Division of Hematology/Oncology, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
Annu Rev Med. 2010;61:135-52. doi: 10.1146/annurev.med.60.042507.164323.
Developing an HIV-1 vaccine that can elicit antibodies to prevent infection has been a formidable challenge. Although no single immunogen has generated antibodies that can neutralize diverse isolates, progress has been made in understanding (a) the structure of the HIV-1 envelope glycoprotein, which is targeted by neutralizing antibodies, (b) how HIV-1 evades antibodies made by an infected host, and (c) how rare monoclonal antibodies can exhibit broadly neutralizing activity. Advances in structural and molecular biology coupled with new approaches to isolate neutralizing antibodies from HIV-1-infected individuals are enhancing our understanding of what humoral immune responses will be required for a vaccine. This review summarizes progress in understanding the host antibody response to HIV-1 and current strategies for applying this information to develop an effective vaccine.
开发一种能够诱导抗体以预防感染的 HIV-1 疫苗一直是一个艰巨的挑战。尽管没有单一的免疫原能够产生中和多种分离株的抗体,但在理解(a)HIV-1 包膜糖蛋白的结构方面已经取得了进展,该结构是中和抗体的靶标,(b)HIV-1 如何逃避感染宿主产生的抗体,以及(c)罕见的单克隆抗体如何表现出广泛的中和活性。结构和分子生物学的进展以及从 HIV-1 感染者中分离中和抗体的新方法,正在增强我们对疫苗所需体液免疫反应的理解。本文综述了对宿主抗 HIV-1 抗体反应的理解以及应用这些信息开发有效疫苗的当前策略的进展。
Annu Rev Med. 2010
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