GIBaren aurkako txertoaren bila
Ekaia 32 : 7-22 (2017)
Abstract
HIV is the causative agent of one of the most lethal pandemics in human history, AIDS. Although in recent years HAART therapy has considerably reduced death rate, new infections keep arising. Therefore, a preventive vaccine remains the most promising tool to end the pandemic. However, the virus has developed many nat-ural strategies to evade the immune system and, moreover, the special characteristics of the neutralizing antibodies that a vaccine aims to elicit, makes vaccine design ex-tremely challenging. The efficiency of the RV144 clinical trial and the promising re-sults obtained by passive immunization with broadly neutralizing antibodies suggest that the objective of obtaining an effective vaccine is closer. Until now, a myriad of vaccine strategies have been attempted but the expected results have not been yet obtained. However, the thorough research on the structure of the viral immunogens and the antibodies that recognize them might pave the way for the design of future effective immunogens.; GIB birusa, giza historian zehar gertatu den pandemiarik hilgarrieneta-riko baten eragilea da, HIESa alegia. Nahiz eta azken urteetan HAART terapia anti-rretrobiralari esker heriotza tasa asko murriztu den, infekzio berrien kopurua etengabe emendatzen ari da. Hori dela eta, badirudi pandemiari azkenik amaiera eman ahal iza-teko txerto prebentibo baten garapena izan daitekeela jokaera eraginkorrena. Hala ere, birusak garatu dituen estrategia natural desberdinek eta immunizazioz sortu nahi diren antigorputz neutralizatzaileen ezaugarri bereziek oso zaila egiten dute infekziotik ba-bestuko lukeen txertoaren garapena. RV144 entsegu klinikoaren eraginkortasun apalek eta espektro zabaleko antigorputz neutralizatzaileekin immunizazio pasiboz lorturiko emaitzek iradokitzen dute hurbilago gaudela txerto eraginkor baten garapena lortzetik. Orain arte hainbat txerto mota erabili diren arren, emaitza onik ez da lortu. Hala ere, sakon aztertzen ari da bai immunogeno naturalen egitura, bai immunogenoak ezagu-tzen dituzten antigorputzen egitura, eta badirudi, besteak beste, ikerketa horiek bide be-rriak irekiko dituztela txerto berrien diseinuan.