The HIV exterior envelope glycoprotein trimers, gp120, and the transmembrane glycoprotein, gp41, mediate entry and are the sole viral targets for neutralizing antibodies. However, as subunit immunogens the envelope glycoproteins do not efficiently elicit antibodies capable of neutralizing the extremely diverse array of viruses circulating in the human population. The preponderance of data suggest that inefficient generation of broadly neutralizing antibodies is due to naturally evolved mechanisms of immune evasion inherent in the unmodified HIV envelope glycoproteins. Because the established modes of anti-viral vaccine development, live-attenuation and virus inactivation have not yet been successful for HIV, we and others have focused on subunit vaccine design. In this review, we describe current approaches of rational modification of the envelope glycoproteins based upon structure, antigenicity, biochemistry and biophysics to alter the properties of the envelope glycoproteins such that, as subunit immunogens, they now better elicit broadly neutralizing antibodies. The application of structure-assisted, rational subunit vaccine design may be a general paradigm for future efforts to develop vaccines against emerging human pathogens.
一种有效的抗人类免疫缺陷病毒1型(HIV-1)疫苗可能需要引发广泛中和抗体以及细胞免疫反应。HIV的外部包膜糖蛋白三聚体gp120和跨膜糖蛋白gp41介导病毒进入细胞,并且是中和抗体的唯一病毒靶点。然而,作为亚单位免疫原,包膜糖蛋白不能有效地引发能够中和人群中循环的极其多样的病毒的抗体。大量数据表明,广泛中和抗体产生效率低下是由于未修饰的HIV包膜糖蛋白中固有的自然进化的免疫逃避机制。由于已确立的抗病毒疫苗开发模式,即减毒活疫苗和病毒灭活疫苗对HIV尚未成功,我们和其他人都将重点放在了亚单位疫苗设计上。在这篇综述中,我们描述了基于结构、抗原性、生物化学和生物物理学对包膜糖蛋白进行合理修饰的当前方法,以改变包膜糖蛋白的特性,使其作为亚单位免疫原能够更好地引发广泛中和抗体。结构辅助的合理亚单位疫苗设计的应用可能是未来开发针对新出现的人类病原体疫苗的总体范式。