Hiatt Andrew, Zeitlin Larry, Whaley Kevin J
Mapp Biopharmaceutical Inc., 6160 Lusk Boulevard, C104, San Diego, CA 92121, USA.
Clin Dev Immunol. 2013;2013:632893. doi: 10.1155/2013/632893. Epub 2013 Jun 6.
Vaccination strategies depend entirely on the appropriate responsiveness of our immune system against particular antigens. For this active immunization to be truly effective, neutralizing antibodies (nAbs) need to efficiently counter the infectivity or propagation of the pathogen. Some viruses, including HIV, are able to take advantage of this immune response in order to evade nAbs. This review focuses on viral immune evasion strategies that result directly from a robust immune response to infection or vaccination. A rationale for multi-Ab therapy to circumvent this phenomenon is discussed. Progress in the formulation, production, and regulatory approval of monoclonal antibodies (mAbs) is presented.
疫苗接种策略完全取决于我们的免疫系统对特定抗原的适当反应能力。为使这种主动免疫真正有效,中和抗体(nAbs)需要有效地对抗病原体的感染性或繁殖。包括HIV在内的一些病毒能够利用这种免疫反应来逃避中和抗体。本综述重点关注由对感染或疫苗接种的强烈免疫反应直接导致的病毒免疫逃逸策略。讨论了采用多抗体疗法规避这一现象的基本原理。介绍了单克隆抗体(mAbs)在制剂、生产和监管审批方面的进展。