aDepartment of Surgery, Duke University Medical Center, Durham, North Carolina, USA bNational Institute for Communicable Diseases, Johannesburg, South Africa cVaccine Research Center, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Curr Opin HIV AIDS. 2007 May;2(3):169-76. doi: 10.1097/COH.0b013e3280ef691e.
PURPOSE OF REVIEW: New findings continue to support the notion that broadly crossreactive neutralizing antibody induction is a worthwhile and achievable goal for HIV-1 vaccines. Immunogens are needed that can overcome the genetic variability and complex immune evasion tactics of the virus. Other antibodies might bridge innate and acquired immunity for possible beneficial vaccine effects. This review summarizes progress made over the past year that has enhanced our understanding of humoral immunity as it relates to HIV-1 vaccine development. RECENT FINDINGS: Although a clear path to designing an effective neutralizing antibody-based HIV-1 vaccine remains elusive, there is new information on how antibodies neutralize HIV-1, the epitopes involved, and clues to the possible nature of protective immunogens that keep this goal alive. Moreover, there is a greater understanding of HIV-1 diversity and its possible limits under immune pressure. Other antibodies might possess antiviral activity by mechanisms involving Fc receptor engagement or complement activation that would be of value for HIV-1 vaccines. SUMMARY: Recent developments strengthen the rationale for antibody-based HIV-1 vaccine immunogens and provide a stronger foundation for vaccine discovery.
综述目的:新发现继续支持这样一种观点,即广泛交叉反应性中和抗体的诱导是 HIV-1 疫苗的一个有价值且可实现的目标。需要能够克服病毒遗传变异性和复杂免疫逃逸策略的免疫原。其他抗体可能为可能有益的疫苗效果架起先天和获得性免疫的桥梁。这篇综述总结了过去一年取得的进展,这些进展增强了我们对与 HIV-1 疫苗开发相关的体液免疫的理解。
最近的发现:尽管设计有效的基于中和抗体的 HIV-1 疫苗的明确途径仍然难以捉摸,但关于抗体如何中和 HIV-1、涉及的表位以及保护性免疫原的可能性质的线索,这些都为实现这一目标提供了新的信息,使这一目标得以延续。此外,人们对 HIV-1 的多样性及其在免疫压力下的可能限制有了更深入的了解。其他抗体可能通过涉及 Fc 受体结合或补体激活的机制具有抗病毒活性,这对 HIV-1 疫苗具有重要价值。
总结:最近的发展加强了基于抗体的 HIV-1 疫苗免疫原的基本原理,并为疫苗发现提供了更坚实的基础。
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