Therapeutic Vaccination of HIV-infected Patients

A special issue of Vaccines (ISSN 2076-393X). This special issue belongs to the section "HIV Vaccines".

Deadline for manuscript submissions: closed (30 April 2020) | Viewed by 10181

Special Issue Editor


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Guest Editor
Clinical immunology and Infectious Diseases Department, Hopital Henri Mondor-APHP, Créteil, France
Interests: HIV vaccine; HIV cure; HIV immunotherapy; Ebola Vaccine; Vaccine

Special Issue Information

Dear Colleagues,

The disadvantages of the life-long ART after HIV infection, including the increasing incidence of non-AIDS defining conditions and premature ageing experienced in spite of ART, as well as the huge number of affected persons, have placed the cure of HIV as a primary goal of Public Health. 

While a complete eradication of HIV has been achieved in two patients using the transplantation of haemopoietic stem cells that were resistant to HIV-infection, and there are examples of functional cure either spontaneously (elite controllers) or after ART (post-treatment controllers), nevertheless no strategies have been successful in reducing the reservoir size, nor in achieving constant remissions. Vaccines have been shown to have an enormous impact on the global burden of diseases; however, although great international efforts have been made, nearly after 40 years from the discovery of HIV, one of the most important sexually transmitted infections worldwide, an effective vaccine is not available yet. Variability of HIV, its persistence in the organisms and the complexity of its interaction with the immune system are the main reasons for this defeat. Failures of human trials for a successful preventive vaccine has led to the idea of developing therapeutic vaccines with the purpose of curing already infected patients by boosting their immune responses against the virus with the hope to allow safe interruption of ART.

To achieve a more comprehensive understanding of the current trends in HIV therapeutic vaccine development and assessment, in this Special Issue entitled “Therapeutic vaccination of HIV-infected patients: Are we close to a safe cessation of ART?” we are delighted to invite authors to share their knowledge and experience contributing with an original report, original observation, or review. Manuscripts should focus on the scientific and technical progresses made in the field as well as in understanding the molecular mechanisms and immune responses involved to overcome the obstacles and accelerate the successful achievement of HIV cure. We sincerely hope that you will be able to accept our invitation.

Dr. Jean-Daniel Lelièvre
Guest Editor

Manuscript Submission Information

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Keywords

  • HIV Cure
  • Functionnal cure
  • HIV vaccine
  • bNAb
  • HIV reservoir
  • antiPD1
  • Vedoluzimab
  • HIV elite controllers
  • HIV post treatment controllers

Published Papers (3 papers)

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Research

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15 pages, 758 KiB  
Article
Characterization of Physicians That Might Be Reluctant to Propose HIV Cure-Related Clinical Trials with Treatment Interruption to Their Patients? The ANRS-APSEC Study
by Christel Protiere, Lisa Fressard, Marion Mora, Laurence Meyer, Marie Préau, Marie Suzan-Monti, Jean-Daniel Lelièvre, Olivier Lambotte, Bruno Spire and the APSEC Study Group
Vaccines 2020, 8(2), 334; https://doi.org/10.3390/vaccines8020334 - 23 Jun 2020
Cited by 5 | Viewed by 2908
Abstract
HIV cure-related clinical trials (HCRCT) with analytical antiretroviral treatment interruptions (ATIs) have become unavoidable. However, the limited benefits for participants and the risk of HIV transmission during ATI might negatively impact physicians’ motivations to propose HCRCT to patients. Between October 2016 and March [...] Read more.
HIV cure-related clinical trials (HCRCT) with analytical antiretroviral treatment interruptions (ATIs) have become unavoidable. However, the limited benefits for participants and the risk of HIV transmission during ATI might negatively impact physicians’ motivations to propose HCRCT to patients. Between October 2016 and March 2017, 164 French HIV physicians were asked about their level of agreement with four viewpoints regarding HCRCT. A reluctance score was derived from their answers and factors associated with reluctance identified. Results showed the highest reluctance to propose HCRCT was among physicians with a less research-orientated professional activity, those not informing themselves about cure trials through scientific literature, and those who participated in trials because their department head asked them. Physicians’ perceptions of the impact of HIV on their patients’ lives were also associated with their motivation to propose HCRCT: those who considered that living with HIV means living with a secret were more motivated, while those worrying about the negative impact on person living with HIV’s professional lives were more reluctant. Our study highlighted the need to design a HCRCT that minimizes constraints for participants and for continuous training programs to help physicians keep up-to-date with recent advances in HIV cure research. Full article
(This article belongs to the Special Issue Therapeutic Vaccination of HIV-infected Patients)
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Review

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20 pages, 725 KiB  
Review
Antiretroviral Therapy Interruption (ATI) in HIV-1 Infected Patients Participating in Therapeutic Vaccine Trials: Surrogate Markers of Virological Response
by Lorna Leal, Csaba Fehér, Valèria Richart, Berta Torres and Felipe García
Vaccines 2020, 8(3), 442; https://doi.org/10.3390/vaccines8030442 - 5 Aug 2020
Cited by 8 | Viewed by 3582
Abstract
A functional Human immunodeficiency Virus (HIV) cure has been proposed as an alternative to antiretroviral treatment for life, and therapeutic vaccines represent one of the most promising approaches. The goal of therapeutic vaccination is to augment virus-specific immune responses that have an impact [...] Read more.
A functional Human immunodeficiency Virus (HIV) cure has been proposed as an alternative to antiretroviral treatment for life, and therapeutic vaccines represent one of the most promising approaches. The goal of therapeutic vaccination is to augment virus-specific immune responses that have an impact on HIV viral load dynamics. To date, the agreed feature to evaluate the effects of these therapeutic interventions is analytical antiretroviral treatment interruption (ATI), at least until we find a reliable biomarker that can predict viral control. Different host, immunologic, and virologic markers have been proposed as predictors of viral control during ATI after therapeutic interventions. This review describes the relevance of ATI and the different surrogate markers of virological control assessed in HIV therapeutic vaccine clinical trials. Full article
(This article belongs to the Special Issue Therapeutic Vaccination of HIV-infected Patients)
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13 pages, 1756 KiB  
Review
The Potential of Immune Modulation in Therapeutic HIV-1 Vaccination
by Nabila Seddiki, Florence Picard, Léa Dupaty, Yves Lévy and Véronique Godot
Vaccines 2020, 8(3), 419; https://doi.org/10.3390/vaccines8030419 - 27 Jul 2020
Cited by 1 | Viewed by 3215
Abstract
We discuss here some of the key immunological elements that are at the crossroads and need to be combined to develop a potent therapeutic HIV-1 vaccine. Therapeutic vaccines have been commonly used to enhance and/or recall pre-existing HIV-1-specific cell-mediated immune responses aiming to [...] Read more.
We discuss here some of the key immunological elements that are at the crossroads and need to be combined to develop a potent therapeutic HIV-1 vaccine. Therapeutic vaccines have been commonly used to enhance and/or recall pre-existing HIV-1-specific cell-mediated immune responses aiming to suppress virus replication. The current success of immune checkpoint blockers in cancer therapy renders them very attractive to use in HIV-1 infected individuals with the objective to preserve the function of HIV-1-specific T cells from exhaustion and presumably target the persistent cellular reservoir. The major latest advances in our understanding of the mechanisms responsible for virus reactivation during therapy-suppressed individuals provide the scientific basis for future combinatorial therapeutic vaccine development. Full article
(This article belongs to the Special Issue Therapeutic Vaccination of HIV-infected Patients)
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