Therapeutic immunization for HIV

Springer Semin Immunopathol. 2006 Nov;28(3):221-30. doi: 10.1007/s00281-006-0029-0. Epub 2006 Oct 10.

Abstract

Vaccines have entered into human clinical trials against infectious diseases and as therapies against cancer. The HIV virus establishes a latent infection at a very early stage and the T cell memory of the infected patient is rapidly destroyed. However, results of immunotherapy after DNA and protein immunization show that vaccine-induced immune responses might be present for a long period of time. Patients subjected to therapeutic immunization appear to do well, and to have a small immunological advantage, which, however, will have to be improved. The vaccine therapy should start early, while adequate reservoirs of appropriate T helper cells are available and still inducible. The DNA vaccines induce a relatively long-lived immunological memory, and gene-based immunization is effective in inducing cytotoxic CD8(+) T cells and CD4+ helper cells. Protein vaccines, on the other hand, primarily give T cell help. It thus appears that DNA and protein approaches to HIV immunization complement each other. A surprisingly broad reactivity to peptides from different subtypes of HIV was identified in individuals infected with several subtypes of HIV.

Publication types

  • Review

MeSH terms

  • AIDS Vaccines / genetics
  • AIDS Vaccines / immunology
  • AIDS Vaccines / therapeutic use*
  • Adjuvants, Immunologic
  • Antiretroviral Therapy, Highly Active
  • CD4-Positive T-Lymphocytes / immunology
  • CD8-Positive T-Lymphocytes / immunology
  • Clinical Trials as Topic
  • Cytokines / immunology
  • Cytokines / therapeutic use
  • HIV Antibodies / biosynthesis
  • HIV Infections / drug therapy
  • HIV Infections / immunology
  • HIV Infections / therapy*
  • HIV Infections / virology
  • Humans
  • Immunologic Memory
  • T-Lymphocytes / immunology*
  • Vaccines, DNA / genetics
  • Vaccines, DNA / immunology
  • Vaccines, DNA / therapeutic use*
  • Viral Load

Substances

  • AIDS Vaccines
  • Adjuvants, Immunologic
  • Cytokines
  • HIV Antibodies
  • Vaccines, DNA