Enhancement of human immunodeficiency virus type 1‐DNA vaccine potency through incorporation of T‐helper 1 molecular adjuvants

SA Calarota, DB Weiner - Immunological reviews, 2004 - Wiley Online Library
SA Calarota, DB Weiner
Immunological reviews, 2004Wiley Online Library
It is clear that the development of a safe and effective vaccine for human immunodeficiency
virus type 1 (HIV‐1) remains a crucial goal for controlling the acquired immunodeficiency
syndrome epidemic. At present, it is not clear what arm of the immune response correlates
with protection from HIV‐1 infection or disease. Therefore, a strong cellular and humoral
immune response will likely be needed to control this infection. Among different vaccine
alternatives, DNA vaccines appeared more than a decade ago, demonstrating important …
Summary
It is clear that the development of a safe and effective vaccine for human immunodeficiency virus type 1 (HIV‐1) remains a crucial goal for controlling the acquired immunodeficiency syndrome epidemic. At present, it is not clear what arm of the immune response correlates with protection from HIV‐1 infection or disease. Therefore, a strong cellular and humoral immune response will likely be needed to control this infection. Among different vaccine alternatives, DNA vaccines appeared more than a decade ago, demonstrating important qualities of inducing both humoral and cellular immune responses in animal models. However, after several years and various clinical studies in humans, supporting the safety of the HIV‐DNA vaccine strategies, it has become clear that their potency should be improved. One way to modulate and enhance the immune responses induced by a DNA vaccine is by including genetic adjuvants such as cytokines, chemokines, or T‐cell costimulatory molecules as part of the vaccine itself. Particularly, vaccine immunogenicity can be modulated by factors that attract professional antigen‐presenting cells, provide additional costimulation, or enhance the uptake of plasmid DNA. This review focuses on developments in the coadministration of molecular adjuvants for the enhancement of HIV‐1 DNA‐vaccine potency.
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