Department of Immunology and Microbial Science and International AIDS Vaccine Initiative Neutralizing Antibody Center, The Scripps Research Institute, La Jolla, CA 92037, USA.
Science. 2012 Jul 13;337(6091):183-6. doi: 10.1126/science.1225416.
Certain human pathogens avoid elimination by our immune system by rapidly mutating the surface protein sites targeted by antibody responses, and consequently they tend to be problematic for vaccine development. The behavior described is prominent for a subset of viruses--the highly antigenically diverse viruses--which include HIV, influenza, and hepatitis C viruses. However, these viruses do harbor highly conserved exposed sites, usually associated with function, which can be targeted by broadly neutralizing antibodies. Until recently, not many such antibodies were known, but advances in the field have enabled increasing numbers to be identified. Molecular characterizations of the antibodies and, most importantly, of the sites of vulnerability that they recognize give hope for the discovery of new vaccines and drugs.
某些人类病原体通过快速突变抗体反应靶向的表面蛋白位点来逃避我们免疫系统的清除,因此它们往往是疫苗开发的难题。这种行为在一组病毒中表现得尤为突出——高度抗原多样化的病毒,包括 HIV、流感和丙型肝炎病毒。然而,这些病毒确实存在高度保守的暴露位点,通常与功能相关,可以被广泛中和抗体所靶向。直到最近,人们才知道有许多这样的抗体,但该领域的进展已经能够识别出越来越多的抗体。对这些抗体,尤其是它们所识别的易损部位的分子特征的研究,为发现新的疫苗和药物带来了希望。