Challenges in the search for an HIV vaccine

Eur J Epidemiol. 2004;19(6):513-6. doi: 10.1023/b:ejep.0000032423.87658.68.

Abstract

Considerable progress has been made over the past several years in the development of an HIV vaccine. As a result, a growing number of vaccine modalities are being investigated in pre-clinical and phase I/II clinical trials. However, a number of major scientific challenges still remain. It is widely believed that the ideal vaccine should elicit both neutralizing antibodies and cytotoxic T lymphocytes (CTL) against diverse isolates of HIV, but the precise correlates of immunity have not been defined. Recombinant live vector-based vaccines and plasmid DNA vaccines have been shown to induce CTL, either alone or in combination, and these CTL-based vaccines have shown partial protective efficacy in nonhuman primates challenge studies. An immunogen that elicits broadly reactive neutralizing antibodies, however, has yet to be developed.

Publication types

  • Review

MeSH terms

  • AIDS Vaccines*
  • Acquired Immunodeficiency Syndrome / prevention & control*
  • HIV / immunology*
  • HIV Antibodies / biosynthesis
  • HIV Antibodies / immunology
  • Humans
  • T-Lymphocytes, Cytotoxic / immunology

Substances

  • AIDS Vaccines
  • HIV Antibodies