From: Innate immunity against HIV: a priority target for HIV prevention research
Strategy | Priorities for future research | Most rapidly-realised goals? |
---|---|---|
A. Development of microbicides and passive protection strategies that mediate defence at mucosal infection sites via deployment or local modulation of innate immunity | Structure-function studies to enable the design of small molecules that selectively induce the HIV-inhibitory properties of defensins, WAPs, etc | |
Identify the key mechanisms involved in type 1 IFN-mediated inhibition of HIV replication so that the pathways involved can be selectively invoked to block viral infection | ||
Evaluate the effect of local administration of immunosuppressive agents at mucosal exposure sites on HIV acquisition | ← | |
B. Design of vaccines to prime adaptive responses that mediate protection via modulation of innate effector functions | Clarify the importance of ADCVI activity as a means of antibody-mediated control of HIV infection; and Define the key characteristics of antibodies that induce strong ADCVI activity (e.g. isotype, glycosylation status, specificity, affinity) | ← |
Verify the existence of HIV-specific Treg cells and determine their in vivo roles, particularly their impact on generalised immune activation | ||
C. Creation of strategies for achieving protection by directly inducing long-term alterations in innate subsets and/or their functions | Characterise NK cell memory in humans (e.g. NK populations involved, longevity, modes of induction); and Identify the ligands on HIV-infected cells that trigger NK cells mediating protective functions, to enable design of immunogens to stimulate these NK subsets | |
Analyse the roles of NKT cell subsets in protection versus pathogenesis during HIV infection, to determine the utility of targeting these cells in vaccine design | ||
Explore the effects of persisting vaccine vectors on local and/or systemic innate responses | ← |