Tracking the History of the Elusive HIV Vaccine I. Introduction Human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) is a global epidemic: 25 million people have died from it and 35 million people are currently infected1. While anti-retroviral therapies are available that control viral replication, those treatments are unable to purge the latent reservoir of virus resident in resting CD4+ memory T cells. Additionally, these treatments are extremely expensive and largely unavailable to those in developing countries where 90% of infected individuals reside1. Therefore, the best approach for controlling and preventing the transmission of HIV would be a prophylactic vaccine. In the years since HIV was discovered as the etiologic agent behind AIDS, the race to create an effective vaccine has been on. Despite decades of research and multiple clinical trials, this elusive vaccine has yet to be created. However, recent clinical trials and research have provided important insights into the features and functions of HIV that might serve as therapeutic targets. A few of these breakthroughs include the establishment of CD8+ T cells as controllers of infection, discovery of new envelope epitopes for antibody targeting, definition of broadly neutralizing antibody (bnAb) development pathways and identification of transmission risks. Further investigation will be required to develop methods for overcoming the extreme diversity of HIV-1 infections and triggering bnAb
As stated by Dr. N.A.S, finding a vaccine has been incredibly challenging due to the astonishing genetic diversity of the virus. While it is true that the genome of two HIV infected individuals can differ by up to 30%,6 it is not the integrase enzyme that causes this huge difference in the genomes as written by Dr. N.A.S. Reverse transcriptase is the error prone enzyme that makes multiple mistakes while copying RNA into DNA, which results in ~1 mutation in every new virus.6 The advantage of mutations for HIV is that these new changes are not
Numerous species of monkey were infected with the Simian Immunodeficiency Virus (SIV) or Simian-Human Immunodeficiency Virus (SHIV). The macaques were the primary group of monkeys infected. “Macaques are physiologically and immunologically similar to humans so there is a significant advantage over rodents and other species. The pathogenic SIV infection of macaques can lead to a disease that is called “simian AIDS;” it is similar in many respects to the disease caused by HIV-1 in humans” (Evans and Silvestri). Using the macaques allows different treatments to occur on the experimental level that cannot be conducted in humans. The treatments have provided and continue to provide “essential information to reach a deeper understanding of the biology of HIV infection and AIDS” (Evans and Silvestri). Non-human primates are easier to use than humans do to the ability to control the timing, dose and route of the virus as well as collecting the samples from tissues that are difficult to collect from humans. Macaques can be infected by vaginal or rectal routes or by oral routes. Macaques have been used to test various “microbicides and vaccines for mucosal protection against HIV acquisition” (Evans and Silvestri). By using non-human primate models for studies of AIDS, many results have been
As have been described above, HIV can have a potential effect on immunological cells, which are important to protect the body from additional infections such as Tuberculosis (TB), Cytomegalovirus (CMV) and other viral or bacterial infections. An effective treatment is needed to reconstruct what HIV has damaged. Antiretroviral therapy (ART) is a common treatment to stop the viral replication and decrease the disease progression, which may lead to a vast decline of the morbidity and mortality. The standard treatment involves a combination of at least three drugs; often known as a highly active antiretroviral therapy (HAART) where the most common types are Nucleoside reverse transcriptase
There is some good news in the fight against HIV. Between 2005 and 2014 new diagnosis of HIV have fallen by 19% nationwide (CDC, 2017). Those living with HIV are now living longer, healthier lives and have the opportunity to
infected cells, have opened new avenues for strategies for HIV vaccine design” (39). These antibodies
HIV is a sexually transmitted disease that attacks the body’s immune system by diminishing CD4 cells that help prevent and fight illnesses. HIV is a virus, more specifically a retrovirus that transcribes its RNA into the host cell’s DNA, and is spread by a transfer in bodily fluids namely drug injection and condomless sex. As the disease progresses into acquired immune deficiency syndrome (AIDS), the virus continues eliminating CD4 cells until the immune system becomes virtually ineffective [5]. Scientists first identified HIV in 1985 in response to the AIDS crisis plaguing the United States [6]. With no cure yet available, those affected with HIV must rely on antiretroviral drug therapy to decrease their chances of developing AIDS [7].
