Boomgarden Alex C, Upadhyay Chitra
Division of Infectious Diseases, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Vaccines (Basel). 2025 Jan 31;13(2):148. doi: 10.3390/vaccines13020148.
The development of an effective HIV-1 vaccine remains a formidable challenge in biomedical research. Despite significant advancements in our understanding of HIV biology and pathogenesis, progress has been impeded by factors such as the virus's genetic diversity, high mutation rates, and its ability to establish latent reservoirs. Recent innovative approaches, including mosaic vaccines and mRNA technology to induce broadly neutralizing antibodies, have shown promise. However, the efficacy of these vaccines has been modest, with the best results achieving approximately 30% effectiveness. Ongoing research emphasizes the necessity of a multifaceted strategy to overcome these obstacles and achieve a breakthrough in HIV-1 vaccine development. This review summarizes current approaches utilized to further understand HIV-1 biology and to create a global vaccine. We discuss the impact of these approaches on vaccine development for other diseases, including COVID-19, influenza, and Zika virus. Additionally, we highlight the specific limitations faced with each approach and present the methods researchers employ to overcome these challenges. These innovative techniques, which have demonstrated preclinical and clinical success, have advanced the field closer to the ultimate goal of developing a global HIV-1 vaccine. Leveraging these advancements will enable significant strides in combating HIV-1 and other infectious diseases, ultimately improving global health outcomes.
开发一种有效的HIV-1疫苗仍然是生物医学研究中一项艰巨的挑战。尽管我们对HIV生物学和发病机制的理解取得了重大进展,但诸如病毒的基因多样性、高突变率及其建立潜伏库的能力等因素阻碍了进展。最近的创新方法,包括用于诱导广泛中和抗体的嵌合疫苗和mRNA技术,已显示出前景。然而,这些疫苗的疗效并不显著,最佳结果的有效性约为30%。正在进行的研究强调了采取多方面策略来克服这些障碍并在HIV-1疫苗开发方面取得突破的必要性。本综述总结了目前用于进一步了解HIV-1生物学和开发全球疫苗的方法。我们讨论了这些方法对其他疾病(包括COVID-19、流感和寨卡病毒)疫苗开发的影响。此外,我们强调了每种方法面临的具体局限性,并介绍了研究人员用来克服这些挑战的方法。这些已在临床前和临床取得成功的创新技术,使该领域更接近开发全球HIV-1疫苗的最终目标。利用这些进展将在抗击HIV-1和其他传染病方面取得重大进展,最终改善全球健康状况。
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