Wohl Virion Centre, Division of Infection and Immunity, University College London, London WC1E 6BT, England, UK.
J Exp Med. 2013 Feb 11;210(2):209-23. doi: 10.1084/jem.20121827.
Most neutralizing antibodies act at the earliest steps of viral infection and block interaction of the virus with cellular receptors to prevent entry into host cells. The inability to induce neutralizing antibodies to HIV has been a major obstacle to HIV vaccine research since the early days of the epidemic. However, in the past three years, the definition of a neutralizing antibody against HIV has been revolutionized by the isolation of extremely broad and potent neutralizing antibodies from HIV-infected individuals. Considerable hurdles remain for inducing neutralizing antibodies to a protective level after immunization. Meanwhile, novel technologies to bypass the induction of antibodies are being explored to provide prophylactic antibody-based interventions. This review addresses the challenge of inducing HIV neutralizing antibodies upon immunization and considers notable recent advances in the field. A greater understanding of the successes and failures for inducing a neutralizing response upon immunization is required to accelerate the development of an effective HIV vaccine.
大多数中和抗体作用于病毒感染的早期阶段,并阻断病毒与细胞受体的相互作用,从而防止进入宿主细胞。自艾滋病流行早期以来,无法诱导针对 HIV 的中和抗体一直是 HIV 疫苗研究的主要障碍。然而,在过去三年中,从 HIV 感染者中分离出极其广泛和有效的中和抗体,彻底改变了 HIV 中和抗体的定义。在免疫接种后诱导达到保护性水平的中和抗体仍然存在相当大的障碍。与此同时,正在探索绕过抗体诱导的新技术,以提供预防性基于抗体的干预措施。本文综述了免疫接种诱导 HIV 中和抗体的挑战,并讨论了该领域的最新进展。为了加速有效的 HIV 疫苗的开发,需要更深入地了解免疫接种诱导中和反应的成功和失败。