HIV is a life changing virus that cannot be reversed. It can be spread by “semen, vagina fluids, breast milk, or amniotic fluid”. This virus is a vicious virus that harms and fights the body immune system. The immune system is the body’s healing system that fights off diseases. With a weak immune system, one is more likely to become infected with diseases and illnesses. There is treatment to help aid the symptoms of HIV, but unfortunately there is no prevention vaccine for HIV.
In the past four decades, human immunodeficiency virus (HIV) has been discovered, developed into an international epidemic, and
Advertisement objective: To against AIDS and to prevent HIV virus spread out, since no vaccine to cure AIDS’s infection.
The prospects for effective management of individuals with HIV are early dictation of the disease and identification and implementation of an evidence-based intervention that will slow the advancement of HIV to deleterious outcomes (Vervloet, Linn, Van Weert, de Bakker, Bouvy, & Dijik, 2012). HIV is a pandemic and pervasive disease that is associated with extensive mortality and morbidity. In the 1980s, HIV has claimed the lives of 33 million individuals’ and 35 million individuals are presently living with the disease nationwide. HIV attacks humans’ protective systems, and then replicates itself. As a result of this replication, the body cells thereby overwhelm the T-cells or the CD4
The Human Immune system is made up of a variety of chemical and cellular components that are classified as either innate or adaptive immunity. The cellular immune response to the bubonic plague is carried out through the innate response as the bacterium is able to avoid the adaptive response by infecting macrophages in the host’s body. Similarly, the immune response to HIV infection is not able to reach the adaptive response, as the virus infects the body and destroys vital CD4 cells which in turn damage the immune system itself. Furthermore, the immune system relies heavily on the action of B and T cells, which are antigen-specific cellular immune responses to battle the HIV virus. Though it is unable to completely rid the host of the virus,
The most fundamental question to ask about an HIV vaccine is: 'What evidence exists that protection against disease after exposure to HIV is possible?' The best evidence for successful protection against a virulent primate lentivirus such as HIV is that monkeys are almost always protected against challenge with pathogenic SiVmac after vaccination with an attenuated (ne/-deleted) SIVmac
Recently in Cuba a new and aggressive strain of HIV has been discovered and this strain causes an early development of AIDS in people within 3 years of being infected with HIV. Usually it takes five to ten years for a person with HIV to progress to AIDS but only if the person is not under anti-retroviral therapy treatment. Individuals who are HIV positive usually don’t feel or look sick immediately which is why they do not take ART treatment during the clinical latency stage of the infection. The new “recombinant” strain of HIV takes advantage of this situation by causing a rapid progression of HIV to AIDS and cutting short the time needed for HIV positive patients to exhibit early symptoms, which could help them be aware of their infection
HIV is one of the most feared diseases around the globe since its “discovery” in 1981. HIV stands for human immunodeficiency virus and is caused by Lentivirus, which is a subgroup of Retroviridae (Douek et al. 2009). HIV is one of the more dangerous diseases known because there is currently no known cure and will infect roughly 50,000 people in the United States alone each year (CDC 2016). HIV is a terrible disease that has taken the world by storm. While originally only known as a homosexual disease, that false perception has been shattered as the disease continued to spread. The origin of HIV is not entirely known, though there is strong evidence to support the idea that it originated in a chimpanzee in West Africa. They
Since its discovery in 1981, the scientific community has put up with the struggle of finding a vaccine for the human immunodeficiency virus, or HIV, the root cause of AIDS or acquired immune deficiency syndrome. Although numerous advancements in combating the virus have helped to reverse the epidemic, there is still no known cure. However, recent studies have shown some results that may possibly be the precursors to eradicate the disease. One example would be the trials of a possible vaccine conducted on primates at both Paris-Descartes University and at the University of Chinese Medicine in Guangzhou. Along with finding a vaccine, an alternative method has been proposed in Time Magazine with altering the CCR5 gene in cells, which is