Centre for HIV and STIs, National Institute for Communicable Diseases, Johannesburg, Gauteng, South Africa.
Antibody Immunity Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng, South Africa.
Expert Opin Ther Targets. 2021 Jun;25(6):467-477. doi: 10.1080/14728222.2021.1907343. Epub 2021 Apr 6.
Antibodies mediate pathogen neutralization in addition to several cytotoxic Fc functions through engaging cellular receptors and recruiting effector cells. Fc effector functions have been well described in disease control and protection against infectious diseases including HIV, Ebola, malaria, influenza and tuberculosis, making them attractive targets for vaccine design.
We briefly summarize the role of Fc effector functions in disease control and protection in viral, bacterial and parasitic infectious diseases. We review Fc effector function in passive immunization and vaccination, and primarily focus on strategies to elicit and modulate these functions as part of a robust vaccine strategy.
Despite their known correlation with vaccine efficacy for several diseases, only recently have seminal studies addressed how these Fc effector functions can be elicited and modulated in vaccination. However, gaps remain in assay standardization and the precise mechanisms of diverse functional assays. Furthermore, there are inherent difficulties in the translation of findings from animal models to humans, given the difference in sequence, expression and function of Fc receptors and Fc portions of antibodies. However, overall it is clear that vaccine development to elicit Fc effector function is an important goal for optimal prevention against infectious disease.
抗体除了通过与细胞受体结合并募集效应细胞来发挥几种细胞毒性 Fc 功能外,还能介导病原体中和。Fc 效应功能在控制疾病和预防包括 HIV、埃博拉、疟疾、流感和结核病在内的传染病方面的作用已得到充分描述,这使得它们成为疫苗设计的有吸引力的目标。
我们简要总结了 Fc 效应功能在病毒、细菌和寄生虫传染病中控制和保护疾病的作用。我们回顾了 Fc 效应功能在被动免疫和疫苗接种中的作用,并主要关注作为强大疫苗策略一部分的引发和调节这些功能的策略。
尽管已知 Fc 效应功能与几种疾病的疫苗疗效相关,但直到最近才出现了一些重要研究,探讨了如何在疫苗接种中引发和调节这些 Fc 效应功能。然而,在测定标准化以及各种功能测定的精确机制方面仍然存在差距。此外,由于 Fc 受体和抗体 Fc 部分的序列、表达和功能存在差异,将动物模型中的发现转化为人类存在固有困难。然而,总的来说,很明显,引发 Fc 效应功能的疫苗开发是预防传染病的最佳目标。