2013
DOI: 10.1186/1742-4690-10-72
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Development of prophylactic vaccines against HIV-1

Abstract: The focus of most current HIV-1 vaccine development is on antibody-based approaches. This is because certain antibody responses correlated with protection from HIV-1 acquisition in the RV144 phase III trial, and because a series of potent and broad spectrum neutralizing antibodies have been isolated from infected individuals. Taken together, these two findings suggest ways forward to develop a neutralizing antibody-based vaccine. However, understanding of the correlates of protection from disease in HIV-1 and … Show more

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Cited by 65 publications
(60 citation statements)
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“…During this time, efforts to identify correlates of immune protection have yielded a number of critical observations. From a humoral perspective, the characterization of broadly neutralizing antibodies and the plasma cells that secrete these antibodies suggests that specific routes of B cell immune maturation are key to eliciting protective immunity (29)(30)(31)(32). From a T cell perspective, the presentation of viral peptide ligands by particular HLA molecules, in conjunction with specific T cell receptor usage, correlates with protection from both infection and disease progression (33).…”
Section: Discussionmentioning
confidence: 99%
“…During this time, efforts to identify correlates of immune protection have yielded a number of critical observations. From a humoral perspective, the characterization of broadly neutralizing antibodies and the plasma cells that secrete these antibodies suggests that specific routes of B cell immune maturation are key to eliciting protective immunity (29)(30)(31)(32). From a T cell perspective, the presentation of viral peptide ligands by particular HLA molecules, in conjunction with specific T cell receptor usage, correlates with protection from both infection and disease progression (33).…”
Section: Discussionmentioning
confidence: 99%
“…Besides the choice of antigen as the core component of any vaccine, the mode of delivery, the immunization regimen, route, and dose, and the exploitation of immunemodulating factors, either added in trans as adjuvants or representing intrinsic properties of, e.g., vector systems, may also affect vaccine efficacy. Current approaches are mainly focused on the induction of antibody responses, as they are considered to prevent infection, while CD8 Ï© cytotoxic T lymphocyte (CTL) responses are generally thought to modify disease progression by reducing viral loads (1). However, recent studies of rhesus macaques immunized with a novel cytomegalovirus (CMV) vector indicate the potentially protective role of CD8 Ï© T cells, especially those with an effector memory phenotype (2)(3)(4).…”
mentioning
confidence: 99%
“…Strikingly, if there is a longer time delay in the production of effector function (small cq), increasing the abundance of memory CTL even by four orders of magnitude does not lead to a significant reduction of the peak virus load and thus of clinical symptoms (Figure 3). This might contribute to the finding that CTL-based vaccines have not been very effective in a variety of different viral infections, a prominent example being HIV [29]. …”
Section: Memory Ctl and Protection Against Re-infectionmentioning
confidence: 99%