HIV Vaccines

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6. Challenges Involved in the Design and Development of HIV Vaccine • Massive diversity and variability of HIV presents a huge challenge to an efficacious vaccine design, as the vaccine needs to protect against a plethora of different strains of the virus circulating around the globe [17]. The vaccines studied to date are designed against one or two types of HIV clades. • High level of difficulty in generating a vaccine that can activate CD4+ T cells. . • Eliciting robust cellular and humoral immune response against a broad range of HIV subtypes • Lack of a human model showing complete recovery from HIV infection and an appropriate animal model to predict the potency of an HIV vaccine. This makes it difficult to identify and induce immune responses required to cure HIV infection [16]. This is supported by the failure of VAX004 and VAX003 trials as the vaccine candidates were tested prior in NHPs • Lack of structural details of immunogens/antigens. Inability to make antigens that mimic the conformation of the natural epitope. • Non neutralizing antibodies interfering with protective response of the broadly neutralizing antibodies (bnAbs). Immune correlates of the RV144 trial have shown production of Non neutralizing antibodies • Person to person variability in T-cell and antibody responses induced by the vaccine candidates [18]. This was revealed from the study of Immune correlates of the clinical trials • Designing an antigen binding to the B-Cell Receptor (BCR) with high affinity. Accessibility of epitopes to a... ... middle of paper ... ...antibody responses and protect against HIV infection, boosting up the T cell response to control viral replication and handling the problem of enormous HIV diversity are crucial elements in the pursuit of an HIV vaccine. Immune correlates of the modestly efficient RV144 trial have identified the V1V2 region to be the target of neutralizing antibodies and follow up studies are underway to evaluate multiple prime-boost regimens which will generate more data and insights in to the development of a vaccine. Recent discovery of bnAbs has provided a new and exciting avenue for designing an efficient vaccine. Unique approaches like B-cell lineage vaccine and AAV vector vaccines to elicit bnAb responses are being studied. By and large, this is a tremendously motivating period for HIV vaccine researchers, one that spawns more optimism markedly higher than in preceding years.

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