Strategies for induction of HIV-1 envelope-reactive broadly neutralizing antibodies

التفاصيل البيبلوغرافية
العنوان: Strategies for induction of HIV-1 envelope-reactive broadly neutralizing antibodies
المؤلفون: Kevin Wiehe, Wilton B. Williams, Kevin O. Saunders, Barton F. Haynes
المصدر: Journal of the International AIDS Society
سنة النشر: 2021
مصطلحات موضوعية: Immunogen, B-cell receptor, HIV Infections, broadly neutralizing antibodies (bnAbs), HIV Antibodies, Hiv 1 envelope, Epitope, Affinity maturation, bnAb precursors, Medicine, Humans, B cell, AIDS Vaccines, HIV‐1 vaccine strategies, improbable mutations, biology, business.industry, Public Health, Environmental and Occupational Health, env Gene Products, Human Immunodeficiency Virus, HIV‐1 vaccines, Supplement: Review, B-cell affinity maturation, Supplement: Reviews, Virology, Antibodies, Neutralizing, Env immunogen design, Infectious Diseases, medicine.anatomical_structure, biology.protein, HIV-1, Antibody, business, Broadly Neutralizing Antibodies
الوصف: Introduction A primary focus of HIV‐1 vaccine development is the activation of B cell receptors for naïve or precursor broadly neutralizing antibodies (bnAbs), followed by expansion and maturation of bnAb B cell lineage intermediates leading to highly affinity‐matured bnAbs. HIV‐1 envelope (Env) encodes epitopes for bnAbs of different specificities. Design of immunogens to induce bnAb precursors of different specificities and mature them into bnAb status is a goal for HIV‐1 vaccine development. We review vaccine strategies for bnAb lineages development and highlight the immunological barriers that these strategies must overcome to generate bnAbs. Methods We provide perspectives based on published research articles and reviews. Discussion The recent Antibody Mediated Protection (AMP) trial that tested the protective efficacy of one HIV‐1 Env bnAb specificity demonstrated that relatively high levels of long‐lasting serum titers of multiple specificities of bnAbs will be required for protection from HIV‐1 transmission. Current vaccine efforts for induction of bnAb lineages are focused on immunogens designed to expand naïve HIV‐1 bnAb precursor B cells following the recent success of vaccine‐induction of bnAb precursor B cells in macaques and humans. BnAb precursor B cells serve as templates for priming‐immunogen design. However, design of boosting immunogens for bnAb maturation requires knowledge of the optimal immunogen design and immunological environment for bnAb B cell lineage affinity maturation. BnAb lineages acquire rare genetic changes as mutations during B cell maturation. Moreover, the immunological environment that supports bnAb development during HIV‐1 infection is perturbed with an altered B cell repertoire and dysfunctional immunoregulatory controls, suggesting that in normal settings, bnAb development will be disfavoured. Thus, strategies for vaccine induction of bnAbs must circumvent immunological barriers for bnAb development that normally constrain bnAb B cell affinity maturation. Conclusions A fully protective HIV‐1 vaccine needs to induce durable high titers of bnAbs that can be generated by a sequential set of Env immunogens for expansion and maturation of bnAb B cell lineages in a permitted immunological environment. Moreover, multiple specificities of bnAbs will be required to be sufficiently broad to prevent the escape of HIV‐1 strains during transmission.
تدمد: 1758-2652
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4c607b9fa26960892a2467079a93a971Test
https://pubmed.ncbi.nlm.nih.gov/34806332Test
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....4c607b9fa26960892a2467079a93a971
قاعدة البيانات: OpenAIRE