Alving C R, Koulchin V, Glenn G M, Rao M
Department of Membrane Biochemistry, Walter Reed Army Institute of Research, Washington, DC 20307-5100, USA.
Immunol Rev. 1995 Jun;145:5-31. doi: 10.1111/j.1600-065x.1995.tb00075.x.
In the quest for effective immunization against complex diseases such as cancer, parasitic diseases, AIDS, and other viral infections, numerous peptides and recombinant proteins have been synthesized, examined for the ability to induce antibodies and CTLs, and tested for binding capability and therapeutic or prophylactic efficacy against the original target cell or organism. A liposome formulation, consisting of alum-adsorbed liposomes containing both a potent adjuvant, lipid A, and encapsulated or surface bound antigen, has had a record of safety and strong effectiveness for induction of antibodies in human vaccine trials. These same liposomes can also serve as effective vehicles for delivering conjugated or unconjugated peptides and proteins to antigen presenting cells for presentation via MHC class I and class II pathways for induction of CTLs and antibodies in experimental animal models. Liposomal lipid A appears to be extremely important, and is often a requirement, as an adjuvant for induction of CTLs against liposomal peptide antigens. Computer-generated molecular modelling analysis of small unconjugated or lipid-conjugated peptides strongly suggests that the expression of peptide antigen on the surface of the liposomes can be an important factor both in the induction of antibodies and in determining antibody specificities to small peptides. However, antigenic surface expression of liposomal peptide is not required for induction of CTLs. The data suggest that small synthetic peptides, synthesized with or without a lipid tail, or chemically conjugated to the surface of liposomes, might serve as effective antigenic epitopes, in combination with liposomal lipid A for induction of antibodies and CTLs.
在寻求针对癌症、寄生虫病、艾滋病和其他病毒感染等复杂疾病的有效免疫方法的过程中,人们合成了许多肽和重组蛋白,检测它们诱导抗体和细胞毒性T淋巴细胞(CTL)的能力,并测试它们与原始靶细胞或生物体的结合能力以及治疗或预防效果。一种脂质体制剂,由吸附有明矾的脂质体组成,其中含有强效佐剂脂多糖A以及包封或表面结合的抗原,在人体疫苗试验中具有安全记录且诱导抗体的效果很强。这些相同的脂质体还可以作为有效的载体,将结合或未结合的肽和蛋白质递送至抗原呈递细胞,通过主要组织相容性复合体(MHC)I类和II类途径呈递,以在实验动物模型中诱导CTL和抗体。脂质体脂多糖A似乎极其重要,并且通常是诱导针对脂质体肽抗原的CTL的佐剂所必需的。对未结合或脂质结合的小肽进行计算机生成的分子建模分析强烈表明,脂质体表面肽抗原的表达在诱导抗体以及确定抗体对小肽的特异性方面都可能是一个重要因素。然而,诱导CTL并不需要脂质体肽的抗原性表面表达。数据表明,带有或不带有脂质尾合成的小合成肽,或化学偶联到脂质体表面的小合成肽,与脂质体脂多糖A结合时,可能作为有效的抗原表位来诱导抗体和CTL。