Diversity considerations in HIV-1 vaccine selection

Science. 2002 Jun 28;296(5577):2354-60. doi: 10.1126/science.1070441.

Abstract

Globally, human immunodeficiency virus-type 1 (HIV-1) is extraordinarily variable, and this diversity poses a major obstacle to AIDS vaccine development. Currently, candidate vaccines are derived from isolates, with the hope that they will be sufficiently cross-reactive to protect against circulating viruses. This may be overly optimistic, however, given that HIV-1 envelope proteins can differ in more than 30% of their amino acids. To contend with the diversity, country-specific vaccines are being considered, but evolutionary relationships may be more useful than regional considerations. Consensus or ancestor sequences could be used in vaccine design to minimize the genetic differences between vaccine strains and contemporary isolates, effectively reducing the extent of diversity by half.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • AIDS Vaccines* / immunology
  • Base Sequence
  • Consensus Sequence
  • Cross Reactions
  • Evolution, Molecular
  • Gene Products, env / chemistry
  • Gene Products, env / genetics
  • Gene Products, env / immunology
  • Genetic Variation*
  • Genome, Viral
  • HIV Antibodies / biosynthesis
  • HIV Antibodies / immunology
  • HIV Antigens / genetics
  • HIV Antigens / immunology
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control
  • HIV Infections / virology
  • HIV-1 / classification
  • HIV-1 / genetics*
  • HIV-1 / immunology*
  • Humans
  • Likelihood Functions
  • Phylogeny*

Substances

  • AIDS Vaccines
  • Gene Products, env
  • HIV Antibodies
  • HIV Antigens