Vargas-Inchaustegui Diego A, Robert-Guroff Marjorie
Vaccine Branch, Center for Cancer Research, National Cancer Institute, 41 Medlars Drive, Building 41, Room D804, Bethesda, MD 20192-5065, USA.
Curr HIV Res. 2013 Jul;11(5):407-20. doi: 10.2174/1570162x113116660063.
The modest success of the RV144 HIV vaccine trial in Thailand and the ensuing suggestion that a Fc-receptormediated antibody activity might have played a role in the protection observed have intensified investigations on Fcrelated immune responses. HIV neutralizing antibodies have been and continue to be the focal point of research into humoral immune protection. However, recent knowledge that their protective efficacy can be augmented by Fc-FcR interactions has increased the complexity of identifying immune correlates of protection. If anything, continued studies of both humoral and cellular immune mechanisms point to the lack of a single protective anti-HIV immune response. Here we focus on humoral immunity, analyzing the role played by Fc receptor-related responses and discussing how new knowledge of their interactions requires further investigation, but may also spur novel vaccination approaches. We initially address classical Fc-receptor mediated anti-viral mechanisms including antibody-dependent cellular cytotoxicity (ADCC), antibody-dependent cell mediated viral inhibition (ADCVI), and antibody-dependent cellular phagocytosis (ADCP), as well as the effector cells that mediate these functions. Next, we summarize key aspects of FcR-Fc interactions that are important for potential control of HIV/SIV such as FcR polymorphisms and post-transcriptional modifications. Finally we discuss less commonly studied non-mechanistic anti-HIV immune functions: antibody avidity and envelopespecific B cell memory. Overall, a spectrum of immune responses, reflecting the immune system's redundancy, will likely be needed to prevent HIV infection and/or disease progression. Aside from elicitation of critical immune mechanisms, a successful vaccine will need to induce mature B cell responses and long-lasting immune memory.
RV144艾滋病疫苗在泰国取得的适度成功,以及随之而来的关于Fc受体介导的抗体活性可能在观察到的保护作用中发挥了作用的推测,强化了对Fc相关免疫反应的研究。HIV中和抗体一直是体液免疫保护研究的重点,并且仍将是重点。然而,最近发现Fc-FcR相互作用可增强其保护效力,这增加了确定保护免疫相关性的复杂性。如果说有什么不同的话,对体液免疫和细胞免疫机制的持续研究表明,缺乏单一的保护性抗HIV免疫反应。在此,我们聚焦于体液免疫,分析Fc受体相关反应所起的作用,并讨论关于它们相互作用的新知识如何既需要进一步研究,也可能催生出新的疫苗接种方法。我们首先探讨经典的Fc受体介导的抗病毒机制,包括抗体依赖性细胞毒性(ADCC)、抗体依赖性细胞介导的病毒抑制(ADCVI)和抗体依赖性细胞吞噬作用(ADCP),以及介导这些功能的效应细胞。接下来,我们总结FcR-Fc相互作用的关键方面,这些方面对于潜在控制HIV/SIV很重要,例如FcR多态性和转录后修饰。最后,我们讨论较少被研究的非机械性抗HIV免疫功能:抗体亲和力和包膜特异性B细胞记忆。总体而言,可能需要一系列反映免疫系统冗余性的免疫反应来预防HIV感染和/或疾病进展。除了引发关键的免疫机制外,一种成功的疫苗还需要诱导成熟的B细胞反应和持久的免疫记忆。
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