Corey Lawrence, Gilbert Peter B, Tomaras Georgia D, Haynes Barton F, Pantaleo Giuseppe, Fauci Anthony S
HIV Vaccine Trials Network, Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA.
Statistical Center for HIV/AIDS Research and Prevention, Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA.
Sci Transl Med. 2015 Oct 21;7(310):310rv7. doi: 10.1126/scitranslmed.aac7732.
The partial efficacy reported in the RV144 HIV vaccine trial in 2009 has driven the HIV vaccine field to define correlates of risk associated with HIV-1 acquisition and connect these functionally to preventing HIV infection. Immunological correlates, mainly including CD4(+) T cell responses to the HIV envelope and Fc-mediated antibody effector function, have been connected to reduced acquisition. These immunological correlates place immunological and genetic pressure on the virus. Indeed, antibodies directed at conserved regions of the V1V2 loop and antibodies that mediate antibody-dependent cellular cytotoxicity to HIV envelope in the absence of inhibiting serum immunoglobulin A antibodies correlated with decreased HIV risk. More recently, researchers have expanded their search with nonhuman primate studies using vaccine regimens that differ from that used in RV144; these studies indicate that non-neutralizing antibodies are associated with protection from experimental lentivirus challenge as well. These immunological correlates have provided the basis for the design of a next generation of vaccine regimens to improve upon the qualitative and quantitative degree of magnitude of these immune responses on HIV acquisition.
2009年RV144 HIV疫苗试验报告的部分疗效推动了HIV疫苗领域去定义与HIV-1感染相关的风险关联因素,并将这些因素与预防HIV感染建立功能联系。免疫关联因素,主要包括CD4(+) T细胞对HIV包膜的反应以及Fc介导的抗体效应功能,已与感染风险降低相关联。这些免疫关联因素给病毒带来了免疫和遗传压力。确实,针对V1V2环保守区域的抗体以及在不存在抑制性血清免疫球蛋白A抗体的情况下介导对HIV包膜的抗体依赖性细胞毒性的抗体与HIV风险降低相关。最近,研究人员通过使用与RV144中所用疫苗方案不同的疫苗方案进行非人灵长类动物研究来扩大其研究范围;这些研究表明,非中和抗体也与免受实验性慢病毒攻击的保护作用相关。这些免疫关联因素为设计下一代疫苗方案提供了基础,以改善这些免疫反应在HIV感染方面的定性和定量程度。
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