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一种多载体、多包膜的HIV-1疫苗。

A Multi-Vector, Multi-Envelope HIV-1 Vaccine.

作者信息

Hurwitz Julia L, Zhan Xiaoyan, Brown Scott A, Bonsignori Mattia, Stambas John, Lockey Timothy D, Jones Bart, Surman Sherri, Sealy Robert, Freiden Pam, Branum Kristen, Slobod Karen S

机构信息

Departments of Immunology ; Infectious Diseases, St. Jude Children's Research Hospital ; Departments of Pathology.

出版信息

J Pediatr Pharmacol Ther. 2007 Apr;12(2):68-76. doi: 10.5863/1551-6776-12.2.68.

Abstract

The St. Jude Children's Research Hospital (St. Jude) HIV-1 vaccine program is based on the observation that multiple antigenically distinct HIV-1 envelope protein structures are capable of mediating HIV-1 infection. A cocktail vaccine comprising representatives of these diverse structures (immunotypes) is therefore considered necessary to elicit lymphocyte populations that prevent HIV-1 infection. This strategy is reminiscent of that used to design a currently licensed and successful 23-valent pneumococcus vaccine. Three recombinant vector systems are used for the delivery of envelope cocktails (DNA, vaccinia virus, and purified protein), and each of these has been tested individually in phase I safety trials. A fourth FDA-approved clinical trial, in which diverse envelopes and vectors are combined in a prime-boost vaccination regimen, has recently begun. This trial will continue to test the hypothesis that a multi-vector, multi-envelope vaccine can elicit diverse B- and T-cell populations that can prevent HIV-1 infections in humans.

摘要

圣犹大儿童研究医院(St. Jude)的HIV-1疫苗项目基于这样的观察结果:多种抗原性不同的HIV-1包膜蛋白结构能够介导HIV-1感染。因此,一种包含这些不同结构(免疫型)代表的鸡尾酒疫苗被认为对于引发能够预防HIV-1感染的淋巴细胞群体是必要的。这一策略让人联想到用于设计目前已获许可且成功的23价肺炎球菌疫苗的策略。三种重组载体系统用于递送包膜鸡尾酒(DNA、痘苗病毒和纯化蛋白),并且每种都已在I期安全性试验中单独进行了测试。最近开始了第四项获得美国食品药品监督管理局(FDA)批准的临床试验,在该试验中,不同的包膜和载体在初免-加强疫苗接种方案中组合使用。该试验将继续检验这样的假设,即多载体、多包膜疫苗能够引发可预防人类HIV-1感染的不同B细胞和T细胞群体。

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