[HTML][HTML] Immune system regulation in the induction of broadly neutralizing HIV-1 antibodies

G Kelsoe, L Verkoczy, BF Haynes - Vaccines, 2013 - mdpi.com
G Kelsoe, L Verkoczy, BF Haynes
Vaccines, 2013mdpi.com
In this brief review, we discuss immune tolerance as a factor that determines the magnitude
and quality of serum antibody responses to HIV-1 infection and vaccination in the context of
recent work. We propose that many conserved, neutralizing epitopes of HIV-1 are weakly
immunogenic because they mimic host antigens. In consequence, B cells that strongly bind
these determinants are removed by the physiological process of immune tolerance. This
structural mimicry may represent a significant impediment to designing protective HIV-1 …
In this brief review, we discuss immune tolerance as a factor that determines the magnitude and quality of serum antibody responses to HIV-1 infection and vaccination in the context of recent work. We propose that many conserved, neutralizing epitopes of HIV-1 are weakly immunogenic because they mimic host antigens. In consequence, B cells that strongly bind these determinants are removed by the physiological process of immune tolerance. This structural mimicry may represent a significant impediment to designing protective HIV-1 vaccines, but we note that several vaccine strategies may be able to mitigate this evolutionary adaptation of HIV and other microbial pathogens.
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