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Broadly Reactive Neutralizing Antibodies Generated during Natural HIV-1 Infection
John Mascola
Vaccine Res Ctr, NIAID, NIH, Bethesda, MD, US
Despite this antigenic diversity of HIV-1, serum antibodies
from some HIV-1-infected subjects can neutralize heterologous viral isolates,
including isolates belonging to distinct genetic subtypes. A detailed analysis
of these cross-neutralizing sera has begun to elucidate the antibody
specificities that contribute to virus neutralization. In some sera,
neutralization is achieved by a response to a functionally conserved viral
epitope, such as the CD4 binding site of gp120. In other sera, antibodies to
several epitopes on gp120 and gp41, including epitopes not yet well defined,
appear to contribute to the overall serum neutralization. It is clear that
conserved neutralizing epitopes are immunogenic during natural HIV-1 infection
and further understanding of these epitopes can help guide the design of new
vaccine candidates to elicit protective antibodies.
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