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艾滋病疫苗的临床研究与最新进展

Clinical trials and recent progress in HIV vaccine development.

机构信息

Department of Biotechnology Quaid-i, Azam University Islamabad Pakistan, Islamabad Capital Territory, Pakistan.

出版信息

Funct Integr Genomics. 2024 Aug 28;24(5):143. doi: 10.1007/s10142-024-01425-9.

Abstract

The greatest obstacle for scientists is to develop an effective HIV vaccine. An effective vaccine represents the last hope for halting the unstoppable global spread of HIV and its catastrophic clinical consequences. Creating this vaccine has been challenging due to the virus's extensive genetic variability and the unique role of cytotoxic T lymphocytes (CTL) in containing it. Innovative methods to stimulate CTL have demonstrated significant therapeutic advantages in nonhuman primate model systems, unlike traditional vaccination techniques that are not expected to provide safe and efficient protection against HIV. Human clinical trials are currently evaluating these vaccination strategies, which involve plasmid DNA and live recombinant vectors. This review article covers the existing vaccines and ongoing trial vaccines. It also explores the different approaches used in developing HIV vaccines, including their molecular mechanisms, target site effectiveness, and potential side effects.

摘要

科学家面临的最大障碍是开发出有效的 HIV 疫苗。有效的疫苗是阻止 HIV 不可阻挡的全球传播及其灾难性临床后果的最后希望。由于病毒广泛的遗传变异性和细胞毒性 T 淋巴细胞(CTL)在控制病毒方面的独特作用,因此开发这种疫苗极具挑战性。与传统的疫苗接种技术不同,刺激 CTL 的创新方法在非人类灵长类动物模型系统中显示出显著的治疗优势,这些技术预计无法提供针对 HIV 的安全有效的保护。目前正在对涉及质粒 DNA 和活重组载体的这些疫苗接种策略进行人体临床试验。本文综述了现有的疫苗和正在进行的试验疫苗,并探讨了开发 HIV 疫苗中使用的不同方法,包括其分子机制、靶标效果和潜在的副作用。

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