痘病毒载体作为人类艾滋病疫苗。
Poxvirus vectors as HIV/AIDS vaccines in humans.
机构信息
Department of Molecular and Cellular Biology, Centro Nacional de Biotecnología, Consejo Superior de Investigaciones Científicas, Madrid, Spain.
出版信息
Hum Vaccin Immunother. 2012 Sep;8(9):1192-207. doi: 10.4161/hv.20778. Epub 2012 Aug 21.
The RV144 phase III clinical trial with the combination of the poxvirus vector ALVAC and the HIV gp120 protein has taught us that a vaccine against HIV/AIDS is possible but further improvements are still needed. Although the HIV protective effect of RV144 was modest (31.2%), these encouraging results reinforce the use of poxvirus vectors as HIV/AIDS vaccine candidates. In this review we focus on the prophylactic clinical studies thus far performed with the more widely studied poxvirus vectors, ALVAC, MVA, NYVAC and fowlpox expressing HIV antigens. We describe the characteristics of each vector administered either alone or in combination with other vectors, with emphasis on the immune parameters evaluated in healthy volunteers, percentage of responders and triggering of humoral and T cell responses. Some of these immunogens induced broad, polyfunctional and long-lasting CD4(+) and CD8(+) T cell responses to HIV-1 antigens in most volunteers, with preference for effector memory T cells, and neutralizing antibodies, immune parameters that might be relevant in protection. Finally, we consider improvements in immunogenicity of the poxvirus vectors by the selective deletion of viral immunomodulatory genes and insertion of host range genes in the poxvirus genome. Overall, the poxvirus vectors have proven to be excellent HIV/AIDS vaccine candidates, with distinct behavior among them, and the future implementation will be dictated by their optimized immune profile in clinical trials.
RV144 三期临床试验采用痘病毒载体 ALVAC 和 HIV gp120 蛋白联合,这让我们认识到,HIV/AIDS 疫苗是可行的,但仍需进一步改进。尽管 RV144 对 HIV 的保护作用有限(31.2%),但这些令人鼓舞的结果强化了痘病毒载体作为 HIV/AIDS 疫苗候选物的作用。在这篇综述中,我们重点关注迄今为止使用更广泛研究的痘病毒载体(ALVAC、MVA、NYVAC 和表达 HIV 抗原的禽痘病毒)进行的预防性临床研究。我们描述了每种载体单独或与其他载体联合使用的特点,重点是在健康志愿者中评估的免疫参数、应答者比例以及体液和 T 细胞应答的触发。其中一些免疫原在大多数志愿者中诱导了针对 HIV-1 抗原的广泛、多功能和持久的 CD4(+)和 CD8(+)T 细胞应答,偏爱效应记忆 T 细胞和中和抗体,这些免疫参数可能与保护相关。最后,我们考虑通过选择性删除病毒免疫调节基因和在痘病毒基因组中插入宿主范围基因来提高痘病毒载体的免疫原性。总之,痘病毒载体已被证明是优秀的 HIV/AIDS 疫苗候选物,它们之间具有不同的特性,未来的实施将取决于它们在临床试验中的优化免疫特征。