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Innovative approaches to track lymph node germinal center responses to evaluate development of broadly neutralizing antibodies in human HIV vaccine trials

机译:追踪淋巴结发芽中心反应的创新方法,以评估人艾滋病病毒疫苗试验中广泛中和抗体的发展

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摘要

Phase 1 clinical studies will soon evaluate novel HIV-1 envelope immunogens targeting distinct ‘germline’ and memory B cell receptors to ultimately elicit HIV-1 broadly neutralizing antibodies (bNAbs). The National Institute of Allergy and Infectious Diseases (NIAID) recently convened a panel of US-based expert scientists, clinicians, sponsors and ethicists to discuss the role of sampling draining lymph nodes within preventive HIV vaccine trials. The meeting addressed the importance of evaluating germinal center (GC) responses following immunization to predict bNAb potency and breadth, and reviewed key aspects of this procedure within the clinical research setting, including informed consent, adverse event monitoring, study participant acceptability, medical expertise and training. We review highlights from the meeting and discuss the advantages and disadvantages of sampling lymph nodes by excisional biopsies compared to fine needle aspirations (FNA) in the context of prophylactic HIV vaccine trials.
机译:第1项阶段临床研究将很快评估新的HIV-1包膜免疫原靶向不同“种系”和记忆B细胞受体,以最终引导学生HIV-1广泛中和抗体(bNAbs)。过敏和传染病研究所(NIAID)全国学院最近召开的总部设在美国专家的科学家,医生,赞助商和伦理学家的小组讨论预防性HIV疫苗试验中取样引流淋巴结的作用。会议讨论评估免疫接种预测bNAb效力和广度,以及临床研究环境中此过程的审查主要方面,包括知情同意,不良事件监测,研究参与者接受,医学专业知识生发中心(GC)反应的重要性,训练。我们回顾从会议的亮点和讨论相比,在预防性艾滋病疫苗试验的背景下细针穿刺(FNA)通过切除活检取样淋巴结的优点和缺点。

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