Therapies and clinical trials with vaccine candidates against HIV-1

Antiretroviral therapies combining three or more compounds frequently diminish the viral load (VL) in blood to undetectable levels (< 50 copies of RNA/mL), being considered as optimal. In contrast, more than 100 clinical studies with different vaccine candidates have barely achieved modest result...

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Main Author: Enrique Iglesias
Format: Article
Language:English
Published: Elfos Scientiae
Series:Biotecnología Aplicada
Subjects:
Online Access:http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1027-28522009000300001&lng=en&tlng=en
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author Enrique Iglesias
author_facet Enrique Iglesias
author_sort Enrique Iglesias
collection DOAJ
description Antiretroviral therapies combining three or more compounds frequently diminish the viral load (VL) in blood to undetectable levels (< 50 copies of RNA/mL), being considered as optimal. In contrast, more than 100 clinical studies with different vaccine candidates have barely achieved modest results and some studies have been discouraging. Therapies are, however, unable to eliminate viral infection. At the same time, they are a threat to the health of patients because of the accumulated toxicity derived from their prolonged use. Many researchers, therefore, believe that an effective (or even partially effective) vaccine might substitute therapies, eliminating the virus or at least controlling the VL through immune-mediated mechanisms. However, immune correlates for protection remain unknown requiring a strategy to evaluate the clinical effectiveness of vaccine candidates. Hence, the experience accumulated with therapies is highly valuable. This paper gives an update on some of the main results of antiretroviral therapies and therapeutic vaccination, giving recommendations in the field of vaccination against HIV-1.
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spelling doaj.art-781974b345c54dc4a750d52e50551cd82022-12-21T17:31:33ZengElfos ScientiaeBiotecnología Aplicada1027-2852263190198S1027-28522009000300001Therapies and clinical trials with vaccine candidates against HIV-1Enrique Iglesias0Centro de Ingeniería Genética y BiotecnologíaAntiretroviral therapies combining three or more compounds frequently diminish the viral load (VL) in blood to undetectable levels (< 50 copies of RNA/mL), being considered as optimal. In contrast, more than 100 clinical studies with different vaccine candidates have barely achieved modest results and some studies have been discouraging. Therapies are, however, unable to eliminate viral infection. At the same time, they are a threat to the health of patients because of the accumulated toxicity derived from their prolonged use. Many researchers, therefore, believe that an effective (or even partially effective) vaccine might substitute therapies, eliminating the virus or at least controlling the VL through immune-mediated mechanisms. However, immune correlates for protection remain unknown requiring a strategy to evaluate the clinical effectiveness of vaccine candidates. Hence, the experience accumulated with therapies is highly valuable. This paper gives an update on some of the main results of antiretroviral therapies and therapeutic vaccination, giving recommendations in the field of vaccination against HIV-1.http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1027-28522009000300001&lng=en&tlng=enantiretroviral treatmentaidstherapeutic vaccinehiv-1
spellingShingle Enrique Iglesias
Therapies and clinical trials with vaccine candidates against HIV-1
Biotecnología Aplicada
antiretroviral treatment
aids
therapeutic vaccine
hiv-1
title Therapies and clinical trials with vaccine candidates against HIV-1
title_full Therapies and clinical trials with vaccine candidates against HIV-1
title_fullStr Therapies and clinical trials with vaccine candidates against HIV-1
title_full_unstemmed Therapies and clinical trials with vaccine candidates against HIV-1
title_short Therapies and clinical trials with vaccine candidates against HIV-1
title_sort therapies and clinical trials with vaccine candidates against hiv 1
topic antiretroviral treatment
aids
therapeutic vaccine
hiv-1
url http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1027-28522009000300001&lng=en&tlng=en
work_keys_str_mv AT enriqueiglesias therapiesandclinicaltrialswithvaccinecandidatesagainsthiv1