Aaron Diamond AIDS Research Center, The Rockefeller University, 455 First Avenue, New York, New York 10016, USA.
Nat Rev Microbiol. 2012 Dec;10(12):852-67. doi: 10.1038/nrmicro2911.
The AIDS pandemic continues to present us with unique scientific and public health challenges. Although the development of effective antiretroviral therapy has been a major triumph, the emergence of drug resistance requires active management of treatment regimens and the continued development of new antiretroviral drugs. Moreover, despite nearly 30 years of intensive investigation, we still lack the basic scientific knowledge necessary to produce a safe and effective vaccine against HIV-1. Animal models offer obvious advantages in the study of HIV/AIDS, allowing for a more invasive investigation of the disease and for preclinical testing of drugs and vaccines. Advances in humanized mouse models, non-human primate immunogenetics and recombinant challenge viruses have greatly increased the number and sophistication of available mouse and simian models. Understanding the advantages and limitations of each of these models is essential for the design of animal studies to guide the development of vaccines and antiretroviral therapies for the prevention and treatment of HIV-1 infection.
艾滋病大流行继续给我们带来独特的科学和公共卫生挑战。虽然有效的抗逆转录病毒疗法的发展是一个重大的胜利,但耐药性的出现需要积极管理治疗方案和继续开发新的抗逆转录病毒药物。此外,尽管经过近 30 年的深入研究,我们仍然缺乏生产安全有效的 HIV-1 疫苗所需的基本科学知识。动物模型在 HIV/AIDS 的研究中具有明显的优势,允许更深入地研究疾病,并对药物和疫苗进行临床前测试。人源化小鼠模型、非人类灵长类动物免疫遗传学和重组挑战病毒的进展极大地增加了现有的小鼠和猿猴模型的数量和复杂性。了解这些模型各自的优缺点对于设计动物研究至关重要,这些研究可以指导 HIV-1 感染预防和治疗用疫苗和抗逆转录病毒疗法的开发。