HIV-1临床前疫苗研究进展

Z. Sheng, L. Shapiro
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摘要

自1983年在人类中分离以来[1,2],HIV-1已发展成为全球大流行。但是,尽管进行了多次人体疫苗试验,但有效的HIV-1疫苗尚未成功[3,4]。HIV-1固有的病毒学和免疫学特征对有效疫苗的开发提出了挑战[3-8]。例如,包膜(Env)刺突——由受体结合亚基gp120和跨膜亚基gp41的三聚体组成,是抗体靶向的病毒表面唯一可用的抗原。然而,刺突表面被广泛的聚糖包被所屏蔽[7,9,10],这阻止了大多数蛋白质表面被抗体识别。Env蛋白也非常不稳定(例如gp120/gp41频繁解离)[6,8,11],并以极快的速度进化[12,13],这经常改变其免疫原性以逃避宿主免疫监视[7]。尽管如此,在过去的10年里,先进的技术已经结合起来揭示了HIV-1与免疫系统相互作用的许多方面,包括但不限于在自然感染中分离广泛中和抗体(bnab),结合结构表征和/或中和分析来识别易感位点[14-19],受感染供体的B细胞库测序,计算算法表征B细胞对HIV-1的反应并确定HIV-1 bNabs亲和成熟的决定因素[20-27],从头开始和移植免疫原设计和抗原性增强[2838],以及基因工程动物模型评估免疫原效果[39-41]。从这些研究中获得的知识使艾滋病毒-1疫苗研究发生了革命性变化。最近关于被动给药bNabs的研究显示了HIV预防的有效性(文献综述[4,42]),表明通过疫苗接种激发bNabs原则上可以为HIV预防提供长期解决方案。然而,许多HIV-1单克隆抗体具有不寻常的特征(例如,高体细胞超突变或长互补决定区3 (CDR3)),这可能需要多年的亲和力成熟,因此可能形成激发的障碍[3,4,15]。为了克服这些潜在的障碍,已经开发出新的疫苗策略,例如设计疫苗以引发针对特定易感部位的抗体(基于表位的疫苗设计)和成熟特定抗体类别(基于抗体谱系的设计)(综述于[5])。在此,我们回顾了HIV-1临床前疫苗研究的最新进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recent Progress in Preclinical HIV-1 Vaccine Research
Since isolation in humans in 1983 [1,2], HIV-1 has developed into a global pandemic. But an effective HIV-1 vaccine has not been succeeded despite multiple human vaccine trials performed [3,4]. Challenges to an effective vaccine arise from intrinsic virological and immunological features of HIV-1 [3-8]. For example, the envelope (Env) spike – composed of trimers of the receptor-binding subunit gp120 and the transmembrane subunit gp41, is the sole antigen available on the viral surface targeted by antibodies. However, the spike surface is shielded by an extensive glycan coat [7,9,10], which prevents most protein surface area from being recognized by antibody. The Env protein is also extremely unstable (e.g. frequent gp120/gp41 dissociation) [6,8,11] and evolves at an extremely fast rate [12,13], which frequently alters its immunogenicity to escape host immune surveillance [7]. Nonetheless, in the past 10 years, advanced technologies have been combined to reveal numerous aspects of HIV-1 interaction with the immune system, including but not limited to isolation of broadly neutralizing antibodies (bNabs) in natural infection coupled with structural characterization and/or neutralization profiling to identify sites of vulnerability [14-19], B cell repertoire sequencing of infected donors, and computational algorithms to characterize B cell response to HIV-1 and to identify determinants of affinity maturation of HIV-1 bNabs [20-27], de novo and grafted immunogen design and antigenicity enhancement [2838], and genetically engineered animal models to evaluate immunogen efficacy [39-41]. The knowledge gained from these studies has revolutionized HIV-1 vaccine research. Recent studies on passive administration of bNabs showed efficacy for HIV prevention (reviewed in [4,42], indicating that the elicitation of bNabs by vaccination could in principle provide a long-term solution for HIV prevention. However, many HIV-1 bNabs have unusual features (e.g. high somatic hypermutation or long complementarity determining region 3 (CDR3)), which may require years of affinity maturation, and could thus form roadblocks for elicitation [3,4,15]. To conquer these potential barriers, new vaccine strategies have been developed such as vaccines designed to elicit antibodies against a specific site of vulnerability (epitope-based vaccine design) and to mature a specific antibody class (antibody lineage-based design) (reviewed in [5]). Here, we review recent progress in preclinical HIV-1 vaccine research.
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